Latest Snippet(s)
Positive
"• The practice worked closely with the community nursing and palliative care teams to ensure optimum support to patients receiving end of life care under the Gold Standards Framework."
Positive
"The practice had identified a lead GP for patients receiving end of life care and reviewed their needs under the Gold Standards Framework in conjunction with wider community and palliative care teams."
Positive
"We saw evidence that multidisciplinary team meetings took place on a monthly basis to discuss patients with complex and palliative care needs and that care plans were routinely reviewed and updated."
Positive
"• The practice had identified GPs and nurses to undertake lead roles in areas such as palliative care mental health learning disabilities and substance misuse."
Latest Snippet(s)
Positive
"• The practice nurse team were well supported by a comprehensive series of resource files which ensured their access to current best practice guidance and clear protocols to support their roles."
Positive
"Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."
Positive
"The practice offered longer appointments and carried out annual health checks with a lead nurse for patients with a learning disability."
Positive
"A community mental health nurse visited the practice to provide regular support to patients."
Positive
"For example the practice worked closely with a diabetic nurse specialist to provide enhanced support to patients with diabetes."
Positive
"• A named nurse carried out home visits to vulnerable housebound patients."
Positive
"For example nurses worked with the local tissue viability nurse in the ongoing assessment and management of patients with venous leg ulcers and with a diabetic nurse specialist to provide enhanced support to patients with diabetes."
Positive
"The lead nurse reviewed Are services safe?"
Positive
"We noted that the infection control lead nurse had maintained ongoing communication with the NHS estates team who managed the building in order to ensure maintenance concerns were addressed for example floor seals had split in some areas and had required repair."
Positive
"The nurse was undertaking training as a nurse practitioner in order to further extend this role in the future."
Positive
"For example one nurse had identified a local optician with a specialist knowledge of supporting patients with a learning disability and had signposted patients to that service."
Neutral
"The lead practice nurse was the infection control lead within the practice."
Neutral
"The nurses worked closely with the local tissue viability nurse in the ongoing assessment and management of those patients."
Neutral
"One practice nurse was training to become a nurse practitioner whilst other nurses were trained to mentor student nurses."
Neutral
"• The practice had identified a lead nurse who undertook annual reviews of patients with learning disabilities and provided support to those patients and their carers."
2014-08-20 Snippet(s)
Positive
"Patients are supported by a number of GPs nurse practitioners nurses health care assistants a practice management team and administration staff."
Positive
"The nurse told us that the bags were regularly checked to ensure that the contents were intact and in date."
Positive
"Medicines management A lead nurse was responsible for the management of medicines in the practice."
Positive
"The practice had made changes to ensure patients were invited to make an appointment with the GP or nurse for a blood pressure check and clinicians focused on opportunistic checks."
Positive
"This included urgent and routine appointments telephone consultations and appointments with the nurse and nurse practitioner."
Neutral
"These were circulated to the partners of the practice the nurse and practice manager."
Neutral
"We spoke with a practice nurse about infection control training."
Neutral
"In two of the nurse treatment rooms and in the phlebotomist’s room there were areas on the walls which were not finished smoothly with a readily cleanable surface."
Neutral
"The time waited by patients to see a GP or nurse at Portslade Health Centre Medical Practice was slightly higher than the CCG and national average."
Latest Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."
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."
2014-08-20 Snippet(s)
Positive
"The practice had ensured effective monitoring of clinical performance and that adequate support was provided to patients to help them manage their medical conditions."
Positive
"Robust monitoring of data was used to improve performance and clinical outcomes for patients."
Positive
"Governance structures were robust and systems were in place for managing risks and monitoring the quality of service."
Positive
"Management monitoring and improving outcomes for people The practice participated fully in all recognised benchmarking programmes nationally and locally."
Positive
"The practice had a robust process to ensure the close monitoring of children young people and families living in disadvantaged circumstances."
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
"We asked to see copies of the cleaning monitoring records."
Neutral
"The practice proactive monitoring of the prevalence of long term conditions within the practice population which included identifying those with such conditions and those at risk of developing one."
Latest Snippet(s)
Positive
"• The practice worked closely with the community nursing and palliative care teams to ensure optimum support to patients receiving end of life care under the Gold Standards Framework."
Positive
"Elderly patients with complex care needs for example dementia and end of life care and those at risk of hospital admission all had personalised care plans that were shared with local organisations to facilitate the continuity of care."
Positive
"The practice had identified a lead GP for patients receiving end of life care and reviewed their needs under the Gold Standards Framework in conjunction with wider community and palliative care teams."
Latest Snippet(s)
Positive
"There was a health and safety policy available with a poster situated in the staff area."
Neutral
"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."
2014-08-20 Snippet(s)
Positive
"For example an infection control had been completed and assessments were undertaken to ensure health and safety risks were identified and monitored appropriately."
Positive
"Identification and management of risk The practice had carried out a range of risk assessments including environmental and personal to ensure the health and safety of patients visitors and staff members."
Positive
"For example the practice completed risk assessments and audits in infection control building health and safety and medicine checks."
Latest Snippet(s)
Neutral
"Three monthly random checks of cleaning and infection control processes were also undertaken by the lead nurse."
2014-08-20 Snippet(s)
Positive
"Patients and staff were mostly protected from the risk of infection because there were effective cleaning and infection control procedures in place and appropriate guidance had been followed."
Positive
"The cleaning contract of the building was managed and provided by Sussex Community NHS Trust."
Positive
"We noted that these were completed and concerns about cleaning had been reported to the trust."
Positive
"We saw a cleaning audit which had been completed by the trust."
Neutral
"We reviewed the cleaning contract and procedures used within the practice and found them to be mostly in line with the code of practice."
Neutral
"We noted that there was an environmental cleaning schedule for staff to follow."
Neutral
"We asked to see copies of the cleaning monitoring records."
Neutral
"The practice manager told us about their concerns with the cleaning of the premises and delays in action being taken by the contract holder."
Latest Snippet(s)
Positive
"Regular medicine audits were carried out with the support of the local CCG pharmacy teams to ensure the practice was prescribing in line with best practice guidelines for safe prescribing."
Positive
"The practice supported residents at local residential and nursing homes and provided regular visits medicine reviews and physical checks."
Neutral
"All these patients had a named GP and a structured annual review to check that their health and medicine needs were being met."
2014-08-20 Snippet(s)
Positive
"Any medicine related issues were reported appropriately to external organisations and recorded as significant events in the practice."
Positive
"For example the practice completed risk assessments and audits in infection control building health and safety and medicine checks."
Neutral
"Patients were protected against the risk of unsafe use and management of medicines because the practice effectively implemented and acted upon all relevant medicine related patient safety communications."
Neutral
"There were medicine and equipment bags ready for doctors to take on home visits."
2014-08-20 Snippet(s)
Neutral
"We saw there was level access to the building and electronic doors were wide enough for wheelchair access."
2014-08-20 Snippet(s)
Positive
"This included criminal records bureau CRB and disclosure and barring service DBS checks."
2014-08-20 Snippet(s)
Positive
"Significant events were reviewed regularly at clinical governance meetings to analyse trends."
2014-08-20 Snippet(s)
Positive
"There was a rolling programme of mandatory and essential training including safeguarding basic life support infection prevention and control and patient confidentiality."
2014-08-20 Snippet(s)
Neutral
"This included elderly patients."