What is the Quality of Facilities at Hagley Surgery

Positive

"We were told that more GP led visits would be welcomed although the staff were happy with the advanced nurse practitioner and thought that there were good working relationships between the care homes and the practice."

Positive

"Staff commented on the high standard of care provided and told us that the GPs and the advanced nurse practitioner took time to listen to patients’ concerns and to explain treatment options involving the next of kin when necessary."

Positive

"We were told that weekly proactive ward rounds led by the advanced nurse practitioner were due to be introduced shortly."

Positive

"The GPs are supported by a pharmacist a site manager an advanced nurse practitioner three practice nurses a healthcare assistant and reception and administrative teams."

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 a GP and two nurses had additional qualifications in diabetes and another nurse had an additional qualification in asthma care."

Positive

"Regular ward rounds were carried out by the advanced nurse practitioner; GPs attended patients when necessary."

Positive

"These were mainly conducted by the advanced nurse practitioner."

Positive

"The advanced nurse practitioner ANP triaged the home visit requests to determine whether an ANP or GP should attend."

Positive

"Separate away days were arranged for associate GPs and advanced nurse practitioners."

Neutral

"For example an associate GP and an advance nurse practitioner had started work at the practice and a GP partner was due to start work in the next few months."

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

"Monthly meetings were held at the Wyre Forest Health Partnership which included monitoring of the level of service provision."

Neutral

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

Neutral

"For example performance monitoring is coordinated and directed by WFHP staff."

Neutral

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

Neutral

"There was a centralised system whereby a WFHP team was notified when a blood sample had been taken for monitoring so that the team could check blood test results to determine whether they were in the correct range in accordance with the protocol."

Neutral

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

Neutral

"Disabled parking spaces are available."

Neutral

"Car parking is available on site and there is easy access to bus stops and Hagley railway station."

Neutral

"There is also a lift to the first floor to enable disabled access."

Positive

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

Positive

"NICE guidelines were uploaded to the internet based information storage system so that they were accessible to all staff."

Positive

"For example a page had been created on the internet based information storage system which detailed aspects of dementia management including referral guidance coding guidance and support group information."

Positive

"The plan had been uploaded to the internet based information storage system which meant that it could be accessed from any of the WFHP sites in an emergency."

Neutral

"For example the WFHP had an internet based information storage system."

Neutral

"• Practice specific policies were implemented and staff knew how to access them on the internet based information storage system."

Neutral

"For example the WFHP had an internet based information storage system which facilitated the standardization of policies procedures and templates because documents could be accessed from all six sites."

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."

Positive

"Ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support were provided for revalidating GPs and nurses."

Positive

"This covered such topics as information governance safeguarding basic life support fire safety health and safety and confidentiality."

Positive

"• There was a health and safety policy available."

Neutral

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

Positive

"The emergency medicines were stored in three separate places one emergency medicine was kept in a locked cupboard instead of being centrally located which could impact on response times in an emergency."

Positive

"• Emergency medicines were stored in three separate locations in the practice and one emergency medicine was held in a locked cupboard."

Positive

"• There was a prescription delivery system for housebound patients who had late home visits and had no one who could pick up medicine for them."

Neutral

"The GP who had done the home visit would give the prescription to a staff member who would walk to the nearest pharmacy to get the prescription dispensed then the GP would take the medicine to the patient in a second home visit."