What is the Quality of Facilities at The Medical Centre

Positive

"The GPs are supported by a practice manager a business manager a practice nurse and administrative and reception staff."

Positive

"Patients were very complimentary about the practice and commented that staff were very friendly that they received excellent care from the GP and the nurse and could always get an appointment when they needed one."

Positive

"Patients said that the GP and nurse were very caring and since the big changes at the practice all staff were amazing."

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 where appropriate recorded the outcome of the assessment."

Positive

"The GP and practice nurse told us they would also use their contact with patients to help maintain or improve mental physical health and wellbeing."

Positive

"• The practice nurse had a lead role in chronic disease management and patients at risk of hospital admission were identified as a priority."

Positive

"The practice nurse was the IPC clinical lead who liaised with the local infection prevention and control teams to keep up to date with best practice."

Positive

"• The practice nurse told us they accessed NICE guidance and actioned recommendations where these were applicable and gave us examples of changes they had made to their practice in response to this national guidance."

Positive

"The GP and practice nurse showed us how patients were followed up within two weeks if they had risk factors for disease identified at the health check and described how they scheduled further investigations."

Positive

"• The GP and the practice nurse carried out a triage of the day appointment system to ensure that all health care needs of patients were met as required."

Positive

"The GPs are supported by a practice manager a business manager a practice nurse and administrative and reception staff."

Positive

"The staff member was responsible for working with the practice nurse to review the QOF data to call patients according to alerts or any concerns raised by the nurse."

Positive

"The practice nurse confirmed that all tests were successful with no samples requiring retests."

Positive

"The practice nurse had oversight for the management of a number of clinical areas including immunisations cervical cytology and some long term conditions."

Positive

"The practice nurse confirmed that all news and updates were shared with staff."

Positive

"• We looked at personnel files for staff in different roles including the practice nurse and two reception staff to see whether recruitment checks had been carried out in line with legal requirements."

Positive

"• The GP and the practice nurse made home visits to patients whose health or mobility prevented them from attending the practice for appointments."

Neutral

"During our inspection we spoke with a range of staff that included the lead GP the practice manager the practice nurse and reception and administration staff."

Neutral

"The GP and the practice nurse attended safeguarding meetings when possible and always provided reports where necessary for other agencies."

Neutral

"The practice nurse told us this helped patients to understand how to manage their own health too."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

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."

Positive

"Management monitoring and improving outcomes for patients The practice participated in the Quality and Outcomes Framework QOF."

Positive

"• Regular QOF monitoring meetings to assess progress were held."

Positive

"• Procedures 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

"• Carry out complete clinical audit cycles to review the effectiveness and appropriateness of the care provided."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Neutral

"For example we noted that the practice did not have a medicine for treating people having fits and an injection for water retention Furosemide."

Positive

"Regular medicine audits were carried out with the support of the pharmacist employed by the practice to ensure prescribing was in line with best practice guidelines for safe prescribing."

Positive

"For example by carrying out opportunistic medicine reviews or following up with patients any missed appointments particularly for those patients who had mental health concerns."

Positive

"• The practice’s uptake for breast and bowel cancer screening was in line with the national average."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Neutral

"• The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Positive

"This included ongoing support during sessions meetings appraisals clinical supervision and facilitation and support for the revalidation of GPs."

Positive

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

Neutral

"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety infection control equality and diversity and confidentiality."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The practice also had a variety of other risk assessments in place to monitor safety of the premises such as the control of substances hazardous to health infection prevention and control IPC and legionella a bacterium which can contaminate water systems in buildings."

Positive

"The practice nurse was the IPC clinical lead who liaised with the local infection prevention and control teams to keep up to date with best practice."

Positive

"• The practice held regular multidisciplinary integrated care meetings where all patients on the palliative care register were discussed."

Positive

"• Monthly meetings with the palliative care nurses were being held to review patients on the palliative care register."

Positive

"• The practice maintained a register of all patients in need of palliative care and offered home visits and rapid access appointments for those patients with complex healthcare needs."