What is the Quality of Facilities at Yarm Medical Practice

Positive

"One of the GPs with palliative care training had contributed to the current proforma used across the Northern Region for End of Life Care."

Positive

"We saw evidence that multidisciplinary team and palliative care meetings took place on a monthly basis and that care plans were routinely reviewed and updated."

Positive

"• The practice had GPs with additional qualifications in palliative care."

Positive

"The practice had GPs with additional qualifications in palliative care and one GP has been involved the development of the Care of the Dying documentation for the CCG."

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

"In addition to this the nurse practitioners and HCAs visit patients in their own homes to provide chronic disease management and immunisations such as shingles flu and pneumonia."

Positive

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

Positive

"Due to the additional number of older people the practice had recruited an additional fulltime nurse practitioner to improve capacity."

Positive

"There are three nurse practitioners three practice nurses two health care assistants and a phlebotomist all female."

Positive

"They were given information and invited to see the nurse for advice on interventions that may reduce the chance of full diabetes developing."

Positive

"To assist in the growing older population the practice had employed an additional nurse practitioner."

Neutral

"Two of the nurse practitioners were completing their training to enable them to insert implants."

Positive

"Management monitoring and improving outcomes for people All staff were actively engaged in activities to monitor and improve quality and outcomes."

Positive

"These plans advised clinicians on what they should be monitoring questions they should ask patients about their condition and when they should refer patients to a consultant or acute care."

Positive

"• Reviewed information from CQC intelligent monitoring systems."

Positive

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

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

Neutral

"• There was car parking available for patients with a purpose built car park."

Positive

"Management monitoring and improving outcomes for people All staff were actively engaged in activities to monitor and improve quality and outcomes."

Positive

"• Staff actively engaged in activities to monitor and improve quality and outcomes."

Neutral

"• A notice repeatedly shown on the television screens in the waiting rooms advised patients that nurses would act as chaperones if required."

Neutral

"We saw notices in the reception areas and on the television screens informing patients this service was available."

Positive

"For example they had been involved in the contributing ideas for the new building advised on the seating layout in the waiting room improving access for wheelchair users and privacy at the reception desk."

Positive

"• The practice worked collaboratively with the lead GP from a neighbouring practice to develop best practice mental health care plans which were then used for the care of patients across both practices."

Positive

"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of GPs."

Positive

"There was a health and safety policy available with a poster in the reception office."

Positive

"There was a nominated health and safety lead that also monitored the maintenance of the building and work environment."

Neutral

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

Neutral

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

Positive

"For example there was evidence of joint working in the management of elderly patients care of the dying and emergency planning."