Latest Snippet(s)
Positive
"Best practice indicates that advice and referral to a dentist is the most effective treatment and antibiotics should be avoided as this could lead to further problems."
Latest Snippet(s)
Positive
"All staff including contracted GPs are supported by a clear leadership structure which consists of two medical directors a chief executive a chief nurse and a board of executive and nonexecutive directors."
Positive
"All staff including contracted GPs were supported by a clear leadership structure which consisted of two medical directors a chief executive a chief nurse and a board of executive and nonexecutive directors."
Neutral
"Two medical directors one GP elected to the NHUC council a chief nurse and lead nurse all work at the Basingstoke service clinically as well as at a senior level behind the scenes."
Neutral
"During our visit we: • Spoke with a range of staff including the Chief Executive Service Manager Operations Manager Chief Nurse Medical Director Human Resources consultant GPs nurses administration staff reception staff and drivers."
2014-05-28 Snippet(s)
Positive
"The inspector was supported by a GP a nurse and a practice manager."
Positive
"There were additional clinicians on duty at peak times in the evenings to meet demand and a nurse was able to talk with patients from both of the provider’s locations."
Neutral
"Staff we spoke with told us that people who used the service were supplied with medicines only after they had been issued with a prescription from a doctor or a nurse prescriber."
Latest Snippet(s)
Positive
"• There were procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"Performance was shared with staff and the local clinical commissioning group as part of contract monitoring arrangements."
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
"Patient feedback was obtained by the provider on an ongoing basis and included in their contract monitoring reports."
Neutral
"These included auditing and monitoring arrangements and mechanisms for reporting and investigating discrepancies."
Neutral
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Neutral
"The HCAs were also responsible for monitoring patients until they saw a GP and if the patient’s conditions deteriorated they would immediately seek assistance."
2014-05-28 Snippet(s)
Positive
"There could be better monitoring of infection control procedures in the primary care centre."
Positive
"This meant identified risks had not been acted upon and there were ineffective monitoring and review processes in place."
Positive
"There was good monitoring of the clinical performance of doctors but limited audits of other activities."
Positive
"There was good monitoring of clinicians’ performance but no systematic approach to clinical audits."
Positive
"There was good monitoring of clinicians’ performance but no systematic system of clinical audits."
Positive
"According to the most recent contract monitoring meeting notes the CCG was satisfied with Hants Doc’s performance."
Positive
"We were told that as the monitoring and replenishment of stocks of medicines was carried out inhours there would be no reason for the out of hours staff to be able to access the instructions and 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."
Neutral
"We asked about the arrangements in place for the monitoring of and replenishment of stocks of medicines."
Neutral
"Our findings Auditing and monitoring The service used an electronic tool known as ‘clinical guardian’ to monitor doctors’ consultations with their patients."
Latest Snippet(s)
Positive
"For example an incident occurred where a patient with a terminal illness did not receive optimum end of life care and communication between healthcare providers was not effective."
Latest Snippet(s)
Positive
"The event was discussed at staff meetings and learning was cascaded via the clinical governance newsletter this included ensuring all voice recording equipment was in use and GPs used the appropriate telephone so that calls were recorded."
Positive
"• Complaints responses were discussed by the management team at monthly operations meetings and clinical governance meetings."
Neutral
"Themes were generated from the panel meetings and included in a clinical governance newsletter."
Neutral
"The panel produced a clinical governance review plan and included a continuing rolling action plan."
Neutral
"Learning was disseminated via a clinical governance newsletter."
Neutral
"This included a clinical governance newsletter; a safeguarding update newsletter; and regular staff meetings."
2014-05-28 Snippet(s)
Positive
"We saw evidence that learning from complaints and incidents was discussed at clinical governance meetings."
Positive
"Day to day business is managed by the management executive supported by a number of sub committees including an audit committee and a clinical governance committee."
Neutral
"Any consultation which was of concern was further reviewed by the clinical governance team."
Latest Snippet(s)
Positive
"It was accessible to all staff and identified local health and safety representatives."
Positive
"There was a health and safety policy available with a poster in the service office at Basingstoke Hospital."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2014-05-28 Snippet(s)
Positive
"Infection prevention and control Staff told us that they followed the hospital’s infection prevention and control policies as part of a contractual agreement."
Neutral
"We asked for evidence that infection prevention and control procedures were being monitored and reviewed and none was available."
2014-05-28 Snippet(s)
Positive
"Managing foreseeable emergencies Staff we spoke with told us that the emergency team at the hospital would provide assistance in the case of a medical emergency at the centre and showed us that the emergency telephone number was displayed in each consulting room."
Positive
"Equipment was also provided for use in the event of a medical emergency and all the staff we spoke with correctly identified its location and described how to use it."
2014-05-28 Snippet(s)
Positive
"We looked at personnel records and saw that evidence of criminal record bureau or disclosure and barring service checks was not in place for all staff."
2014-05-28 Snippet(s)
Positive
"Since then the service had agreed to purchase a new integrated risk management and clinical audit database system although we were told that this was not yet in place."
Positive
"The manager told us that service had recently agreed a contract to purchase a new integrated risk management and clinical audit database system although this was not yet in place."
Neutral
"We did not see evidence of any completed clinical audit cycles."