What is the Quality of Facilities at Wetherby Surgery

Positive

"We were informed that the provider was in the process of recruiting an additional six sessions of GP cover and four sessions of advanced nurse practitioner cover to support the existing clinical team."

Positive

"At the time of our inspection the practice was supporting a practice nurse with their independent prescribing course and had plans to support them through the advance nurse practitioner course later in the year."

Positive

"Families children and young people: • The practice nurse performed childhood immunisations and dedicated appointments for babypostnatal checks were available with GPs."

Positive

"For example; as a result of patient feedback the practice had introduced book in advance appointments; up to two weeks for GPs and four weeks for the practice nurse and health care assistant."

Positive

"The provider was aware of the need for additional staff at the Wetherby site and at the time of our inspection they were in the process of recruiting to additional GP and advanced nurse practitioner sessions."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their health."

Positive

"We checked records for patients who were receiving high risk medicines and found they had all had the required monitoring carried out or the patient had been contacted to chase up outstanding blood tests."

Positive

"The incident was escalated to the senior leadership team to ensure future prevention through the monitoring of staffing levels."

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

"• There were arrangements for planning and monitoring the number and mix of staff needed."

Positive

"Harewood Surgery is located in a converted residential building with limited onsite parking facilities."

Neutral

"Wetherby Surgery is housed in a modern purpose built premises with onsite parking facilities."

Positive

"• The provider had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

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."

Neutral

"• All clinical operational and clinical governance arrangements were addressed at the provider’s executive board level."

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

Neutral

"In addition all staff completed health and safety training as part of their mandatory training requirements on an annual basis."

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding infection prevention and control and supporting good governance."

Neutral

"We reviewed a sample of audits which included quarterly audits on infection prevention and control sepsis antimicrobial prescribing and hormone replacement therapy."

Positive

"For example; practice nurses and health care assistants offered community outreach to the elderly and housebound patients to provide health promotion vaccinations and long term conditions management."

Neutral

"The practice proactively identified patients who were carers and were aware of the need to identify younger patients who acted in the role of carer for the elderly and frail population of the practice."

Positive

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

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Neutral

"• The lead pharmacist told us that for people with long term conditions repeat medicines were reauthorised dependent on either an annual or six monthly medicine review."