What is the Quality of Facilities at Modality Darlaston Practice

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"People with suspected hypertension high blood pressure were offered ambulatory blood pressure monitoring and patients with atrial fibrillation a common abnormal heart rhythm were assessed for stroke risk and treated as appropriate."

Positive

"• There were arrangements in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

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

"• Consider formally monitoring the prescribing of controlled drugs."

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

"• The practice had clearly defined and embedded systems to minimise risks to patient safety this included an effective process for monitoring and actioning safety alerts."

Positive

"• The practice had clearly defined and embedded systems and processes to minimise risks to patient safety and had an effective process in place for monitoring and actioning safety alerts."

Positive

"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."

Positive

"There were cleaning schedules and monitoring systems in place and staff had access to appropriate hand washing facilities and personal cleaning equipment."

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

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

Neutral

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

Positive

"• Recommence palliative care meetings."

Positive

"However palliative care meetings had not been held since the practice merger."

Positive

"• Documentation provided by the practice showed patients on the palliative care register were discussed at three monthly meetings and their care needs were coordinated with community teams."

Positive

"For example the practice had a dedicated phone line for patients at risk frail and palliative care patients • The practice was responsive to the needs of older patients and offered home visits and urgent appointments for those with enhanced needs."

Positive

"Data provided by the practice showed six patients on the palliative care register."

Positive

"• The practice supported patients with substance misuse through a shared care agreement and joint clinics with the community mental health nurse were held weekly."

Positive

"• The practice nurse provided appropriate immunisations to pregnant women for example immunisation for whooping cough."

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

"• The practice supported regular community diabetes sessions in the practice with a specialist diabetic nurse every month to review patients with complex diabetes needs."

Positive

"• Patients requiring support with mental health needs were referred to the community mental health nurse who held a clinic at the practice once a week."

Positive

"• Patients requiring support with mental health needs were referred to the community mental health nurse who ran a clinic once a week at the practice."

Positive

"Members of the management team provided evidence of a range of multidisciplinary meetings with district nurses community mental health nurse to monitor vulnerable patients."

Positive

"A practice nurse had just been recruited to join the practice team and had recently commenced at the practice."

Neutral

"The GP in the absence of a practice nurse had been offering cervical screening and immunisations to patients."

Neutral

"A practice nurse had recently been employed by the surgery."

Neutral

"In the absence of a practice nurse the GP had been offering cervical screening to patients."

Neutral

"On speaking with staff we were told that with the absence of a practice nurse the GP was vaccinating children."

Neutral

"These results were for the previous nurse who worked at the practice."

Neutral

"The practice in the absence of a practice nurse had offered patients appointments with the GP for cervical screening and childhood immunisations."

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."

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

"Staff we spoke with explained that 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

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control although not all staff were aware which GP was the safeguarding lead."

Positive

"• The GP with the support of the health care assistant was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."

Neutral

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

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"• Adults with newly diagnosed cardiovascular disease were offered statins a medicine to lower the level of cholesterol in the blood for secondary prevention."

Positive

"• Patients were able to access a range of community services from the premises including phlebotomy and an anticoagulant service a clinic to monitor how well a blood thinning medicine used to prevent heart attacks strokes and blood clots in veins and arteries is working."

Positive

"For example we saw that the practice reduced their prescribing of a medicine used to treat nocturnal leg cramps considered to be of limited effectiveness."

Neutral

"Onsite parking is available with designated parking for patients who display a disabled blue badge."

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision of the health care assistant by the GP and facilitation and support for revalidating the GP."

Positive

"• There was a health and safety policy available and regular risk assessments were carried out."

Neutral

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

Positive

"There were cleaning schedules and monitoring systems in place and staff had access to appropriate hand washing facilities and personal cleaning equipment."

Neutral

"Completed cleaning logs demonstrated that the practice maintained and monitored standards of hygiene."