Latest Snippet(s)
Positive
"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."
Positive
"• Patients received effective care and treatment that met their needs although improvement was needed to the process for monitoring patients’ health in relation to the use of high risk medicines."
Positive
"Whilst we found no breaches of regulations the provider should: • Review the system to ensure that all secondary care monitoring of patients taking high risk medicines is recorded on patient records."
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."
2016-04-08 Snippet(s)
Positive
"Management monitoring and improving outcomes for patients The practice participated in the Quality and Outcomes Framework QOF."
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
"We saw arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs."
2016-04-08 Snippet(s)
Positive
"• The practice held regular multidisciplinary integrated care meetings where all patients on the palliative care register were discussed."
Positive
"• Regular multidisciplinary meetings were held with key partners to support patients with their palliative care needs."
Positive
"District nurses and palliative care nurses attended these meetings."
Positive
"We saw that meetings were attended by health visitors district nurses and palliative care nurses."
Positive
"The meetings were attended by district nurses palliative care nurses practice manager lead GP partner and the practice nurse."
Positive
"For example weekly meetings were held with the health visitor regarding any patients at risk of harm; and monthly multidisciplinary meetings where palliative care special care and significant events were discussed."
2016-04-08 Snippet(s)
Positive
"• Where a patient’s mental capacity to consent to care or treatment was unclear the GPs or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."
Positive
"The GPs and practice nurse told us they would also use their contact with patients to help maintain or improve mental physical health and wellbeing."
Positive
"The nurse told us that if they had concerns about a patient’s ability to understand or consent to treatment they would ask their GP to review them."
Positive
"The GPs and practice nurse showed us how patients were followed up within two weeks if they had risk factors for disease identified at the health check and described how they scheduled further investigations."
Positive
"The GPs and the nurse told us they shared information with patients to help them understand and manage their conditions."
Positive
"A triage system by a GP or a nurse to determine the most appropriate appointment for patients was introduced."
Positive
"The practice nurse had lead roles and closely monitored patients at risk of hospital admission."
Positive
"• We looked at personnel files for varied staff roles including those for a nurse and two reception staff to see whether recruitment checks had been carried out in line with the practice’s recruitment policy and legal requirements."
Neutral
"During our inspection we spoke with a range of staff that included the lead GP a salaried GP the practice manager the practice nurse and reception and administration staff."
Neutral
"• A practice nurse was qualified as an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."
2016-04-08 Snippet(s)
Positive
"The practice had engaged in various activities to support their patients and increase health awareness through Are services caring?"
2016-04-08 Snippet(s)
Positive
"This included ongoing support during sessions meetings appraisals clinical supervision and facilitation."
2016-04-08 Snippet(s)
Positive
"The schedule covered day to day processes including opening up and closing down procedures for the practice and topics such as complaints safeguarding fire safety health and safety and confidentiality."
Neutral
"A health and safety policy was in place together with an uptodate risk assessment for the practice both of which were Are services safe?"
2016-04-08 Snippet(s)
Positive
"The practice also had a variety of other risk assessments in place to monitor safety of the premises such as control of substances hazardous to health infection prevention and control IPC and legionella a bacterium which can contaminate water systems in buildings."
2016-04-08 Snippet(s)
Neutral
"The aim was to assess and support all high risk elderly patients to identify and address clinical and social need."
2016-04-08 Snippet(s)
Positive
"For example by promoting the benefits of childhood immunisations with parents or by carrying out opportunistic medicine reviews."
Neutral
"• Patients had a named GP and a structured annual review to check that their health and medicine needs were being met."
Neutral
"For example an audit had been carried in response to the prescribing of a particular medicine for a patient where a concern had been identified."
Neutral
"We saw that repeat audit cycles had been completed regularly to review prescribing of the medicine and its appropriateness for each patient."