What is the Quality of Facilities at Revel Surgery

Positive

"• The GPs made home visits to palliative care patients outside of working hours and during the night as they wanted to offer more personal and continuous care to patients nearing the end of their lives and to allow them to remain in their own homes."

Positive

"• The GPs made home visits to palliative care patients outside of working hours and during the night as they wanted to offer more care to patients nearing the end of their lives in their own homes."

Positive

"• The GPs were available on call to make home visits to palliative care patients outside of working hours and during the night."

Positive

"The practice attended multidisciplinary team meetings when possible to liaise with the district nurses Macmillan nurses and palliative care teams."

Positive

"The senior nurse had been appointed as the infection control clinical lead and liaised with the local infection prevention team to follow best current practices."

Positive

"The senior nurse attended forums was a member of several online groups and subscribed to literature which helped her to stay up to date with best practice."

Positive

"For example the senior nurse had been supported by the practice to qualify as an independent prescriber and advanced practitioner and was the local nurse forum lead."

Positive

"One of the GP partners and the senior nurse had been working with the University of Birmingham to contribute to its Primary Care Nursing symposium and GP Training the Trainers programmes as part of the Chinese healthcare development strategy."

Positive

"• The practice nurse team and a senior receptionist had received training and a Disclosure and Barring Service DBS check to allow them to act as chaperones."

Positive

"The practice used Patient Group Directions to allow the practice nurse to administer medicines in line with legislation."

Neutral

"Patients initially saw a nurse for checks the results of which were reviewed by a GP and monitored on an ongoing basis."

Neutral

"The clinical team three male GP Partners three female salaried GPs one male salaried GP four trainee GPs one senior nurse one practice nurse and one healthcare assistant."

Neutral

"During the inspection we: • Spoke with a range of staff including GPs the nurse team the dispensary manager the practice manager and other nonclinical staff."

Neutral

"The GPs and the nurse team were trained to child protection or child safeguarding level three and nonclinical staff to level two."

Neutral

"• The senior nurse was a qualified Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."

Positive

"• The practice nurse team and a senior receptionist had received training and a Disclosure and Barring Service DBS check to allow them to act as chaperones."

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 practice received an alert if any patients did not attend for secondary care monitoring to ensure that they were prescribed medicines safely."

Positive

"Medicine fridges had locks and the two nurses at the practice were responsible for monitoring these and ordering medicines."

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

"Concerns raised by the remaining four related to car parking the practice being crowded during busy periods and the lengths of prescription issued for a specific condition."

Neutral

"The university had further plans for activities which it had invited both clinicians to be involved with."

Positive

"Staff had access to guidelines from NICE on the internet and discussed updates at clinical meetings."

Positive

"The building has accessible facilities for patients with additional needs such as wheelchair access and disabled parking."

Neutral

"For example the practice held registers for patients with long term conditions as well as those receiving end of life care carers and those at risk of developing a longterm condition."

Positive

"Inductions included health and safety topics such as fire safety infection control and emergency procedures as well as employment specifics such as role profile and confidentiality."

Positive

"• The practice had a number of patients who were prescribed high risk medicines such as warfarin a blood thinning medicine and diseasemodifying antirheumatic drugs also known as DMARDs."