Latest Snippet(s)
Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
Positive
"The practice held monthly palliative care meetings attended by GPs nurses district nurses McMillian nurses and community matron to discuss patient’s needs."
Positive
"The senior administrator coordinated the meetings and updated the palliative care system and informed other services of any changes."
2015-03-19 Snippet(s)
Positive
"A palliative care register was also held and Gold Standard Framework GSF for end of life care multidisciplinary meetings held to help ensure these patients received the best care possible."
Positive
"Additionally regular palliative care meetings were held and they included other professionals involved in the individual patient’s care."
Positive
"Multidisciplinary meetings were held to discuss patients on the palliative care register and support was available irrespective of age."
Positive
"The practice had registers for patient needing palliative care diabetes asthma and COPD."
Positive
"These included palliative care nurses health visitors community matron and district nurses; although due to workloads district nurses often were too busy to attend."
Latest Snippet(s)
Positive
"The practice has a three GPs two male and one female an advanced nurse practitioner two nurses one health care assistant and one phlebotomist working at the practice."
Positive
"• A practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
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 recorded the outcome of the assessment."
Positive
"For example the advanced nurse practitioner supervised and offered training to help develop the nursing team."
2015-03-19 Snippet(s)
Positive
"Health promotion and prevention: All new patients were requested to complete a medical questionnaire and were offered a health screen examination with a practice nurse or health care assistant."
Positive
"During our inspection we spoke with staff including a GP the practice manager an advanced nurse practitioner and two reception staff."
Neutral
"• An anticoagulant clinic which was nurse led is offered to patients on long term Warfarin therapy."
Neutral
"An anticoagulant clinic which was nurse led was offered to patients on long term Warfarin therapy."
Neutral
"• An anticoagulant clinic which was nurse led was offered to patients on long term Warfarin therapy."
Neutral
"A nurse confirmed they used patient group directives PGD."
Neutral
"The practice nurse was the lead for infection control."
Neutral
"Child health clinics were held for immunisations and development assessments and a doctor nurse and health visitor were in attendance at routine screening of infants and to give parents advice."
Neutral
"The doctor nurse and health visitor were in attendance for routine screening and parental advice."
Latest Snippet(s)
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
"Monitoring risks to patients There were procedures for assessing 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
"There were cleaning schedules and monitoring systems in place."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2015-03-19 Snippet(s)
Positive
"Management monitoring and improving outcomes for people: We found there were mechanisms in place to monitor the performance of the practice and the clinician’s adherence with best practice to improve outcomes for people."
Positive
"We saw the practice had a system in place for monitoring patients with long term conditions LTC and this included asthma hypertension Chronic Obstructive Pulmonary Disease COPD diabetes and learning disabilities."
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
"This included the checking and advising on medicines that needed regular monitoring and reviewing such as Warfarin."
Neutral
"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Neutral
"Other clinics included: new patient assessment childhood immunisation and monitoring antenatal and post natal clinics general health checks and minor surgery."
Neutral
"The performance of staff was the subject of monitoring and appraisal at all levels; which reflected the organisational objectives."
Latest Snippet(s)
Positive
"The building is an NHS LIFT building with good parking facilities and disabled access."
Latest Snippet(s)
Neutral
"The member of the PPG described how this was an internet group who were provided with newsletters and information about any changes to the service and asked for a response."
Latest Snippet(s)
Positive
"The practice ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients."
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."
2015-03-19 Snippet(s)
Positive
"A palliative care register was also held and Gold Standard Framework GSF for end of life care multidisciplinary meetings held to help ensure these patients received the best care possible."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
Latest Snippet(s)
Positive
"• There was a health and safety policy available."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• A practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."
2015-03-19 Snippet(s)
Neutral
"A cleaning company was employed by the landlord for the building."
Neutral
"We saw there were cleaning schedules and audits took place."
Neutral
"This included areas such as hand washing and cleaning of equipment."
2015-03-19 Snippet(s)
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."
Neutral
"However we did find that a medicine cupboard containing hormone medicines and a vaccines refrigerator were left unlocked."
Neutral
"The GPs nurses and practice manager also had lead roles such as safeguarding lead medicine management lead and infection control lead."
2015-03-19 Snippet(s)
Neutral
"The practice had a system in place for completing clinical audit cycles and examples seen included COPD."
2015-03-19 Snippet(s)
Positive
"Blood test results were received electronically from the laboratory; these and hospital discharge letters were allocated to the GPs for review and actioned where appropriate."