Types of Facilities

Nurse

Latest Snippet(s)

Neutral

"Practice staffing consists of five GP partners three female and two male one salaried GP a pharmacist a locum practice nurse an assistant nurse practitioner and two phlebotomists."

Neutral

"At the time of inspection the practice had recruited two new GP partners a practice nurse and a practice manager."

2017-11-09 Snippet(s)

Positive

"For example the newly recruited practice nurse was undertaking a practice nurse course at a local university they also received supervision and support from the partners and through the wider partnership."

Neutral

"• The practice had recruited several staff over the last six months including a practice manager two salaried GPs a pharmacist a practice nurse and two additional receptionists."

Neutral

"The practice recognised that further recruitment was needed as one of the GP partners and a practice nurse had left the team during the last six months."

Neutral

"For example a regular locum practice nurse was utilised to support the shortages in the nursing team."

Monitoring

Latest Snippet(s)

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health."

Positive

"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"• The practice provided various inhouse services to support the diagnosis and monitoring of patients with long term conditions."

Positive

"• The practice was monitoring the management and processing of test results and other patient information to support more timely diagnosis and treatment."

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 made adjustments in response to patient feedback and were continuously monitoring and evaluating the changes made."

2017-11-09 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

"The practice’s Infection control policy did not include the arrangements for managing bodily fluid spills and effective systems for monitoring the cleaning of clinical equipment curtains and carpets was not in place."

Positive

"Internal monitoring arrangements had been ineffective in managing this backlog."

Positive

"• Ensure all staff are aware of recording verbal complaints so that they may also be used for monitoring trends."

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 for the premises and for items of clinical equipment."

Activities

Latest Snippet(s)

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

End of Life Care

Latest Snippet(s)

Neutral

"A GMS contract ensures practices provide essential services for people who are sick as well as for example chronic disease management and end of life care and is a nationally agreed contract."

2017-11-09 Snippet(s)

Neutral

"A GMS contract ensures practices provide essential services for people who are sick as well as for example chronic disease management and end of life care and is a nationally agreed contract."

Infection Prevention and Control

Latest Snippet(s)

Positive

"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

2017-11-09 Snippet(s)

Neutral

"The practice had three infection prevention and control IPC leads who liaised with the local infection prevention teams."

Medicines

Latest Snippet(s)

Positive

"• The practice employed an inhouse pharmacist who routinely undertook medicine audits and provided advice and support to clinical staff and patients."

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts and we saw examples of this."

2017-11-09 Snippet(s)

Positive

"The provider should: • Ensure local safety alerts are treated with the same rigor as medicine safety alerts."

Positive

"Patients identified were reviewed to ensure appropriate blood tests were taken to check their medicine remained at the correct dosage."

Positive

"• The practice had recently employed a pharmacist to support clinical staff with medicines reviews and medicine related queries."

Positive

"They were able to support with patient medicine reviews and queries arising."

Positive

"The emergency medicine and equipment was organised and monitored by the practice nurse."

Neutral

"This included a full cycle audit which looked at the management of patients on a medicine used to treat an underactive thyroid."

Palliative

2017-11-09 Snippet(s)

Positive

"For example a system template had been created for standard doses of palliative care medicines to question the prescriber in response to an incident in which an incorrect dose had been prescribed."

Cancer Screening Equipment

2017-11-09 Snippet(s)

Positive

"The uptake of national screening programmes for bowel and breast cancer screening was also comparable to the CCG and national averages."

Receptionist

Parking

2017-11-09 Snippet(s)

Neutral

"• There were disabled facilities including parking spaces disabled toilet facilities and ramp access into the premises."

Pets

Health and Safety

Cleaning Service

2017-11-09 Snippet(s)

Positive

"The practice’s Infection control policy did not include the arrangements for managing bodily fluid spills and effective systems for monitoring the cleaning of clinical equipment curtains and carpets was not in place."

Neutral

"There were cleaning schedules and monitoring systems in place for the premises and for items of clinical equipment."

Hospital Discharge

2017-11-09 Snippet(s)

Neutral

"There was a backlog of information that had not been actioned in a timely way including hospital discharge letters and test results."