What is the Quality of Facilities at Tenbury Surgery

Neutral

"We observed that one of the nurses assisted an elderly patient to arrange a further appointment and a receptionist ensured that a patient with diabetes would have an extended appointment at the next visit."

Positive

"Management monitoring and improving outcomes for patients The practice participated in the Quality and Outcomes Framework QOF."

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

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

Positive

"There was no disabled parking facility; however staff confirmed that the practice may have the possibility of purchasing additional car parking spaces enabling an allocated disabled parking space."

Positive

"• The practice GPs cared for palliative care patients in the community and in the community hospital where there was a palliative care suite."

Positive

"• The practice held regular multidisciplinary integrated care meetings where all patients on the palliative care register were discussed."

Positive

"For example weekly multidisciplinary MDT meetings at the hospital where palliative care and special care were discussed."

Positive

"• Regular multidisciplinary meetings were held with key partners to support patients with their palliative care needs."

Positive

"District nurses and palliative care nurses attended these meetings."

Positive

"The meetings were attended by district nurses palliative care nurses and GPs."

Neutral

"• The practice regularly worked with multidisciplinary teams in the case management of vulnerable patients and patients receiving palliative care."

Positive

"• Where a patient’s mental capacity to consent to care or treatment was unclear the GPs or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."

Positive

"The GPs are supported by a practice manager an independent nurse prescriber two practice nurses a health care assistant HCA and administrative and reception staff."

Positive

"The GPs and practice nurse told us they would also use their contact with patients to help maintain or improve mental physical health and wellbeing."

Positive

"The nurse told us that if they had concerns about a patient’s ability to understand or consent to treatment they would ask their GP to review them."

Positive

"The GPs and practice nurse showed us how patients were followed up within two weeks if they had risk factors for disease identified at the health check and described how they scheduled further investigations."

Positive

"The GPs and the nurse told us they shared information with patients to help them understand and manage their conditions."

Positive

"Weekly meetings also took place and were attended by district nurses members of the enhanced care team a nurse practitioner GPs and staff at the practice."

Positive

"During our inspection we spoke with a range of staff that included two GPs at the practice and one on the telephone the practice manager an advanced nurse practitioner a nurse practitioner a practice nurse and reception and administration staff."

Positive

"• We looked at personnel files for various staff roles including those for a salaried GP a practice nurse and Are services safe?"

Neutral

"• A practice nurse was qualified as an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."

Neutral

"This included action to address transport issues that some patients experienced in getting to the practice."

Neutral

"A request had been made to Tenbury Transport Services for further transport information to assist these patients."

Positive

"This included ongoing support during sessions meetings appraisals clinical supervision and facilitation."

Positive

"A health and safety policy was in place together with an uptodate risk assessment log for the practice both of which were reviewed annually."

Positive

"We observed the premises to be visibly clean and tidy and there were detailed checklists in place for cleaning staff to follow."

Positive

"• The practice had been influential in setting up a new Pro Active Care Team which looked after the frail elderly and care home patients at the practice."

Neutral

"We observed that one of the nurses assisted an elderly patient to arrange a further appointment and a receptionist ensured that a patient with diabetes would have an extended appointment at the next visit."

Positive

"For example by promoting the benefits of childhood immunisations with parents or by carrying out opportunistic medicine reviews."

Positive

"The audit demonstrated that the practice was implementing change on an opportunistic level when patients attended for their medicine review or at other appropriate times."

Positive

"The audit was carried to review those patients who were at risk to consider whether this medicine was appropriate for them or not and where the audit found this was not appropriate the reasons were recorded."

Neutral

"• Patients had a named GP and a structured annual review to check that their health and medicine needs were being met."

Neutral

"Patients we spoke with confirmed this for example if their medicine had to be changed and why."