What is the Quality of Facilities at Dorridge Surgery

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."

Positive

"Monitoring risks to patients There were procedures in place for monitoring and managing risks to patients’ and staff safety."

Positive

"• Reviewed information from CQC intelligent monitoring systems."

Positive

"• Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"We saw many examples of the highlights that were circulated to staff including updates to the home visiting policy recent practice audits and reminders regarding monitoring of high risk medicines."

Positive

"The practice shared records of four clinical audits; these included prescribing audits audits for prescribing and monitoring of high risk medicines an audit on minor surgery and a completed audit for the management thyroid stimulating hormone TSH monitoring."

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

"Examples included purchasing a higher chair for patients in the waiting area installing facilities for baby changing introducing a privacy line to reduce the risk of conversations being overheard at the reception desk."

Positive

"We saw that the practices palliative care was regularly reviewed and discussed as part of the MDT meetings to support the needs of patients and their families."

Positive

"These roles included clinical leads for areas including palliative care and falls prevention as well as nonclinical leads in data management human resources and for the coordination of the quality outcomes framework QOF."

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 where appropriate recorded the outcome of the assessment."

Positive

"• The practice nurse operated an effective failsafe system for ensuring that test results had been received for every sample sent by the practice."

Positive

"For example we saw how nurse led audits had made a positive impact to patients with diabetes."

Positive

"For example the practice nurses had completed diplomas in diabetes and one of the nurses was also being supported with further training in order to become a nurse prescriber."

Positive

"The practice nurse and healthcare assistant had recently completed training in smoking cessation and therefore the practice were in the process of working on collating information to identify those who had successfully stopped smoking."

Neutral

"The practice had a regular programme of practice meetings; these included weekly GP partner meetings quarterly practice meetings and six weekly nurse meetings."

Positive

"The practice also conducted medical emergency mockup scenarios as part of a coaching session where the incident was reflected on as a team."

Positive

"Staff were actively engaged in activities to monitor and improve quality and patient outcomes • All patients who were registered with the practice had a named GP and patients could access appointments and services in a way and at a time that suited them."

Positive

"During the first meeting items such as record keeping communication end of life care and advanced directives were covered."

Positive

"• We saw how clinical audit was used to monitor quality and to make improvements for patients with long term conditions."

Positive

"• The practice had a comprehensive induction programme for newly appointed members of staff that covered such topics as safeguarding infection control fire safety health and safety and confidentiality."

Positive

"The practice also held a quarterly training evening for staff to cover training updates such as infection control information governance health and safety and how to assess monitor and mitigate risk."

Neutral

"There was a health and safety policy and the practice had risk assessments in place to monitor safety of the premises."

Positive

"We observed the premises to be visibly clean and tidy and we saw that cleaning specifications and completed records were in place to support the cleaning of the practice."

Neutral

"There were also records to reflect the cleaning of medical equipment such as the equipment used for ear irrigation."

Positive

"Records showed that all staff had received training in basic life support • The practice kept stocks of emergency medicines which included mini emergency medicine kits for home visits."

Positive

"Exception reporting is used to ensure that practices are not penalised where for example patients do not attend for review or where a medicine cannot be prescribed due to a contraindication or sideeffect."

Positive

"The pharmacist assisted the practice with medicine audits and monitored their use of antibiotics to ensure they were not overprescribing."