What is the Quality of Facilities at Rainford Health Centre

Positive

"There was a lead GP for palliative care at the practice proactive visits to these patients were undertaken and systems were in place to liaise with and provide information to the out of hours GP service provider."

Positive

"A team approach was adopted in the practice for caring for patients with a terminal illness at the end stage of their life for example monthly multidisciplinary meetings took place involving the district nurses palliative care nurses and community matron where required updates and information was shared with all professionals."

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

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

"Patient Group Directions had been adopted by the practice to allow the nurse to administer medicines in line with legislation."

Neutral

"The practice has one female GP two male GPs a practice nurse and healthcare assistants administration and reception staff and a practice manager."

Neutral

"• The nurse had qualified as an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."

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 QOF is a system intended to improve the quality of general practice and reward good practice."

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

"• Review the arrangements for monitoring of the cleaning schedules for the environment and medical equipment."

Neutral

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

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."

Positive

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

Positive

"There was a health and safety policy available with a poster which identified local health and safety representatives."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality and included a period of supervisionmentorship."

Neutral

"However we found some concerns regarding infection prevention and control that the audit had not identified."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality and included a period of supervisionmentorship."

Positive

"• Review the suitability of flooring in the minor surgical procedures room to ensure a good standard of cleaning and infection control can be achieved."

Neutral

"• Review the arrangements for monitoring of the cleaning schedules for the environment and medical equipment."

Positive

"For example in care pathways dementia and elderly care and the care of those at risk of unplanned admissions to hospital."