Latest Snippet(s)
Positive
"Overview of safety systems and process When we carried out our first inspection staff explained that nonclinical staff handled specimens and in the absence of the practice nurse may be required to clean spills of bodily fluids."
Positive
"As a result the practice increased the practice nurse clinics from three sessions to four and a new telephone system had been installed to improve telephone access."
Neutral
"The practice staffing comprises of two male GP partners a longterm locum GP female one practice nurse one practice manager and an IT manager."
Neutral
"For example we saw that the practice nurse was working one morning a week and the practice manager worked one and a half days per week."
2016-10-05 Snippet(s)
Positive
"However we were concerned that there was insufficient nurse and practice manager capacity to meet the needs of service."
Positive
"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"Other practice staff include a practice nurse who works two sessions each week there is also a practice manager who works one and a half days each week and is responsible for the daily running of the practice and a team of four administrative staff."
Positive
"• Reception staff told us that they sometimes handled specimens and in the absence of the nurse may be required to clean spills of bodily fluids."
Positive
"The practice nurse told us that they were planning to increase their hours but this had not yet been formally agreed."
Positive
"• There was limited capacity for the practice manager and practice nurse which reflected on some of the governance arrangements of the practice and performance data."
Positive
"The practice nurse during recent leave had been covered by a locum nurse."
Positive
"The practice nurse was currently working one morning a week following maternity leave and the practice manager worked one and a half days at the practice."
Positive
"The practice nurse had been on leave for a few months and at the time of this data was working two days a week."
Positive
"The situation was unlikely to improve immediately as the practice nurse was now only working one day each week."
Positive
"The practice nurse told us that they had been discussing the clinics run at the practice as part of their return to work following recent maternity leave."
Neutral
"During our visit we: • Spoke with a range of clinical and nonclinical staff including the GPs practice nurse the practice manager and administrative staff."
Neutral
"The practice nurse told us that they received regular updates on immunisations."
Neutral
"We saw that the next available routine GP appointment was for the following day and the next nurse appointment within four working days."
Latest Snippet(s)
Positive
"Staff we spoke with were able to identify designated leads such as health and safety lead; we saw that risks were practice specific and the monitoring and recording of safety checks were carried out effectively."
Positive
"The practice operated an effective system for recording and monitoring training needs; as a result we saw that training such as infection prevention and control had been completed by all staff members."
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."
2016-10-05 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"• For the convenience of patients the practice provided in house services such as electrocardiogram ECG ambulatory blood pressure monitoring insulin initiation and phlebotomy blood taking to support the diagnosis and management of patients with long term conditions."
Positive
"• For the convenience of patients the practice provided in house services such as electrocardiograms ECG ambulatory blood pressure monitoring and insulin initiation to support the diagnosis and management of patients with long term conditions."
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 no formal systems in place for monitoring staff training to ensure staff were up to date."
Latest Snippet(s)
Positive
"Limited onsite parking is available and designated parking is available for cyclists and patients who display a disabled blue badge."
Latest Snippet(s)
Neutral
"Members of the clinical team we spoke with as part of this inspection told us that 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."
2016-10-05 Snippet(s)
Positive
"• Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs although multidisciplinary meetings to discuss those with end of life care needs did not routinely take place."
Positive
"• The practice did not routinely hold multidisciplinary meetings to support patients with end of life care needs."
Positive
"The GP we spoke with told us that they provided information to the out of hours service to advise them of patients who may need to contact the service for example patients with end of life care needs There was a standard form used for this."
Positive
"However multidisciplinary meetings to discuss patients with end of life care and complex needs had not taken place for some time."
Latest Snippet(s)
Positive
"For example risk relating to infection control health and safety disaster recovery recruitment and staffing were not effectively managed."
Positive
"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."
Positive
"For example a full time practice manager was appointed a designated health and safety lead had been established; policies were practice specific and a comprehensive business continuity plan for managing major incidents was in place."
Positive
"For example there was a health and safety policy available which identified the local health and safety representative."
Positive
"Staff we spoke with were able to identify designated leads such as health and safety lead; we saw that risks were practice specific and the monitoring and recording of safety checks were carried out effectively."
Positive
"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."
Positive
"During our follow up inspection we saw that the refurbishment had been completed and staff we spoke with during the follow up inspection explained that a designated health and safety lead were in place; nonclinical staff we spoke with were able to confirm this."
Neutral
"However we found arrangements for managing health and safety at the practice was unclear."
2016-10-05 Snippet(s)
Positive
"For example risks relating to infection control health and safety disaster recovery recruitment and staffing."
Positive
"There was a health and safety policy available which identified the local health and safety representative."
Positive
"Including staffing recruitment checks those relating to health and safety of the premises infection control and business continuity."
Neutral
"However we found arrangements for managing health and safety at the practice were unclear."
Latest Snippet(s)
Positive
"The practice operated an effective system for recording and monitoring training needs; as a result we saw that training such as infection prevention and control had been completed by all staff members."
Neutral
"We saw documentation which showed that staff had completed infection prevention and control training."
Latest Snippet(s)
Neutral
"The PPG also explained that the practice arranged a presentation from the Clinical Commissioning Group medicine management team to discuss the impact caused when not using medicines as directed and over ordering."
2016-10-05 Snippet(s)
Neutral
"• The practice had a hearing loop and the receptionist we spoke with was able to explain how it worked."
2016-10-05 Snippet(s)
Neutral
"Consulting and treatment rooms were located on the ground floor and the low reception desk enabled patients who used a wheelchair to speak more easily with staff."
2016-10-05 Snippet(s)
Neutral
"Records were maintained for the cleaning of clinical equipment."
Neutral
"Cleaning of the practice was contracted out and there were cleaning schedules which set out the areas to be cleaned."
2016-10-05 Snippet(s)
Positive
"This included support for patients with poor mental health dementia the elderly and isolated and for carers."