What is the Quality of Facilities at The Southall Medical Centre

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

"The practice nurse administered vaccines using directions that had been produced in line with legal requirements and national guidance."

Neutral

"The current practice staff team comprises two GP partners who own the practice a salaried GP a practice nurse healthcare assistant a practice manager and a small team of reception and administrative staff."

Neutral

"During our visit we spoke with a range of staff including GPs the practice manager the practice nurse and reception staff."

Neutral

"The practice nurse and health care assistant ran clinics for specific conditions such as asthma chronic obstructive pulmonary disorder and diabetes."

Positive

"The health care assistant provided a range of health promotion and prevention services including blood pressure monitoring 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

"We found insufficient GP supervision monitoring and followup of these reviews particularly around patients’ medicines."

Positive

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

Positive

"The manager did not however have a system for monitoring that safety alerts had been implemented."

Positive

"We found little evidence of active clinical supervision or monitoring of the reviews carried out by the healthcare assistant."

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

"Two patients we spoke with who had a longterm condition both confirmed they had received regular monitoring and checks and said this had benefited their health."

Positive

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

Positive

"The practice offered patients with learning disabilities an annual health check and developed care plans for patients who would benefit which included information about their goals for care The practice did not have many patients one percent who were receiving palliative care at the time of the inspection."

Positive

"The practice did not have any patients receiving palliative care at the time of the inspection."

Neutral

"The practice lift was maintained and serviced regularly by a specialist contractor."

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

"Notices in the patient waiting room and a television information screen provided information about accessing emotional support."

Neutral

"Health information was displayed in the patient waiting room on a television screen and there were a range of posters and leaflets on display."

Neutral

"This included the installation of a television screen within the waiting area to advertise information about the practice and provide health promotion advice."

Positive

"The practice did not have a planned annual audit programme but had completed clinical audit cycles and could demonstrate improved practice and outcomes for patients as a result."

Positive

"The practice used clinical audit to monitor quality and systems to identify where action should be taken."

Positive

"The practice sent us a summary of information about their clinical audit significant events and complaints."

Positive

"We found little evidence of active clinical supervision or monitoring of the reviews carried out by the healthcare assistant."

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

"The practice had a health and safety lead and policy."

Neutral

"The practice contracted with a cleaning company with set cleaning schedules and records of monthly weekly and daily tasks."

Neutral

"Cleaning was carried out in line with current national guidance for example in relation to cleaning materials and equipment."

Neutral

"For example cleaning spillage of body fluids was identified as a hazard to staff."

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

"The aim was to ensure that prescribing was in line with good practice as this medicine is not recommended for certain patients."

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."

Neutral

"For example one of the GPs showed us evidence they had reviewed the treatment of patients taking Ivabradine a medicine to treat the symptoms of angina in line with guidance in a recent national safety alert."

Neutral

"As a result most patients decided to change their prescription to an alternative medicine or treatment strategy."