What is the Quality of Facilities at Salford Medical Centre 1

Positive

"The practice team comprises two GP partners Male a salaried GP Female a practice manager a practice nurse a health care support worker and five reception staff."

Positive

"The practice had a chaperone policy displayed in the patient waiting area and we were told that only the practice nurse or the health care support worker currently provided this service."

Positive

"For example the practice nurse had completed additional training in palliative care and some reception staff had completed training in conflict resolution and customer care."

Positive

"The practice was also making strong efforts to reduce the frequency of any unscheduled hospital admissions of cancer patients and had arranged additional training for the practice nurse in palliative care."

Positive

"The practice nurse told us they managed all aspects of patients care and treatment through two nurse clinics that operated."

Positive

"They all felt the doctors and nurse were extremely competent and knowledgeable about their treatment needs."

Neutral

"The team included a GP specialist advisor and a practice nurse specialist provider."

Neutral

"During our visit we spoke with a range of staff GPs practice manager practice nurse and reception staff and spoke with patients who used the service."

Neutral

"All reception staff received one to one formal written supervision on a monthly basis and the practice nurse underwent an annual appraisal with one of the GP partners."

Neutral

"Health Promotion & Prevention All new patients were offered an initial health check with the practice nurse when a new patient assessment was completed; this included a review of the patient’s lifestyle including family medical history and a review of their smoking and alcohol activity."

Neutral

"The practice didn’t offer specific clinics as all patients were treated through the GP and nurse appointment system including diabetes reviews and COPD reviews."

Neutral

"These included a bi monthly clinical meeting which were attended by partner GPs salaried GPs a nurse practitioner and the practice manager."

Positive

"Learning and improvement from safety incidents The Practice had a system in place for reporting recording and monitoring significant events for example a significant event may be a ‘needle stick injury’."

Positive

"A number of patients who saw the practice nurses for reviews and ongoing monitoring told us that the nurses were ‘caring and lovely.’"

Positive

"We saw that as part of the practice’s quality monitoring and auditing arrangements SEA were discussed at the practice’s bimonth and practice administration meetings."

Positive

"Management monitoring and improving outcomes for people The Practice has a system in place for completing clinical audit cycles."

Positive

"The Practice had a system in place for reporting recording and monitoring significant events."

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

"Clinicians proactively case managed and completed longterm monitoring of these patients needs."

Neutral

"A patient recall system was in place for patients with chronic health conditions which provided on going monitoring of patients conditions."

Positive

"For example the practice nurse had completed additional training in palliative care and some reception staff had completed training in conflict resolution and customer care."

Positive

"The practice was also making strong efforts to reduce the frequency of any unscheduled hospital admissions of cancer patients and had arranged additional training for the practice nurse in palliative care."

Positive

"The practice held clinical meetings where all patients on the palliative care register were discussed."

Positive

"There were comfortable waiting areas for patients attending an appointment and limited car parking was available nearby."

Positive

"Access to the building is suitable for people who use a wheelchair and there is a disabled toilet which also provides baby changing facilities."

Positive

"The entrance to the practice had level floor access and was suitable for wheelchair users with push button automatic doors."

Positive

"We spoke with people from different age groups including parents patients with different physical health care needs and those who had various levels of contact with the practice."

Positive

"We saw that as a routine part of the quality assurance and clinical governance processes the provider checked the General Medical Council GMC and Nursing Midwifery Council NMC registration lists each year to make sure the doctors and nurses were still deemed fit to practice."

Positive

"Management monitoring and improving outcomes for people The Practice has a system in place for completing clinical audit cycles."

Positive

"These included the review of incidents health and safety concerns and complaints."

Positive

"Governance Arrangements The practice had systems to identify assess and manage risks related to the service including health and safety issues."

Positive

"The records showed that staff were provided with a range of training which included: infection control health and safety training and information governance."

Positive

"The practice employed a cleaner we saw copies of their cleaning schedule that recorded tasks completed."

Positive

"The practice worked with pharmacy support from the Clinical Commissioning Group CCG to support clinical staff in keeping up to date with medicine and prescribing trends."

Neutral

"GPs reauthorised medicine for patients on an annual basis or more frequently if necessary."

Neutral

"Patients who received repeat prescriptions were alerted to book in for a medicine review."