What is the Quality of Facilities at Oaklands Surgery

Positive

"• Ensure there are governance systems for clinical oversight of the advance nurse practitioners and health care assistants."

Positive

"However the practice had identified that there were insufficient practice nurse hours to provide adequate care in a timely way for patients with long term conditions and mental health needs or to ensure that HCAs had the daily clinical support and oversight from a practice nurse daily."

Positive

"• Clinical governance was not in place for advanced nurse practitioners and health care assistants."

Positive

"• Ensure there are governance systems for clinical oversight of the advance nurse practitioners and health care assistants."

Positive

"The provider told us it was actively recruiting to increase nurse and GP cover at the practice."

Positive

"The practice informed us they had recently employed a nurse for two days per week with the necessary skills to ensure these checks were undertaken."

Positive

"However there was no system in place for formal supervision of the nurse practitioners or auditing of their consultations."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

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

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

Positive

"• Some arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"• One of the practice staff had recently initiated a system for patients to access a new prediabetes prevention programme by use of body worn physical activity monitoring systemsapplications."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."

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

"• One of the practice staff has recently initiated patients accessing a new prediabetes prevention programme using some activity monitoring systemapplications."

Neutral

"• There were some systems for the logging and monitoring of the prescription stationery used in the practice."

Neutral

"However there were still deficits in the monitoring of patients with long term needs mental health and dementia."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Neutral

"• There were safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"However in other aspects such as recruitment obtaining information regarding staff immunisations and training health and safety fire and management of the location these were still being formalised."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Neutral

"• There were safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment including calibration training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"• The practice’s uptake for breast and bowel cancer screening was above the national average for breast cancer screening and similar for bowel cancer screening."

Neutral

"The PPG also hired a minibus to provide transport those patients who had difficulty accessing public transport so that they could participate."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Neutral

"The PPG also hired a minibus to provide transport those patients who had difficulty accessing public transport so that they could participate."

Positive

"• The provider had implemented a portfolio of new and updated corporate policies procedures and activities to ensure safety and assure themselves that they were operating as intended."

Neutral

"• The practice ensured that end of life care was delivered in a coordinated way which considered the needs of different patients including those who may be vulnerable because of their circumstances."

Positive

"Most staff received regular annual appraisals in the last year although there were gaps in clinical supervision and oversight of nursing and health care assistants."

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Positive

"However minor improvements needed to be implemented such as ensuring all staff dispose of urine samples safely and cleaning staff store equipment in line with guidance."

Positive

"• The practice acted on some external safety events as well as patient and medicine safety alerts."