What is the Quality of Facilities at Robin Lane Health and Wellbeing Centre

Positive

"For example a weekly chair based exercise group run by one of the practice health care assistants."

Neutral

"These activities included chair based exercise Dementia Singing for the Brain and ukele groups."

Positive

"The practice worked jointly with palliative care and district nursing teams to ensure patients who required palliative care and their families were supported as needed."

Positive

"Staff worked with other health and social care services such as the community matron and palliative care nurse to understand and meet the complexity of patients’ needs and to assess and plan ongoing care and treatment."

Positive

"They also informed us that the high number of care home patients palliative care beds and patients at risk had impacted on their exception reporting due in part to their tolerance and adherence to medication regimes."

Positive

"Care plans were in place for those patients who had complex or palliative care needs or were at a high risk of an unplanned hospital admission."

Positive

"• The practice held regular team meetings which included the partnership board clinical reference group and a palliative care group."

Positive

"The practice also encouraged its patients to attend national cancer screening programmes."

Positive

"Staff worked with other health and social care services such as the community matron and palliative care nurse to understand and meet the complexity of patients’ needs and to assess and plan ongoing care and treatment."

Positive

"There was an ‘elderly care team’ comprising of a GP pharmacist practice matron and a care of the elderly trained nurse and health care assistant."

Positive

"Staff informed us they felt supported through the appraisal process and that clinical supervision was easily accessible; particularly for the independent nurse prescribers."

Positive

"Where a patient’s mental capacity to provide consent was unclear the GP or nurse assessed this and where appropriate recorded the outcome of the assessment."

Positive

"• Patients had access to a dermatology review service run by a specialist dermatology nurse practitioner which reduced the need for patients to attend a secondary care service."

Neutral

"They also provide teaching practice and mentoring for third year medical students nurse practitioner trainees and sixth form students."

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

"• Continuous monitoring of effectiveness when new ways of working were implemented."

Positive

"• There were procedures in place for monitoring and managing risks to patient and staff safety."

Positive

"We saw evidence that protocols had been reviewed to reflect any changes in NICE guidance for example the use of ambulatory blood pressure monitoring in the diagnosis of hypertension raised blood pressure."

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 was a glaucoma diagnosis and monitoring service held in the practice."

Neutral

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

Positive

"There is car parking and good transport links."

Positive

"There is car parking and good transport links."

Positive

"• The practice had developed the health and wellbeing centre where patients and members of the local community had access to a range of facilities events and activities to support healthy lifestyle and socialisation."

Positive

"There are good facilities for patients who also have access to the full range of activities groups and a café within the wellbeing centre."

Positive

"• Patients were encouraged to attend the health and wellbeing centre and participate in the many events and activities being run there."

Positive

"• Patients were signposted to the health and wellbeing centre to access a range of activities suitable for patients with long term conditions."

Positive

"Local groups can use the facilities free of charge and there are a range of event and activities available such as live music sessions theatre groups displays of local art and walking groups."

Neutral

"• Patients and members of the Pudsey community had access to a wide range of group activities provided each month at the wellbeing centre."

Neutral

"These activities included chair based exercise Dementia Singing for the Brain and ukele groups."

Neutral

"• There were a variety of groups and activities available such as art workshops community choir and a ‘singing for the brain’ group."

Neutral

"The people who used the wellbeing centre spoke very highly of the available activities groups and the culture of the centre."

Neutral

"A café is located within the centre for use both in the day and evening when events or activities are happening."

Neutral

"Patients and members of the Pudsey community had access to a wide range of group activities provided each month at the wellbeing centre."

Positive

"Information regarding end of life care was shared with outofhours services to minimise any distress to the patient andor family."

Positive

"This included ongoing support onetoone meetings clinical supervision and facilitation and support for GP revalidation."

Positive

"Staff informed us they felt supported through the appraisal process and that clinical supervision was easily accessible; particularly for the independent nurse prescribers."

Positive

"There was a health and safety policy available with a poster displayed in the reception office which identified local health and safety representatives."

Neutral

"We saw evidence of: • A comprehensive electronic risk register which covered all aspects relating to risk management within the practice such as health and safety medicines management equipment business continuity infection prevention and control and significant events."

Neutral

"There was an induction programme for all newly appointed staff which covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"The practice had a comprehensive range of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health infection prevention and control and legionella."

Neutral

"• There was a nominated lead for infection prevention and control IPC and regular IPC audits were undertaken in line with guidance."

Neutral

"We saw evidence of: • A comprehensive electronic risk register which covered all aspects relating to risk management within the practice such as health and safety medicines management equipment business continuity infection prevention and control and significant events."

Neutral

"There was an induction programme for all newly appointed staff which covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Positive

"For example the practice found the cleaning had not been undertaken to an acceptable standard."

Positive

"This was evidenced in the number of organisations who had approached the practice to share their innovative approach to primary care such as the smartphone app elderly care pathway and the formation of the health and wellbeing centre."

Positive

"There was an ‘elderly care team’ comprising of a GP pharmacist practice matron and a care of the elderly trained nurse and health care assistant."

Positive

"The practice had been an early implementer of a proactive and planned approach to providing elderly care."

Positive

"For example the provision of ophthalmology services and the elderly care pathway."

Positive

"For example development of the smartphone app the elderly care pathway and the transformation of Robin Lane Medical Centre into a health and wellbeing centre."

Positive

"This could be demonstrated in the care of the elderly pathway and the walkin service."

Positive

"The pharmacist undertook medicine audits which included emergency drugs and cold chain."

Positive

"At the time of our inspection all medicine and equipment we checked was in date fit for use and stored securely."