Latest Snippet(s)
Positive
"• When asked on your most recent visit how satisfied are you with the doctor nurse or health care assistants’ ability to listen to you?"
Positive
"• When asked how satisfied are you with the doctor nurse or health care assistants’ explanations?"
Positive
"• On the day of the inspection we raised our concerns with the practice and the lead practice nurse took immediate action to ensure safety."
Positive
"The nurse reported the incident to the NHS screening and immunisations team commenced an investigation and quarantined all vaccines until they had established they were safe to use."
Neutral
"• The infection control nurse had only recently taken over the role."
2015-02-19 Snippet(s)
Positive
"The practice had regular nurse run clinics for conditions such as diabetes and asthma to ensure patients’ conditions were appropriately monitored and that they were involved in making decisions about their care."
Positive
"• The practice promoted patients on going health with tailor made healthier living programmes with specialist nurse support and an on site health trainer."
Positive
"• The practice promoted patients on going health with tailor made healthier living programmes with specialist nurse support and an onsite health trainer."
Positive
"The GPs and Advanced Nurse Practioner told us they lead in specialist clinical areas such as diabetes heart disease and asthma and the practice nurses supported this work which allowed the practice to focus on specific conditions."
Positive
"For example they had regular clinics with the nurse to support individuals and also offered a personal ‘health trainer’."
Positive
"The practice has four GP partners an advanced practioner practice nurse three healthcare assistants and an experienced administration and reception team."
Positive
"During our visit we spoke with a range of staff including the practice manager two GP partners one advanced practioner one practice nurse and four reception and administrative staff."
Neutral
"Full post natal and six week baby checks were carried out by GPs and the practice nurse and regular baby clinics could be accessed."
Neutral
"Health promotion and prevention It was practice policy to offer a health check with the practice nurse to all new patients registering with the practice."
Neutral
"For example there was a lead nurse for infection control and GP was the lead for safeguarding."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
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
"• There were arrangements for planning and monitoring the number and mix of staff needed."
2015-02-19 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
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
"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
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."
2015-02-19 Snippet(s)
Positive
"Information was made available to palliative care teams and out of hours providers for those on end of life care to ensure appropriate care and support was offered."
Neutral
"The staff attended multidisciplinary team meetings MDT every two months to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."
Latest Snippet(s)
Neutral
"• The practice had carried out a clinical audit to review the fragility fracture and secondary prevention of osteoporosis."
2015-02-19 Snippet(s)
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2015-02-19 Snippet(s)
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Positive
"They had introduced new systems to manage infection prevention and control and had recently carried out a risk assessment."
Latest Snippet(s)
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
2015-02-19 Snippet(s)
Positive
"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Positive
"PGDs are specific written instructions which allow some registered health professionals to supply andor administer a specified medicine to a predefined group of patients without them having to see a doctor for treatment."
Positive
"We saw evidence to confirm that after receiving an alert the GPs had reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."
2015-02-19 Snippet(s)
Positive
"Information was made available to palliative care teams and out of hours providers for those on end of life care to ensure appropriate care and support was offered."
Positive
"The practice had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."
Positive
"For example they worked with palliative care nurses health visitors social services substance misuse workers and care home staff to support patients."
2015-02-19 Snippet(s)
Positive
"These were readily available for use in a medical emergency and were checked regularly to ensure they were in working condition."
2015-02-19 Snippet(s)
Positive
"The building has been recently renovated to meet the needs of all patients who use the practice and provide a good quality environment with good parking facilities and disabled access."
Positive
"We found the practice was accessible to patients with mobility difficulties we saw there was level access throughout and automatic doors at the front with good parking facilities disabled parking bays and the premises were all on one level."
2015-02-19 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
Positive
"The practice also had a health and safety policy."
2015-02-19 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."
2015-02-19 Snippet(s)
Positive
"We also saw that the practice provided support to care homes in the area which included an elderly patient group."