What is the Quality of Facilities at Preston Integrated Urgent Care Centre

Neutral

"There were medicines available outofhours for palliative care patients if needed and clinicians were trained in assessing the pain levels of patients."

Positive

"Staff at Preston are also made up of an advanced care practitioner a nurse practitioner urgent care practitioners a registered nurse healthcare assistants an operations facilitator drivers and receptionists."

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and recorded the outcome of the assessment."

Neutral

"We also spoke to a receptionist a driver three members of the nonclinical management team including the head of governance the general manager and the corporate administrative manager and three further members of the service administration team."

Positive

"Management monitoring and improving outcomes for people There was evidence of quality improvement including clinical audit."

Positive

"Past winning bids were for example the provision of basic life support training for patients the provision of a blood monitoring clinic for patients taking bloodthinning medicines flowers or equivalent for staff on special occasions and a staff team building event."

Positive

"The service had also carried out regular monthly monitoring of the use of selected medicines against best practice guidelines where results were discussed and learning shared with clinicians."

Positive

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Neutral

"It is based on a combination of what we found when we inspected information from our ongoing monitoring of data about services and information given to us from the provider patients the public and other organisations."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"The service analysed the results of the quality monitoring and risk assessed the reasons for nonachievement."

Neutral

"Performance monitoring statistics showed that the timely management of patients during out of hours was generally achieved."

Positive

"For example patients receiving end of life care carers those with a mental health condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

"There was a strong clinical governance department that held twomonthly meetings with a set agenda for the discussion of quality issues such as significant events complaints service performance actions resulting from changes to best practice guidance changes to policy and clinical audits."

Positive

"• There was a designated responsible person who handled all complaints in the service supported by the clinical governance department."

Positive

"All complaints were discussed at clinical governance meetings and lessons learned were shared with staff."

Neutral

"These were updated and reviewed regularly at clinical governance meetings."

Neutral

"Outcomes of discussions at clinical governance meetings were fed to the senior management team meetings."

Neutral

"There was a quarterly clinical governance report which reported on all governance issues including clinical audit."

Positive

"The service used clinical audit and peer discussion to ensure that guidelines were followed."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."

Positive

"• There was a health and safety policy available and regular risk assessments were carried out for the premises and staff working conditions."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"• There was an infection prevention and control IPC clinical lead who liaised with infection prevention teams to keep up to date with best practice."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."