What is the Quality of Facilities at South Hermitage Surgery

Positive

"This was to review all palliative care patients emergency admissions of patients on the frail and vulnerable register any safeguarding concerns and mental health issues."

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

"The practice nurse encouraged patient selfmanagement through the Diabetic Xpert patient scheme."

Positive

"The practice had a system for production of Patient Specific Directions to enable health care assistants to administer vaccinations after specific training when a doctor or nurse was on the premises."

Positive

"• The practice nurse and GP partners initiated contact with the respiratory consultant specialist who reviewed all the patients diagnosed as having Chronic Obstructive Pulmonary Disease COPD."

Neutral

"• The practice provided a family planning clinic on Wednesday evenings which included booked or dropin nurse and GP appointments and inhouse family planning procedures coils implants using the same regular specialist locum GP."

Neutral

"The clinical practice team includes a lead practice nurse and two practice nurses and two healthcare assistants phlebotomist a person who takes blood."

Neutral

"• There were flexible nurse appointments which included lunchtimes."

Neutral

"• An onsite counsellor and Community Mental Health Team CMHT Rapid Access nurse with direct referral were available via the GPs."

Neutral

"It included booked or dropin nurse and GP appointments and inhouse family planning procedures coils implants using a specialist locum GP."

Neutral

"During our inspection we spoke with a range of staff which included the practice manager nursing staff administrative and receptionist staff GPs and a GP Registrar."

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

"• 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

"This included a wheelchair accessible reception desk a panic alarm in the disabled toilet a doorbell for assistance with navigating the entrance doors contrasting colours on the handrail in the toilet a hearing aid loop and a practice welcome booklet and patient newsletter available in large print."

Positive

"There was a wheelchair available on site and the practice corridor flooring was marked with directional exit arrows for patient ease."

Positive

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

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Neutral

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

Neutral

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

Positive

"For example three medicine auditsa time from consultation to referral letter sent audit an audit of Hospital Admissions Relating to Medicines HARMS and a patients accessing online services audit."

Neutral

"For example following alerts from the Medicines and Healthcare Products Regulatory Agency MHRA all patients on a medicine used for the treatment of osteoporosis had been reviewed and treatment changed accordingly."