Types of Facilities

Nurse

Latest Snippet(s)

Positive

"• There were regular clinics with a respiratory nurse specialist to review all patients with Chronic Obstructive Pulmonary Disorder a breathing disorder."

Positive

"• The practice offered regular clinics with a respiratory nurse specialist to review patients with chronic obstructive pulmonary disease a breathing disorder."

Positive

"The practice also employed two nurse practitioners four practice nurses and four health care assistants."

Positive

"• The practice offered monthly clinics with a diabetes nurse specialist from the local acute trust to review patients with complex diabetes."

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Neutral

"Patients and staff confirmed that all patients who attended the ‘sit and wait’ clinic were seen by a nurse or GP."

2016-08-31 Snippet(s)

Positive

"The GPs are supported by a practice manager three senior managers a nurse practitioner four practice nurses and three health care assistants."

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

"• 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."

Neutral

"• The practice held monthly clinics with a diabetes nurse specialist from Royal Bournemouth Hospital to review selected patients with diabetes."

Neutral

"The practice had monthly clinics with a respiratory nurse specialist to review patients with COPD."

Neutral

"The practice had acknowledged this with the student union and introduced a nurse practitioner who could treat students in addition to the appointments already provided."

2014-09-30 Snippet(s)

Positive

"This enabled the lead nurse to ensure stock was in date and suitable for use."

Positive

"A lead nurse was responsible for medicines management and the expiry dates of any medicines held were recorded."

Positive

"We saw that the practice worked closely with the community pulmonary nurse to follow up patients with COPD who had been admitted to hospital."

Neutral

"The lead nurse received an annual appraisal from the practice manager and a GP."

Receptionist

Medical Emergency

Latest Snippet(s)

Positive

"Administration staff were able to describe what action they would take in a medical emergency if a patient required immediate medical attention."

Monitoring

Latest Snippet(s)

Positive

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

Positive

"All high risk medicine monitoring books were kept in the same place and staff ensured GPs signed the books following blood test results in a timely manner to avoid delays of issuing repeat prescriptions."

Positive

"The delay had been identified the medicine monitoring book had been signed and a prescription issued."

Positive

"On this occasion the delay in issuing the prescription had occurred because the practice believed that the patient still had the medicine monitoring book but it was later found at the practice."

Positive

"The practice wrote an apology to the patient and introduced a new procedure for receiving medicine monitoring books to include a signature and date of receipt by staff."

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 arrangements for planning and monitoring the number and mix of staff needed across the location and branches."

2016-08-31 Snippet(s)

Positive

"The practice shared their computer system with the health visitingcommunity teams which demonstrated the practice were working towards integrated patient record systems providing greater opportunity of monitoring and identification of risks."

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

"The GPs had undertaken a redesign of the diabetic management system which included allocation of blood test management and screening to the nursing team improvement in coding on the computer system and increased monitoring of patients."

Positive

"• There were procedures in place for 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

"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

2014-09-30 Snippet(s)

Positive

"There were recall systems in place to ensure patients with long term conditions received monitoring and support."

Positive

"The practice was proactive in monitoring prevalence of long term medical 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."

Transport/Minibus Available

Latest Snippet(s)

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Near Public Transport

Latest Snippet(s)

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Activities

Latest Snippet(s)

Positive

"The provider was also called Talbot Medical Centre The practice is registered to provide regulated activities which include: Treatment of disease disorder or injury surgical procedures family planning maternity and midwifery services and diagnostic and screening procedures."

Positive

"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

End of Life Care

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."

Clinical Supervision

Latest Snippet(s)

Positive

"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."

2016-08-31 Snippet(s)

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

Infection Prevention and Control

2016-08-31 Snippet(s)

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Medicines

Latest Snippet(s)

Positive

"All high risk medicine monitoring books were kept in the same place and staff ensured GPs signed the books following blood test results in a timely manner to avoid delays of issuing repeat prescriptions."

Positive

"The practice learned from external safety events as well as patient and medicine safety alerts."

Positive

"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."

Positive

"The practice also removed the named medicine from the repeat prescriptions list to reduce risks to patients."

Positive

"The delay had been identified the medicine monitoring book had been signed and a prescription issued."

Positive

"On this occasion the delay in issuing the prescription had occurred because the practice believed that the patient still had the medicine monitoring book but it was later found at the practice."

Positive

"The practice wrote an apology to the patient and introduced a new procedure for receiving medicine monitoring books to include a signature and date of receipt by staff."

Neutral

"Guidance included suggesting the medicine should be interrupted every three months to reassess the benefit of patients taking the named medicine long term and consider a trial discontinuation."

Neutral

"All patients taking this medicine were required to undertake regular blood tests at the practice and have these results recorded within a book before GPs could authorise the correct prescription."

2014-09-30 Snippet(s)

Positive

"Patients were called in to see their GP to ensure the appropriate change in their medicine was made and this was recorded in the patient medical record."

Neutral

"There was a procedure in place to respond to national medicine alerts."

Neutral

"In the event that a medicine was identified that needed to be withdrawn from use or the dosage adjusted a list of patients on the medicine in question was extracted from the patient database."

Health and Safety

2016-08-31 Snippet(s)

Positive

"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

2014-09-30 Snippet(s)

Positive

"Identification and management of risk The practice had a broad ranging set of health and safety policies in place."

Palliative

2014-09-30 Snippet(s)

Positive

"The support for patients identified as requiring palliative care was well coordinated because relevant healthcare professionals were involved."

Mental Health Care

Clinical Audit

2014-09-30 Snippet(s)

Positive

"For example we saw a clinical audit which assessed the success rate of taking cervical smears."

Cleaning Service

2014-09-30 Snippet(s)

Positive

"The cleaning contractor and practice management carried out a quality check each month and recorded the findings."

Neutral

"We looked at the cleaning schedule for the practice."

Neutral

"This showed us the frequency that each area was required to be cleaned and described what sort of cleaning was needed."

Neutral

"Any shortfall in cleaning standards was rectified and recorded."

Neutral

"There were records of the cleaning products in use and where they should be used."