What is the Quality of Facilities at Lower Ince Surgery

Positive

"• There were staff champion roles to support patients andor their families with palliative care information cancer services and bereavement support."

Positive

"• A carer palliative care and bereavement champion maintained a register of patients with longterm conditions and cancer and provided them with information about local community and practice support services."

Positive

"In addition there is a regular practice nurse and a health care assistant working part time supported by extended nursing staff including an advanced nurse practitioner within the SSP organisation."

Positive

"The practice nurse was a cervical screening mentor and facilitated and supported best practice in relation to the practical elements of the cervical screening training programme."

Positive

"For example the practice manager was responsible for health and safety and the practice nurse was responsible for infection control and travel immunisations."

Positive

"• The practice nurse 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."

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 nurse attended housebound patients to support and treat chronic disease management."

Positive

"During our visit we: • Spoke with a range of staff including two GPs the regional manager covering for the practice manager who was on leave the practice nurse and health care assistant and a number of receptionadministration staff."

Neutral

"Telephone appointments were available daily with the nurse and GPs."

Neutral

"One of the GPs was the lead member of staff for safeguarding and the practice nurse acted as deputy."

Neutral

"• The practice nurse demonstrated how she stayed up to date with changes to the immunisation programmes and cervical screening updates."

Neutral

"One of the GPs took a lead in safeguarding and a practice nurse was deputy."

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 a register of patients who required additional support such as vulnerable patients carers patients requiring drug monitoring patients with a learning disability military veterans deprivation of liberty safeguards DOLs patients’ with cancer and those receiving end of life care."

Positive

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

Positive

"We saw that the premises were clean and tidy and there were insurgery cleaning schedules and monitoring systems in place."

Positive

"In addition the surgery maintained its own risk monitoring : • There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"• Patients with dementia received appropriate monitoring and outcomes were above average."

Positive

"The community staff were responsible for health and safety within the building such as fire and regular monitoring of gas and electricity appliances."

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 superior system for monitoring and controlling repeat prescribing for patients receiving medicines for mental health needs specifically high risk medicines."

Neutral

"The practice also provides a range of enhanced services such as minor surgery at another location rotavirus and shingles immunisations ECG monitoring and ultrasound scanning at another location."

Neutral

"There is ample car parking spaces for abled and disabled people."

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

"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

"For example the practice manager was responsible for health and safety and the practice nurse was responsible for infection control and travel immunisations."

Positive

"The community staff were responsible for health and safety within the building such as fire and regular monitoring of gas and electricity appliances."

Positive

"• There was a health and safety policy available."

Neutral

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

Positive

"• The practice nurse 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

"We saw that the premises were clean and tidy and there were insurgery cleaning schedules and monitoring systems in place."

Neutral

"• The surgery was situated within a community building and cleaning services were provided by the community team."

Positive

"• Full clinical audits and reaudits to monitor the effectiveness of clinical care were demonstrated particularly in the case of medicine reduction programmes."

Positive

"Before SSP Health were awarded the contract Lower Ince Surgery was the highest prescriber of this medicine in the country."

Positive

"Lower Ince Surgery had progressed from being the highest prescriber of this medicine to now the fourth lowest within the locality."

Neutral

"New patients coming to the practice on this medicine and meeting the criteria were immediately placed on the programme."

Neutral

"A reduction programme to be managed in the same way for patients on this medicine is in its initial stages."