What is the Quality of Facilities at Ashingdon Medical Centre

Positive

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

Positive

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

Positive

"• The practice could demonstrate how they ensured rolespecific training and updating for relevant staff for example for the advanced nurse practitioner who was responsible for reviewing patients with longterm conditions."

Positive

"These were conducted by the healthcare assistant with support from the GPs and the advanced nurse practitioner."

Positive

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

Positive

"There are two male GPs a female advanced nurse practitioner and a female healthcare assistant."

Positive

"During our visit we: • Spoke with a range of staff including GPs an advanced nurse practitioner the practice manager the dispenser and administrative staff."

Positive

"The advanced nurse practitioner had qualified as an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."

Positive

"The advanced nurse practitioner administered vaccinations and taking samples for the cervical screening programme and had received specific training which had included an assessment of competence."

Positive

"The advanced nurse practitioner also administered vaccinations and could demonstrate how they stayed up to date with changes to the immunisation programmes for example by access to on line resources attendance at peer reviews and discussion at clinical meetings."

Positive

"• Smoking cessation advice was available from the advanced nurse practitioner."

Positive

"The advanced nurse practitioner told us any missed appointments were immediately followed by a telephone call to rearrange."

Positive

"However this did not include monitoring or identifying risk as there were not adequate risk assessments in place for health and safety or legionella."

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."

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

"However this did not include monitoring or identifying risk as there were not adequate risk assessments in place for health and safety or legionella."

Positive

"• Risks to patients were not all assessed and well managed practice specific risk assessments for health and safety and legionella had not been carried out."

Positive

"Areas for improvement Action the service MUST take to improve • Conduct practice specific risk assessments for health and safety and legionella."

Positive

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

Positive

"The practice did not have practice specific risk assessments in place to monitor the safety of staff and patients within the practice with regards to health and safety and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The areas where the provider must make improvement are: • Conduct practice specific risk assessments for health and safety and legionella."

Positive

"They did not have practice specific risk assessments in place for health and safety or legionella."

Neutral

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

Positive

"The main practice has recently been developed to improve access to gain an extra treatment room to improve infection prevention and control and to improve lighting and the general condition of the building."

Neutral

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

Positive

"This included ongoing support during sessions appraisals coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."