What is the Quality of Facilities at Clifton Medical Centre

Positive

"A nurse told us they had received good support through the practice mentoring programme during their induction and had received training to expand their skills for the role."

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

"There are twelve practice nurses four of who are independent nurse prescribers three health care assistants and a phlebotomist who work across the two sites."

Positive

"The nurse had also commenced monitoring of patient infections such as clostridium difficile for patterns and trends."

Positive

"The practice nurse had been innovative in ensuring patients were involved in minimising the spread of infections."

Neutral

"The team also included a nurse with specific training in this area."

Neutral

"This issue had been identified in the audits and we saw evidence the IPC lead nurse had raised this with staff."

Neutral

"For example references for a salaried GP and a receptionist had not been obtained."

Positive

"For example recent action taken as a result included improved monitoring of patients prescribed dual antiplatelet therapy post myocardial infarction MI to ensure their care and treatment reflected NICE guidelines."

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 nurse had also commenced monitoring of patient infections such as clostridium difficile for patterns and trends."

Positive

"• There were procedures in place 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

"The practice had a good relationship with the palliative care team and staff from the local hospice attended the monthly practice palliative care meetings."

Positive

"There was a named doctor for patients with palliative care needs."

Neutral

"There was a lift to patient areas on the first floor."

Positive

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

Neutral

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

Positive

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

Neutral

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

Positive

"The areas where the practice should make improvements are: • Ensure items are stored appropriately to aid effective cleaning of the floors at the branch surgery."

Positive

"For example they had reviewed and improved the contract cleaning schedules."

Neutral

"They had also developed and implemented detailed cleaning schedules for each room and piece of equipment to supplement the daily contract cleaning schedules."

Positive

"The practice had good systems in place to monitor patients with long term conditions for example the hospital discharge letters were collated with the LTC register."