Latest Snippet(s)
Positive
"During our visit we: • Spoke with a range of staff including GP partners salaried GPs advanced nurse practitioners healthcare assistants practice nurse the practice manager and reception and administration support staff and spoke with patients who used the service."
Positive
"• We were provided with evidence to show the practice nurse who was the infection prevention and control IPC clinical lead had received appropriate training and Are services safe?"
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
"However we found the list of emergency medicines displayed in the GPs rooms and the list the nurse used to check stock had not been updated in line with their policy."
Positive
"For example the lead nurse for Diabetes management had undertaken appropriate training and also started a prescribing course."
Positive
"It had a lead GP and advanced nurse practitioner for substance misuse."
Positive
"There are two advanced nurse practitioners two practice nurses and two fulltime healthcare assistants."
Positive
"• The lead for safeguarding held regular meetings with the health visitor and advanced nurse practitioner."
Neutral
"The team included a GP specialist adviser a second CQC inspector and a practice nurse specialist adviser."
Neutral
"For example a patient was advised to make an appointment to receive a travel vaccine however when they attended their appointment they were told by the nurse they could not have that particular vaccine at the practice."
Neutral
"The practice nurse was the lead for infection prevention and control."
2016-05-19 Snippet(s)
Positive
"The GPs are supported by a two Advanced Nurse Practitioners ANPs two practice nurses and two health care assistants."
Positive
"The lead GP and a practice nurse we spoke with told us that they met frequently to discuss patients as they found this easier and more effective to do than to organise regular formal multidisciplinary meetings as attendance at these could be variable."
Neutral
"We were also told that another nurse at a nearby practice that was part of the corporate partnership acted as a ‘buddy’ for the HCA to lead on IPC issues."
2016-05-19 Snippet(s)
Positive
"The practice found it difficult to engage with every patient and had recently instigated a ‘meeter and greeter’ receptionist who had access to mobile care records using a laptop and was able to proactively invite patients for reviews as well as other interventions such as vaccinations."
Positive
"For example they had instigated a ‘meeter and greeter’ receptionist who had access to mobile care records using a laptop and was able to proactively invite patients for reviews vaccinations near patient testing etc."
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."
Positive
"This was reflected across processes for managing uncollected prescriptions recording significant events and monitoring emergency medicines."
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
"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."
Neutral
"There were cleaning schedules and monitoring systems in place."
Neutral
"• The practice were not following their own policy for monitoring uncollected prescriptions."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Neutral
"They were using their own survey to gather feedback from patients and they were monitoring the actions they have implemented and told us they would take further action as needed."
2016-05-19 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
"We saw that the practice had a significant event monitoring policy with a template."
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
"Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"The practice is accessible by public transport and has a large car park including nine disabled parking spaces."
Latest Snippet(s)
Positive
"The practice is accessible by public transport and has a large car park including nine disabled parking spaces."
Latest Snippet(s)
Positive
"The practice is accessible by public transport and has a large car park including nine disabled parking spaces."
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."
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."
2016-05-19 Snippet(s)
Positive
"The lead GP partner told us that they did not regularly have multidisciplinary meetings but worked to ensure needs of patients including those on end of life care were met through adhoc communication with other professionals."
Latest Snippet(s)
Positive
"• The organisation used a dashboard at clinical governance meetings to share performance complaints serious events to help drive improvement at the practice and within the wider organisation."
Positive
"The risk register for the wider organisation was also discussed at monthly clinical governance meetings."
Positive
"• The practice also monitored trends in significant events and evaluated any action taken at monthly clinical governance meetings."
Neutral
"The results of this survey were monitored during monthly clinical governance meetings."
Latest Snippet(s)
Neutral
"• Consider formalising the clinical supervision arrangements for the nursing team."
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
Neutral
"• We discussed clinical supervision with the nursing staff and they told us they had daily access to the GPs to discuss clinical concerns."
Neutral
"However formal clinical supervision was not taking place."
Latest Snippet(s)
Positive
"The practice had appropriate fire risk assessments health and safety risk assessments and risk assessment for emergency medicines."
Positive
"• There was a health and safety policy available."
Neutral
"This covered topics such as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-05-19 Snippet(s)
Neutral
"Monitoring risks to patients There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• We were provided with evidence to show the practice nurse who was the infection prevention and control IPC clinical lead had received appropriate training and Are services safe?"
Neutral
"This covered topics such as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-05-19 Snippet(s)
Positive
"• Improve infection prevention and control IPC measure to stop the risk and spread of infections."
Neutral
"It 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."
2016-05-19 Snippet(s)
Positive
"For example we saw that the flooring in one of the patient toilets needed to be repaired as it compromised effective cleaning and this was not identified in the audits."
Latest Snippet(s)
Positive
"One was following a national alert about a medicine used to help with leg cramps at night."
Neutral
"This ensured patients were receiving medicine according to current guidance and the audit helped to educate the clinicians and patients about recent guidance on the prescribing of this medicine."
2016-05-19 Snippet(s)
Positive
"The practice had also conducted audits on certain types of medicine prescribed for substance misuse patients."
Neutral
"All patients diagnosed with a long term condition had a named GP and a structured annual review to check that their health and medicine needs were being met."
2016-05-19 Snippet(s)
Positive
"All consultation rooms were on the ground floor and the reception area was large and spacious making access with a push chair or a wheel chair easier."