What is the Quality of Facilities at Chadwell Heath Surgery

Positive

"Meetings took place with other health care professionals such as the district nurse and palliative care nurse; however this was generally informal and there were no recorded minutes of meetings."

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 the practice nurse and healthcare assistant attended monthly education meetings which incorporated longterm condition management training and palliative care training."

Positive

"For example they worked closely with the tissue viability nurse to meet the needs of patients requiring wound care management."

Neutral

"The practice also employs a parttime practice nurse who provides five sessions a week and a parttime healthcare assistant."

Neutral

"During our visit we: • Spoke with a range of staff including two GPs a practice manager a practice nurse a healthcare assistant and a receptionist."

Neutral

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

Neutral

"As a result they engaged the Patient Participation Group PPG to undertake an awareness campaign amongst the patient population and also introduced an additional diabetes clinic with the diabetes nurse specialist."

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

"• The procedures for monitoring and managing risks to patient and staff safety were not effective."

Positive

"• The procedures in place for monitoring and managing risks to patient and staff safety were not effective."

Positive

"Although arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs these arrangements were not always effective."

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

"The practice had a lift installed but the fire safety policy did not provide additional information on accessibility and means of escape for persons with mobility problems located upstairs."

Positive

"• The practice had responded to the needs of older people with poor mobility by installing a lift in the practice."

Positive

"A lift was installed for wheelchair users and those with poor mobility to access the second floor consultation rooms."

Neutral

"• The practice had most facilities including lift access and was equipped to treat patients and meet their needs with the exception of a hearing loop which was not installed in the practice."

Positive

"They are registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures family planning maternity and midwifery services and treatment of disease disorder or injury."

Positive

"This also included the lack of effective risk assessments such as fire risk assessments whereby the practice did not have procedures in place for the safe evacuation of wheelchair users upstairs in the event of a fire albeit they did have an evacuation chair."

Positive

"A lift was installed for wheelchair users and those with poor mobility to access the second floor consultation rooms."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Positive

"• Assess monitor and mitigate the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."

Positive

"There was a health and safety policy available but there was no poster identifying local health and safety representatives in the reception office."

Positive

"For example the health and safety annual checklist provided by the practice showed a COSHH assessment had not been undertaken; however this contradicted the practice’s own infection control checklist carried out the day before the inspection which indicated that a COSHH assessment was available."

Positive

"The induction checklist highlighted formal health and safety training as part of the induction training but we found that staff had not received this training."

Positive

"• Assess monitor and mitigate the risks to the health and safety of service users in respect of the proper and safe management of prescriptions; infection prevention and control and health and safety risk assessments."

Positive

"We were not assured that the risk assessments in place to monitor safety of the premises such as control of substances hazardous to health and infection prevention and control had been carried out."

Positive

"There was no evidence to show that the practice liaised with the local infection prevention and control teams to keep up to date with best practice."

Neutral

"PSDs are written instructions from a qualified and registered prescriber for a medicine including the dose route and frequency or appliance to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis."

Positive

"There was an evacuation chair kept on the first floor of the practice."

Positive

"Meetings took place with other health care professionals such as the district nurse and palliative care nurse; however this was generally informal and there were no recorded minutes of meetings."

Positive

"For example the practice nurse and healthcare assistant attended monthly education meetings which incorporated longterm condition management training and palliative care training."

Positive

"For example they worked closely with the tissue viability nurse to meet the needs of patients requiring wound care management."

Positive

"• There were longer appointments available for patients with a learning disability those with longterm conditions carers and elderly patients."