What is the Quality of Facilities at Sunbury Health Centre Group Practice

Positive

"All told us they were satisfied with the care provided by the GPs and nurse and said their dignity and privacy was respected."

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 where appropriate recorded the outcome of the assessment."

Positive

"The business manager had restructured the reception roles and promoted staff to new roles including an office manager reception supervisors and a nurse manager."

Neutral

"The team included a GP a practice manager specialist advisor and a nurse specialist advisor."

Neutral

"• A practice nurse was the infection control clinical lead."

Positive

"Areas for improvement Action the service MUST take to improve • Improve processes for reporting recording acting on and monitoring significant events incidents and near misses."

Positive

"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."

Positive

"The areas where the provider must make improvements are: • Improve processes for reporting recording acting on and monitoring significant events incidents and near misses."

Positive

"The practice GPs and business manager were aware of the need to improve their incident and significant event reporting monitoring and learning system and were reviewing this process."

Positive

"Monitoring risks to patients There were some procedures and systems in place for monitoring and managing safety risks to patients staff and visitors."

Positive

"• Review and implement systems for assessing and monitoring health and safety risks including those assessments carried out by the building owner NHS Property Services."

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."

Positive

"Those patients shown to have prediabetes were encouraged to attend for monitoring and advice in order to delay the progression of diabetes."

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 the practice had completed an audit for monitoring prediabetes in patients."

Neutral

"• Electronic Prescribing was available which enabled patients to order their medicine online and to collect it from a pharmacy of their choice which could be closer to their place of work if required."

Positive

"These meetings were used to discuss patients with complex and palliative care needs and ensured that care plans were routinely reviewed and updated."

Positive

"For example those with palliative care needs."

Positive

"We saw evidence that palliative care meetings with district nurses and community matrons took place every six weeks."

Neutral

"We spoke with the business manager who had informed us they had recently sent in the required forms to add these activities to their registration."

Positive

"• Staff had access to appropriate ongoing support during meetings onetoone adhoc meetings clinical supervision and facilitation and support for the revalidation of doctors."

Positive

"For example Disclosure and Barring Service checks for staff working as chaperones health and safety checks and completing regular fire drills."

Positive

"• Review and implement systems for assessing and monitoring health and safety risks including those assessments carried out by the building owner NHS Property Services."

Positive

"For example legionella assessments health and safety and regular fire drills."

Positive

"Although the business manager had requested the information from the landlord NHS Property Services at the time of the inspection records were not available to show that essential health and safety checks had been carried out at the required intervals."

Positive

"This included assessments for health and safety or the practising of fire drills."

Positive

"• Take action to address identified concerns from staff members in relation to the effectiveness of the cleaning from the outside contractor the cleaning company was not employed by the practice but by NHS Property Services."

Neutral

"Staff informed us of concerns with the cleaning through an outsourced provider organised by the NHS Property Services."

Positive

"• The property was owned by NHS Property Services who were responsible for the management up keep and the cleaning of the building."

Positive

"They told us that they themselves cleaned treatment rooms to ensure a high standard of infection control and had produced cleaning plans for members of staff to follow."