What is the Quality of Facilities at Holderness Health

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 where appropriate recorded the outcome of the assessment."

Positive

"For example one nurse told us they had made suggestions for changes to the practice’s flu campaign Continuous improvement There was a strong focus on continuous learning and improvement at all levels within the practice."

Positive

"During our visit we: • Spoke with a range of staff including three GPs one advanced nurse practitioner one practice nurse and the health care assistant."

Positive

"The practice nurse was the infection prevention and control IPC lead who liaised with the local IPC teams to keep up to date with best practice."

Positive

"• There were weekly drug and alcohol specialist nurse clinics for patients requiring support and advice relating to drugs andor alcohol use."

Positive

"There are three nurse practitioners four practice nurses a health care assistant a practice pharmacist and a team of dispensers."

Positive

"The practice was in the process of recruiting an additional nurse to increase capacity."

Neutral

"• The practice opened late for nurse and HCA appointments on Tuesday and Wednesday evenings."

Neutral

"• The drug and alcohol specialist nurse did a weekly clinic at the practice for people who needed support with alcohol or drug problems."

Neutral

"The Acute Team Leader GP met with a district nurse every morning to discuss any patients that needed to be seen that day."

Neutral

"If all the appointments were booked the receptionist took a patients’ name and telephone number and asked a doctor or nurse to call them back to assess if there was a medical need for them to be seen the same day."

Neutral

"Following feedback from patients the practice had recently introduced late night opening for nurse and HCA appointments on Tuesday and Wednesday evenings."

Neutral

"If all the appointments were booked the receptionist took a patients’ name and telephone number and asked a doctor or nurse to call them back to assess if there was a medical need for them to be seen the same day."

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

"• A programme of continuous clinical and internal audit and monitoring was used to monitor quality and to make improvements."

Positive

"• There were procedures in place for monitoring and managing risks to patients 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

"Infection control monitoring was undertaken throughout the year and an annual infection control audit was completed."

Neutral

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Positive

"There was a health and safety policy available and a poster with details of responsible people."

Neutral

"• The practice had an induction programme for newly appointed members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."

Positive

"The practice nurse was the infection prevention and control IPC lead who liaised with the local IPC teams to keep up to date with best practice."

Neutral

"For example a patient was given the wrong strength medication by the dispensary due to the medicine being sourced from a different supplier."