What is the Quality of Facilities at The Tarleton Group Practice

Positive

"• Regular Gold Standard Framework meetings were held with the palliative care team and district nurses to support patients identified as being at the end of their life."

Positive

"Gold Standard FrameworkGSF meetings were held which involved palliative care nurses district nurses and community matrons."

Positive

"They also attended practice nurse forums at which educational sessions were delivered and they had the opportunity to share practice with peers."

Positive

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

Positive

"For example following a recent patient survey the appointment system was reviewed and changes had resulted in more appointments available during the afternoon and a telephone call back list for patients who could be supported by a GP or a nurse by telephone."

Positive

"For example the practice nurse had received regular Are services effective?"

Positive

"The practice nurse and medicines coordinator met weekly to undertake a stock take of the quantity and dates of drugs and vaccinations and ensure sufficient supplies were available."

Neutral

"Meetings were held with the home managers and the nurse and GP’s visited as needed to offer advice to the staff and review condition management."

Neutral

"A receptionist who spoke Portuguese had recently been appointed."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"• Blood monitoring was performed for patients with rheumatology and inflammatory bowel disease and staff liaised with specialist nurses."

Positive

"• There were procedures in place for 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

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"• There was a considerable immigrant population many from Madeira whose social problems can be compounded by the rural area and its transport links."

Positive

"For example: • Patients receiving end of life care were supported by the team following a GSF template."

Positive

"There was a health and safety policy available which identified local health and safety representatives."

Positive

"For example individual GPs led on complaints and health and safety information governance patient participation and safeguarding."

Neutral

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

Neutral

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

Positive

"There are a proportionately high number of elderly patients and patients with chronic disease prevalence."

Positive

"• Practice staff visited two local care homes to provide ward rounds confer with staff and managers and provide advice on medicine management."

Positive

"• The practice regularly worked with multidisciplinary teams in the case management of patients experiencing poor mental health including those with dementia and provided personalised medicine management including daily prescriptions if needed."