What is the Quality of Facilities at Heaton Moor Medical Group

Positive

"Meetings took place with other health care professionals on a six weekly basis where patients requiring palliative care or identified under safeguarding procedures were discussed."

Positive

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

Positive

"• A healthcare practitioner was receiving additional training including diabetic foot checking and diabetic dietary needs to support the diabetic nurse specialist and so provide a joined up comprehensive patient service."

Positive

"• The practice had a team of nurses which included advanced nurse practitioners practice nurses and health care assistants."

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

"For example one regarding a diabetes appointment with the practice nurse stated “extremely helpful and information boosted my confidence”."

Positive

"• Regular practice nurse and health care appointments were available each week at the practice."

Positive

"There are now four consultation rooms available to allow GP practice nurse and phlebotomy services to be provided."

Positive

"Supporting patients to live healthier lives • HMMG ensured there was a practice nurse available at the Bosden Moor Surgery at least three days per week."

Neutral

"This allowed patients to access a range of GP nurse and specialist appointments across four locations within Stockport."

Neutral

"• Patients now had access to regular practice nurse appointments to review their longterm conditions."

Neutral

"• The new provider ensured there was a practice nurse available at the Bosden Moor Surgery at least three days per week."

Neutral

"There are three nurse practitioners one diabetic nurse specialist five practice nurses two assistant practitioners and one healthcare assistant."

Neutral

"How we carried out this inspection During our visit we: • Spoke with a range of staff including the practice manager two GP partners one practice nurse and the receptionist."

Positive

"Management monitoring and improving outcomes for people At this inspection we found that HMMG had continued and completed their remedial action plan to ensure patients received a comprehensive and appropriate standard of care."

Positive

"HMMG implemented a comprehensive programme of identifying those patients require monitoring and provided health care reviews and developed and increased the registers of patients who had a long term health condition."

Positive

"Appropriate monitoring and patient health checks were now undertaken."

Positive

"This enabled effective management including monitoring and review of for example patient records."

Positive

"Additional recommendations to improve repeat prescribing monitoring and patient reviews were identified following this audit."

Positive

"• Arrangements for identifying recording and managing risks issues and implementing mitigating actions were effectively established and this included monitoring clinical audit outcomes significant event analysis complaint investigations patient feedback and outcomes data for admissions referrals and prescribing."

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

"Patients have access to ample car parking space close to the surgery."

Neutral

"• HMMG centralised many aspects of its organisational activities at the practice’s registered location in Heaton Moor."

Positive

"The practice register of patients requiring end of life care was up to date."

Positive

"• Arrangements for identifying recording and managing risks issues and implementing mitigating actions were effectively established and this included monitoring clinical audit outcomes significant event analysis complaint investigations patient feedback and outcomes data for admissions referrals and prescribing."

Neutral

"Plans were in place to broaden clinical training further to include nursing students."

Neutral

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

Neutral

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

Positive

"• HMMG had completed the medicine audits for overdue medication reviews and completed the reviews of medicines prescribed to ensure they were within national guidelines and to ensure patients’ health care needs were recorded and coded correctly."

Positive

"These included reviews of medicine prescribing procedures which in turn led to reviews of patients’ health care needs and the provision of the regular required monitoring."

Positive

"Patients medicine reviews were now undertaken in accordance with the practice policy and as patients’ health care needs required."

Neutral

"Flags on patients’ electronic records alerted staff when the next medicine review was imminent."

Neutral

"A further medicine review audit had recently been undertaken at Bosden Moor Surgery to compare and contrast activity before HMMG took over at the surgery and the subsequent review activity."