Latest Snippet(s)
Positive
"The practice employs a practice nurse and a health care assistant."
Neutral
"The practice recruited a new full time practice nurse which had reduced the workload on a principal GP."
2016-07-04 Snippet(s)
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 where appropriate recorded the outcome of the assessment."
Positive
"The practice has implemented a number of measures to mitigate the loss of the staff and the principal GP is covering additional duties of a practice nurse from last one year."
Positive
"The practice had implemented a number of measures to mitigate the loss of the staff and the principal GP was covering additional duties of a practice nurse from last one year."
Positive
"The practice had implemented a number of measures to mitigate the loss of the staff and the principal GP was covering additional duties of a practice nurse from the last one year."
Neutral
"The practice is facing difficulties in recruiting a new practice nurse and a new GP partner or a salaried GP."
Neutral
"The practice has recognised it is required to recruit a new practice nurse and actively trying since previous nurse left a year ago."
Neutral
"• The practice informed us that they had faced difficulties in recruiting a new practice nurse and a new GP partner or a salaried GP."
Latest Snippet(s)
Positive
"• The practice had implemented an effective monitoring system and all the areas of concerns from the previous inspection had been resolved."
Positive
"• We saw evidence that there was an effective monitoring system in place to ensure all staff had undertaken training relevant to their role."
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 implemented weekly monitoring checks of cleaning and regular records were maintained."
2016-07-04 Snippet(s)
Positive
"• Review and establish a programme of systematic clinical audits against defined criteria with reaudit to demonstrate change and effective monitoring and share learning to improve patient outcomes."
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
"However governance monitoring of specific areas required improvement for example: • There was a clear staffing structure and that staff were aware of their own roles and responsibilities."
Positive
"For example monitoring of cleaning standards and the staffing levels to ensure the smooth running of the practice and keep patients safe."
Positive
"However monitoring of specific areas such as cleaning standards staffing levels and management of blank prescriptions pads and forms were not always managed appropriately."
Positive
"For example monitoring of specific areas required improvement such as: monitoring of cleaning standards and the management of blank prescription forms."
Positive
"However monitoring of specific areas required improvement such as mandatory training cleaning standards staffing levels and tracking of blank prescriptions."
Positive
"For example following a significant event the practice had revised their cleaning monitoring protocol and advised all staff to keep reporting unsatisfactory cleaning issues to premises management."
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
"For example management of prescription forms and pads staffing levels and monitoring of cleaning standards."
Neutral
"The practice developed a monitoring log and send it to us two days after the inspection."
Latest Snippet(s)
Positive
"• We found that completed clinical audit cycles were driving positive outcomes for patients."
2016-07-04 Snippet(s)
Positive
"• Audits were undertaken but the practice was struggling to carry out repeat clinical audit cycles and there was limited evidence that findings were used by the practice to improve services."
Positive
"• On the day of inspection we noted that the practice had not always carried out repeat clinical audit cycles which was making it difficult to identify improvement areas and monitor continuous progress effectively."
Latest Snippet(s)
Positive
"Effective staffing • We checked staff training records and noted that all clinical and nonclinical staff had completed training relevant to their role including infection control safeguarding adult safeguarding children basic life support equality and diversity health and safety and fire safety."
Positive
"Some staff had not completed mandatory training relevant to their role including infection control safeguarding adult and children basic life support equality and diversity health and safety and fire safety."
2016-07-04 Snippet(s)
Positive
"• Ensure all staff have undertaken training including safeguarding children and adults basic life support health and safety equality and diversity fire safety and infection control."
Positive
"However some staff had not completed mandatory training relevant to their role including infection control safeguarding adult and children basic life support equality and diversity health and safety and fire safety."
Positive
"There was a health and safety policy available."
Neutral
"• The practice had a staff handbook for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• The practice was operating an effective system to monitor the cleaning standards in the premises."
Positive
"• The practice had implemented an effective system to monitor the cleaning standards in the premises and the management of blank prescriptions."
Positive
"For example staff training cleaning standards staffing levels and tracking of blank prescriptions were not always managed appropriately."
Neutral
"The practice had implemented weekly monitoring checks of cleaning and regular records were maintained."
2016-07-04 Snippet(s)
Positive
"For example monitoring of cleaning standards and the staffing levels to ensure the smooth running of the practice and keep patients safe."
Positive
"However monitoring of specific areas such as cleaning standards staffing levels and management of blank prescriptions pads and forms were not always managed appropriately."
Positive
"For example monitoring of specific areas required improvement such as: monitoring of cleaning standards and the management of blank prescription forms."
Positive
"However monitoring of specific areas required improvement such as mandatory training cleaning standards staffing levels and tracking of blank prescriptions."
Positive
"For example following a significant event the practice had revised their cleaning monitoring protocol and advised all staff to keep reporting unsatisfactory cleaning issues to premises management."
Neutral
"For example management of prescription forms and pads staffing levels and monitoring of cleaning standards."
Neutral
"The practice was carrying out weekly cleaning checks."
2016-07-04 Snippet(s)
Neutral
"• These included patients receiving end of life care carers those at risk of developing a longterm condition and those wishing to stop smoking."
2016-07-04 Snippet(s)
Positive
"This included ongoing support during onetoone meetings appraisals coaching mentoring clinical supervision and facilitation and support for the revalidation of doctors."
2016-07-04 Snippet(s)
Positive
"Regular medicine audits were carried out to ensure the practice was prescribing in line with best practice guidelines for safe prescribing."
Positive
"• We checked medicines kept in the treatment rooms medicine refrigerators and found they were stored safely and securely including obtaining prescribing recording handling storing and security."