What is the Quality of Facilities at 70 Norwood Road

Positive

"The practice had a palliative care register provided patients with a named GP and liaised with palliative care nurses to discuss the care and support needs of patients and their families."

Positive

"For patients requiring end of life care the practice held a palliative care register of patients and worked with palliative care nurses to coordinate and manage the care of these patients."

Positive

"The practice nurse was supported by the health care assistant who provided services including phlebotomy blood pressure monitoring dementia tests wound dressings smoking cessation referrals and healthy lifestyle advice."

Positive

"The practice nurse and health care assistant led clinics for long term conditions and care plans were developed for all patients with long term conditions."

Positive

"The practice nurse and one of the GPs were responsible for ensuring medicines were in stock and within their expiry dates."

Positive

"The multidisciplinary group meeting was attended by consultants for the care of the elderly diabetic consultants mental health workers community matrons social worker community psychiatric nurse diabetic nurses and community pharmacists."

Positive

"Vaccines were administered by the practice nurse using directions that had been produced in line with legal requirements and national guidance."

Positive

"The practice was open on a Saturday morning for patients to access health care assistant appointments however no GP or nurse appointments were available."

Neutral

"The practice team is made up of two female GPs one male GP a practice nurse healthcare assistant practice manager and four receptionists."

Neutral

"The practice nurse and health care assistant led clinics for specific conditions such as asthma chronic obstructive pulmonary disorder and diabetes which allowed the GPs to focus on patients within their specialist areas."

Positive

"The practice nurse was supported by the health care assistant who provided services including phlebotomy blood pressure monitoring dementia tests wound dressings smoking cessation referrals and healthy lifestyle advice."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Staff we spoke to told us that their appraisals were effective in monitoring their development."

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

"We saw that the waiting area was large enough to accommodate patients with wheelchairs and there was a pushchair parking area."

Positive

"The practice is registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures maternity and midwifery services surgical procedures and treatment of disease disorder and injury."

Positive

"For patients requiring end of life care the practice held a palliative care register of patients and worked with palliative care nurses to coordinate and manage the care of these patients."

Positive

"The practice had completed clinical audit cycles and we saw evidence of improved outcomes for patients as a result."

Positive

"However we saw evidence of a clinical audit which was undertaken in response to a safety alert which related to diabetic patients who were prescribed pioglitazone medication which has been associated with a small increased risk of bladder cancer."

Positive

"We saw evidence of health and safety risk assessments where identified risks were logged in a risk assessment table."

Positive

"The practice also had a health and safety policy and we saw evidence of health and safety training as part of staff induction."

Positive

"One of the GP partners was the nominated health and safety representative."

Positive

"We saw evidence of a risk log which addressed a wide range of potential issues such as cleaning up blood spillages and the handling carrying or decanting of hazardous liquids."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Neutral

"The practice has a cleaning contract with an external agency and we saw evidence of cleaning task sheets and rotas."

Neutral

"For example cleaning up blood spillages was identified as a hazard to staff."

Positive

"For example one GP we spoke with was able to describe examples of their application of the Mental Capacity Act through their experience providing care for elderly patients living at a local care home with nursing."

Positive

"The multidisciplinary group meeting was attended by consultants for the care of the elderly diabetic consultants mental health workers community matrons social worker community psychiatric nurse diabetic nurses and community pharmacists."

Positive

"One patient we spoke with felt that the GP showed dignity towards his elderly mother by always engaging and speaking directly to her in consultations as opposed to him who accompanies his mother for her appointments as her carer."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."