What is the Quality of Facilities at Thatcham Health Centre

Positive

"There was regular liaison with the community outreach dementia nurse and the old age community mental health team to coordinate the care for these patients."

Positive

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

Positive

"We were shown a letter from a research nurse from an NHS Trust who had worked with the practice on a diabetes care project."

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

"Another nurse had been appointed with additional skills in coordinating care for patients who were elderly or with long term medical conditions."

Positive

"For example there were advanced nurse practitioners trained to deal with minor illnesses and Are services responsive to people’s needs?"

Positive

"For example a nurse with a health and safety qualification was practice lead for control of infection and risk management."

Neutral

"Once trained they took up a practice nurse post."

Positive

"• The practice demonstrated improved monitoring of the care of patients diagnosed with diabetes and asthma."

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

"Cleaning standards elsewhere were appropriate and we saw that a formal monitoring programme was in place."

Positive

"• There were wellestablished detailed monitoring systems in place for areas for which the nurses were responsible."

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

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

Neutral

"We reviewed the practice process for making patient exceptions from the monitoring because the exception rate was higher than the local average."

Neutral

"Car parking is available in a public car park next to the practice."

Neutral

"The practice provides disabled parking spaces."

Positive

"This included ongoing support onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

Positive

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

Positive

"For example a nurse with a health and safety qualification was practice lead for control of infection and risk management."

Neutral

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

Neutral

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

Neutral

"We discussed this with the control of infection lead and they said they would contact the contract cleaning company to deal with this on the day of inspection."

Positive

"They met with the community consultant in care of the elderly on a monthly basis to coordinate the care for these patients."

Positive

"• The care of elderly patients living in care homes was coordinated by undertaking a monthly review with a Consultant in Medicine for the Elderly."

Positive

"Another nurse had been appointed with additional skills in coordinating care for patients who were elderly or with long term medical conditions."

Neutral

"We also noted that a number of patients diagnosed with this condition were identified as elderly and frail and thus were not subject to monitoring."