What is the Quality of Facilities at The Practice Northumberland Avenue

Positive

"Outstanding practice • Weekend surgeries with regular clinical staff were used to provide clinics for monitoring patients with long term conditions as well as for regular appointments."

Positive

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

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

"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."

Positive

"For example; administration of vaccines cervical cytology monitoring for asthma diabetes heart disease strokes and blood pressure checks."

Positive

"We saw evidence of calibration of relevant equipment; for example weighing scales and the blood pressure monitoring machines."

Positive

"This was shown by the availability of clinics for chronic disease management and health monitoring held at times of the day that patients of working age patients with caring responsibilities and families with young children could attend."

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

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Neutral

"The PPG chair told us how the practice manager always kept the group up to date with the work going on in the practice and the local community at the meetings."

Positive

"These meetings were attended by district nurses social workers palliative care nurses and decisions about care planning were documented in a shared care record."

Positive

"The GP told us they led in specialist clinical areas and the nurse practitioner and practice nurses supported the GPs with long term condition work which allowed the practice to focus on specific conditions."

Neutral

"There were two salaried GPs one female and one male and regular locum GPs a nurse practitioner two nurses and a healthcare assistant."

Neutral

"Health promotion and prevention It was practice policy to offer a health check with the practice nurse to all new patients registering with the practice."

Neutral

"For example there was a lead nurse for infection control and there was a GP lead for safeguarding."

Positive

"Risks included the lift not working to the first floor practice reception."

Neutral

"There was lift access to the first floor."

Neutral

"The front door had a call button with a screen at the front of the building if the lift was out of order so reception could be notified and were able to hear and see the patient."

Neutral

"The practice held monthly multidisciplinary team meetings to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."

Positive

"Following this clinical audit changes to treatment were made where needed and the audit repeated to ensure outcomes for patients had improved."

Neutral

"The team had made use of audit tools clinical supervision and staff meetings to assess the performance of service at the practice."

Positive

"Health and safety information was displayed for staff to see and the practice manager was the identified health and safety representative."

Positive

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

Positive

"Our interviews with staff confirmed that the practice was proactive in providing training and funding for relevant courses for example; information governance basic life support automated emergency defibrillation AED fire awareness infection control child protection equality and diversity health and safety manual handling and safeguarding of vulnerable adults."

Neutral

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

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."