What is the Quality of Facilities at Winyates Health Centre

Positive

"We saw that a nurse practitioner and practice nurses held a range of qualifications appropriate to their roles in the practice including diplomas in diabetes care and asthma care."

Positive

"The lead nurse told us that this had led to a review of the practice policy and protocol for taking blood samples and they showed us evidence of the changes that were made to improve patient care."

Positive

"We were told that follow up of patients who missed two appointments was organised by a lead nurse for people with a learning disability through the Clinical Commissioning Group CCG."

Positive

"We saw that infection control audits were completed by a nurse consultant for infection prevention and control from Worcestershire Health and Care NHS Trust on behalf of the Clinical Commissioning Group CCG."

Positive

"For example a nurse had raised their concern about taking blood samples from patients when this was causing them discomfort."

Positive

"The lead nurse at the practice showed us records which confirmed that the practice nurses healthcare assistants and the phlebotomist had all completed an appropriate level of safeguarding training within the last three years."

Positive

"For example we looked at the protocol for diagnosing high blood pressure which had been written by the senior nurse at the practice."

Neutral

"A senior nurse told us that practice staff followed the policy."

Neutral

"The practice nurse was the clinical lead for infection control."

Neutral

"The lead nurse for infection control at the practice told us the practice had invested in a new roof for the building."

Neutral

"We looked at the employment files for a GP a nurse and a receptionist."

Neutral

"We went to the lead nurse who described their investigation but told us they had not recorded the discussions which took place."

Neutral

"For example there was a lead nurse for infection control and a GP was the lead for safeguarding."

Positive

"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"Learning and improvement from safety incidents Although the practice had a system for reporting recording and monitoring significant events incidents and accidents we found this was not managed in a consistent way."

Positive

"We found the complaints management system was fragmented and that there was no overall monitoring to ensure that records were thorough and that actions were followed through."

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

"However the template which had been devised for significant events had not been used and there was no evidence of monitoring to confirm that the actions specified had taken place."

Neutral

"We noted that patient record systems were not fully used to support the monitoring of this group of vulnerable patients."

Positive

"The practice maintained a register of patients who needed end of life care and they provided care and treatment in line with the Gold Standard Framework GSF."

Positive

"The GSF sets standards in end of life care and promotes the involvement of the patient and their family in making decisions about their care for as long as possible."

Positive

"The audit had however identified that a small number of patients who died had not received end of life care as part of the GSF but might have been considered for this pathway."

Positive

"We saw that infection control audits were completed by a nurse consultant for infection prevention and control from Worcestershire Health and Care NHS Trust on behalf of the Clinical Commissioning Group CCG."

Positive

"They told us the GPs were always willing to support patients in getting the most appropriate medicine in an efficient way."

Positive

"We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"If a particular medicine was out of stock they were able to speak with GPs about changing a prescription and issuing an alternative medicine without delay."

Positive

"The GSF sets standards in palliative care to ensure that GPs and nurses including community nurses and Macmillan nurses review patients’ needs with them in order to provide the best possible care and support."

Neutral

"Four parking spaces in the adjacent car park were available for disabled patients."

Positive

"The surgery was accessible to patients who used a wheelchair and there were consulting rooms on the ground floor of the practice building."

Positive

"We saw that procedures were in place to ensure that all areas of the service provided were carried out in accordance with national guidance including health and safety policies to support the safe running of the practice."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Neutral

"Patient information including test results hospital discharge summaries and information from the out of hours service came to the practice through the EMIS patient record system."