What is the Quality of Facilities at Ephedra Healthcare

Positive

"It had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."

Positive

"The practice did not routinely have many palliative care patients due to the lower age range of its practice population."

Positive

"These meetings were attended by district nurses palliative care nurses and health visitors."

Positive

"They also have a nursing team consisting of one nurse manager two nurse practitioners and two health care assistants."

Neutral

"One of the nurses had also recently set up a nurse prescribing forum within the locality which acted to provide clinical supervision for the nurse prescribers within the area."

Neutral

"The nurse manager was appointed the lead for infection control and had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."

Neutral

"One of the GPs and the nurse manager had attended an Ebola training session and cascaded the information to the rest of the staff."

Neutral

"For example there was a nurse who was the lead for infection control and a GP was the lead for safeguarding."

Neutral

"The practice also appointed a senior receptionist to act as an administration lead for child protection."

Positive

"Management monitoring and improving outcomes for people Information about people’s care and treatment and their outcomes was routinely collected and monitored and this information was used to improve care."

Positive

"There was a system in place for the management of high risk medicines such as warfarin methotrexate and other disease modifying drugs which included regular monitoring in accordance with national guidance."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Staff across the practice had key roles in monitoring and improving outcomes for patients."

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

"There were ramps and wide doors for wheelchair users at the entrance and all the fire exits."

Neutral

"For example those with end of life care needs or children on the at risk register."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Neutral

"One of the nurses had also recently set up a nurse prescribing forum within the locality which acted to provide clinical supervision for the nurse prescribers within the area."

Neutral

"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."

Positive

"It had carried out risk assessments where risks had been identified and action plans had been produced and implemented for example a confidentiality risk assessment of the reception area and the whole practice and a health and safety risk assessment."

Positive

"Health and safety information was displayed for staff to see and the practice had identified two members of staff to act as health and safety representatives."

Positive

"They also had a health and safety policy."

Positive

"We saw evidence that the lead had an audit schedule in place to carry out infection control audits and an annual infection prevention and control risk assessment."

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."

Positive

"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."