Latest Snippet(s)
Positive
"Outcomes for breast and bowel cancer screening were above national averages."
2018-07-02 Snippet(s)
Positive
"The areas where the provider should make improvements are: • The provider should continue to review and take steps to improve the uptake of cancer screening at the practice including bowel breast and cervical screening."
Positive
"• The practices’ uptake for breast and bowel cancer screening was comparable to CCG averages but lower than the England average."
2017-11-01 Snippet(s)
Positive
"• Continue to take steps to improve their cancer screening uptake rates within their population including breast and bowel screening."
Latest Snippet(s)
Positive
"The practice nurse was allocated six hours per month to review call and support patients to attend for screening."
Positive
"There is currently one full time practice nurse and a parttime practice nurse an advanced clinical practitioner who works four days per week and two full time healthcare assistants HCAs all of whom are female."
Neutral
"Outcomes were reviewed with the GP screening lead at nurse and clinical meetings and by way of a biannual audit."
Neutral
"Patients can see a GP nurse physio or a healthcare assistant."
2018-07-02 Snippet(s)
Positive
"There is currently one full time practice nurse an advanced clinical practitioner a full time health care assistant HCA and a HCA who provides three sessions per week all of whom are female."
2017-11-01 Snippet(s)
Positive
"Following support from commissioners the practice nurse and the female GP were holding quarterly cervical screening reviews of patients to ensure that results were audited patients had been recalled appropriately and results had been followed up."
Positive
"The practice also had plans to increase their availability of appointments through the recruitment of a part time practice nurse further GP support and the recruitment of another HCA which was supported by commissioners."
Positive
"• The practice shared with us plans to recruit an additional permanent practice nurse and to use sessional staff to improve cervical screening uptakes and childhood immunisations."
Positive
"There is currently one full time practice nurse an advanced clinical pharmacist and a full time health care assistant HCA all of whom are female."
Positive
"• The practice nurse was the infection prevention and control IPC 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."
Positive
"• Dietetic advice was available from the nurse and GPs and smoking cessation advice was available from a local support group."
Positive
"During our visit we: • Spoke with a range of staff including two GPs the advanced clinical pharmacist the practice business manager the assistant manager the practice nurse the healthcare assistant and several members of the reception team."
2017-03-03 Snippet(s)
Neutral
"Appointments can be booked four weeks in advance for both the doctor and nurse clinics."
2016-02-11 Snippet(s)
Positive
"Both nurses attend the practice nurse forums to promote shared learning peer support and enable the nurses to keep up to date with current 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 where appropriate recorded the outcome of the assessment."
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."
Neutral
"The team included a GP specialist advisor a practice nurse specialist advisor a practice manager specialist advisor and an Expert by Experience."
Neutral
"Appointments can be booked four weeks in advance for both the doctor and nurse clinics."
Neutral
"We were told that the practice nurse contacted parents."
Latest Snippet(s)
Positive
"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."
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."
2018-07-02 Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
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."
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."
2017-11-01 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
"For example a recent audit of patients taking DMARDS diseasemodifying antirheumatic drugs found that a recall system was not in place to ensure patients were called for monitoring at the appropriate interval."
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 general cleaning schedules and monitoring systems in place."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2017-03-03 Snippet(s)
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."
2016-02-11 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
"• 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."
Latest Snippet(s)
Positive
"There are good transport links and a pharmacy is situated in the supermarket next door."
2018-07-02 Snippet(s)
Positive
"There are good transport links and a pharmacy is situated in the supermarket next door."
2017-11-01 Snippet(s)
Positive
"There are good transport links and a pharmacy is situated in the supermarket next door."
2018-07-02 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."
2017-11-01 Snippet(s)
Positive
"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."
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."
2018-07-02 Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2016-02-11 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."
2018-07-02 Snippet(s)
Positive
"Following our inspection the practice further reviewed their complaints infection prevention and control and significant event policies which they forwarded to us."
2017-11-01 Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-02-11 Snippet(s)
Neutral
"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2018-07-02 Snippet(s)
Neutral
"We saw that cleaning schedules had been implemented for clinical equipment."
2017-11-01 Snippet(s)
Positive
"• Implement a schedule for the cleaning of clinical equipment to assure themsleves that this meets best practice for infection prevention and control."
Neutral
"There were general cleaning schedules and monitoring systems in place."
Neutral
"However we did not see evidence of a cleaning schedule for clinical equipment."
2016-02-11 Snippet(s)
Neutral
"Annual infection control and cleaning audits were undertaken and we saw evidence that action was taken to address any improvements identified as a result."
2018-07-02 Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2017-11-01 Snippet(s)
Neutral
"• The practice did not consistently carry out structured annual medicine reviews for older patients."
2017-11-01 Snippet(s)
Positive
"• Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs including midwifes palliative care nurses and health visitors."
2016-02-11 Snippet(s)
Positive
"• The assistant practice manager has coordinated and monitored all the morning and evening schedules for both GPs and receptionist to maintain the smooth operation of nine telephone lines The practice management team agreed that they must look at ways of making sure patients have access to prompt medical care."
Positive
"Appointments were made by receptionist via phone and sending appointment letters to patients to attend flu clinics."
2017-11-01 Snippet(s)
Positive
"There was a lift installed to allow patients with mobility difficulties to access the first floor of the premises."
2016-02-11 Snippet(s)
Positive
"• The practice had a lift to improve access to the first floor."
2017-11-01 Snippet(s)
Positive
"• There was a basic health and safety policy available."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-02-11 Snippet(s)
Positive
"There was a health and safety policy available with information in the reception area."
Neutral
"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-11-01 Snippet(s)
Positive
"• Same day appointments were available for children vulnerable and elderly patients and those patients with medical problems that required same day consultation."