What is the Quality of Facilities at KS Medical Centre Limited

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

"Monitoring risks to patients • There were procedures for assessing 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

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"There were cleaning schedules and monitoring systems in place."

Neutral

"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"• Ensure effective governance systems for assessing and monitoring the quality of service provision."

Positive

"• Ensure an effective system for recording and monitoring significant events incidents and near misses."

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

"• Phlebotomy services were provided at the practice including anticoagulation monitoring reducing the need for patients to travel to hospital for these services."

Neutral

"• Phlebotomy services including anticoagulation monitoring were provided in house at the practice."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"• Phlebotomy services including anticoagulation monitoring were provided in house."

Positive

"The practice is registered as a partnership with the Care Quality Commission CQC to provide the regulated activities of: treatment of disease disorder or injury; diagnostic and screening procedures; family planning; surgical procedures and maternity and midwifery services at one location."

Positive

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

Positive

"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."

Positive

"There were no formal meetings with the community palliative care nurses due to staffing issues within that team but the practice had telephone and email access to advice and support as required."

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

"• 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

"There was a policy to offer telephone reminders for patients who did not attend for their cervical screening test and the practice nurse also contacted patients eligible for smears by telephone to encourage them to arrange an appointment."

Positive

"• They offered GP and nurse led annual review of patients with long term conditions for example asthma and chronic obstructive pulmonary disease COPD reviews with spirometry and diabetes clinics."

Neutral

"During our visit we: • Spoke with a range of staff including GPs practice nurse and administration staff."

Positive

"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."

Neutral

"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."

Neutral

"For example: • Patients receiving end of life care those at risk of developing a longterm condition and those requiring advice on their diet and smoking were signposted to the relevant service."

Positive

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

Positive

"This included ongoing support onetoone meetings clinical supervision and support for revalidating GPs."

Neutral

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

Positive

"• A health and safety risk assessment including fire risk had been completed but not all risks identified had been actioned."

Positive

"The areas where the provider must make improvement are; • Take action to address identified concerns with health and safety and fire safety processes."

Positive

"For example the practice had not fully implemented all fire safety recommendations following an external health and safety risk assessment."

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives however those named included previous practice staff members."

Positive

"The practice had not fully implemented all fire safety recommendations following an external health and safety risk assessment."

Positive

"• Risks to patients were assessed and generally wellmanaged apart from those relating to health and safety infection control and recruitment checks."

Neutral

"Systems and processes to address identified risks were not implemented well enough to ensure patients were kept safe for example infection control health and safety fire safety and Disclosure and Barring Service checks."

Positive

"• One of the practice nurses was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

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

Positive

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

Neutral

"There were cleaning schedules and monitoring systems in place."

Positive

"• Review cleaning schedule documentation to ensure that all cleaning tasks are recorded."

Positive

"Environment cleaning schedules were limited in detail to confirm completion and frequency of cleaning tasks."

Positive

"For example through participation in local medicine management audits the practice ensured that medicines such as anticoagulants and antipsychotics were being prescribed in accordance with best practice guidelines."

Neutral

"• There had been two clinical audits completed in the last year linked to CCG led medicine management both of these were completed audits where the improvements made were implemented and monitored."

Positive

"There are accessible toilet facilities for people with disabilities and off site car parking in the surrounding residential areas."

Positive

"The practice is located in Dormers Well Lane Southall with good links by bus transport services."

Neutral

"The reception and waiting area are on the ground floor with wheelchair access to the entrance of the building."