What is the Quality of Facilities at Valley View Surgery

Positive

"The nurse practitioner was the infection control clinical lead who accessed regular training to keep up to date with best practice."

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

"A senior member of the administration team was being trained for a future role in practice management and a practice nurse had discussed continued professional development during their appraisal and was supported in accessing training in smoking cessation as a result."

Positive

"• The nurse practitioner and practice nurses had lead roles in chronic disease management diabetes and asthma."

Neutral

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

Neutral

"A telephone consultation service is also available with a GP or nurse for those who need advice."

Neutral

"We inspected the main practice and branch surgery and during our inspection we: • Spoke with three GPs the nurse practitioner one practice nurse the practice manager two members of the administration team and six members of the reception team."

Neutral

"The practice nurses regularly attended nurse forum meetings within the locality."

Neutral

"• We were told that the practice had close links with the University of Hertfordshire who provided nurse training modules on topics including spirometry COPD and diabetes."

Neutral

"The nurse practitioner held a nurse mentorship qualification and was planning on providing training to student nurses."

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

"• 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

"• Spoke with the chair of the Patient Participation Group PPG."

Positive

"This multidisciplinary team included community psychiatric nurses a pharmacist and palliative care nurse."

Neutral

"We saw evidence that multidisciplinary team meetings took place on a monthly basis for vulnerable patients and for patients requiring palliative care."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening and the practice had a member of staff in place responsible for sending reminder letters out to patients."

Positive

"A receptionist was the nominated carers’ champion who was proactive in offering health checks flu vaccinations and information and advice about local support groups and services."

Positive

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

Positive

"There was a health and safety policy available along with a poster in the reception office which included the names of the health and safety leads at the practice."

Positive

"It covered such topics as safeguarding infection control fire safety equality and diversity basic life support health and safety and confidentiality."

Positive

"For example one of these audits looked at the safe prescribing of a medicine commonly used to treat type two diabetes to ensure prescribing was in line with NICE guidelines."