Latest Snippet(s)
Positive
"Patients who required palliative care were involved in making decisions about their care and treatment."
Positive
"The GP spoke with patients about their wishes and preferred location for their palliative care and treatment."
2014-10-24 Snippet(s)
Positive
"For example patients who received palliative care were asked where they would prefer to receive their care and were involved in making decisions about how where and when they would like to receive care and treatment."
Positive
"Patients who required palliative care were involved in making decisions about their care and treatment."
Positive
"The GP and a lead healthcare assistant spoke with patients about their preferred wishes for the location and type of palliative care and treatment."
Positive
"A health care assistant had a lead role for working with GPs to develop care plans for patients requiring palliative care and for patients who were at risk of being admitted to hospital."
Positive
"The practice held monthly multidisciplinary meetings to review end of life palliative patients and frail older patients at risk of falls or hospital admissions."
Latest Snippet(s)
Positive
"The practice provided communitybased anticoagulation for patients supported by a GP and trained nurse who closely monitored patients’ progress."
Positive
"• The practice employed a nurse practitioner who was able to manage the needs of patients who presented with minor illnesses and minor injuries."
Positive
"The practice had successfully applied with their cluster practices for the funding of a dementia specialist nurse to be shared for patients within the cluster group."
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
"• The practice had a nurse practitioner who held minor illness clinics."
Positive
"For example they had a dementia specialist nurse shared within the practice cluster group."
Positive
"• Nursing staff had lead roles in chronic disease management • A named GP acted as the lead for each longterm condition and met with the practice manager and lead nurse on a monthly basis to review the clinical and operational management of these patients."
Neutral
"The practice worked with others within their GP practice cluster and had obtained additional funding for a dementia specialist nurse who could provide therapeutic interventions at short notice."
Neutral
"The team included a GP specialist adviser and a nurse specialist adviser."
Neutral
"During this inspection we spoke with the nurse team and they were able to demonstrate their understanding of safeguarding procedures and relate the processes followed to make referrals."
Neutral
"We found that not all of the PGDs had been adopted by the practice signed by the GP lead such as the children’s preschool booster and not all of the nurse team had signed all of the PGDs for the vaccines they were administering."
Neutral
"• Staff told us the practice held regular team meetings; we saw minutes for reception staff meetings and nurse meetings but other meetings were not always minuted."
2014-10-24 Snippet(s)
Positive
"They are supported by two nurse practitioners four practice nurses and two health care assistants."
Positive
"This included five GPs two practice nurses and a nurse practitioner a health care assistant and the practice manager and five administrative staff."
Positive
"For example one nurse explained how they involved diabetes patients in developing their care plans."
Positive
"Another nurse described the care and treatment they offered to patients who had asthma."
Positive
"The practice employed nurse practitioners who were able to manage the needs of patients who presented with minor illnesses."
Positive
"Another nurse had completed a postgraduate qualification in diabetes management and another nurse took a lead role in wound care."
Positive
"During this time the nurse continued to see patients to check on their progress."
Positive
"Nurses we spoke with felt that having a lead nurse would benefit the nursing team."
Positive
"The nurse told us they asked patients to choose what they wanted to focus on and in consultation with patients set achievable goals."
Positive
"The oxygen and automated external defibrillator AED were checked regularly by a nurse to ensure they were in date and in working condition."
Positive
"A nurse described how they worked with patients who attended weight management clinics to identify achievable goals and regularly review those goals."
Positive
"For example someone to have oversight of nurse training and development."
Neutral
"Patients described attending for regular checkups and always being informed of blood test results by a nurse or GP over the phone."
Neutral
"A nurse told us if patients were not able to achieve their health goals they would look to identify any barriers to achieving goals."
Neutral
"The nurse explained how they followed the recommendation of an asthma charity and developed asthma action plans with patients."
Neutral
"A nurse explained how they supported patients with a learning disability to manage their diabetes when speaking with patients they used terms that the patient could understand and sometimes drew diagrams to assist with the communication."
Neutral
"The nurse said they tried to educate the patient and their carer about the condition so that they could understand how they could manage it."
Neutral
"The nurse who was the infection control lead had undertaken online training in infection control."
Neutral
"For example one nurse had completed a diploma in asthma management."
Neutral
"We were told the practice manager had discussed appointing a lead nurse with the nursing staff and that this was being considered."
Neutral
"For example nurses told us they held nurse meetings every three months."
Latest Snippet(s)
Positive
"We observed strong leadership within the nursing team with examples of support for clinical work and professional development; monitoring and allocation of workload and delegation of tasks appropriate to level of skill."
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
"Lessons were learnt from concerns and complaints and action was taken as a result to improve the quality of care such as ongoing monitoring of the telephone system."
Positive
"Monitoring risks to patients There were procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"The pharmacist will specifically focus on the auditing and monitoring of disease modifying drugs at the practice."
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."
2014-10-24 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Clinical staff were supported to take on lead roles in areas of clinical practice where they had an interest or specialist skill."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events."
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."
Latest Snippet(s)
Positive
"• There were accessible facilities and designated parking bays for blue badge holders with a passenger lift to the first and second floors."
Latest Snippet(s)
Positive
"• There were accessible facilities and designated parking bays for blue badge holders with a passenger lift to the first and second floors."
2014-10-24 Snippet(s)
Neutral
"There was a lift should patients need to access the first floor of the building."
Latest Snippet(s)
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."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
Latest Snippet(s)
Positive
"There was a health and safety policy available with a poster on the premises."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2014-10-24 Snippet(s)
Positive
"Monitoring Safety & Responding to Risk The practice had health and safety and accident or incidents policies."
Latest Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"Hosting substance misuse services for the Drugs and Homelessness Initiative DHI to provide advice and offer treatment within a structured care programme for all patients who seek help for drug dependency problems."
Latest Snippet(s)
Neutral
"The practice had two GPs with a specialist qualification in paediatric medicine which acted as a resource for internal referral."
2014-10-24 Snippet(s)
Positive
"The practice had one treatment bed and one treatment chair that were both height adjustable and had wheels for ease of use."
2014-10-24 Snippet(s)
Neutral
"We saw that patients could access other private healthcare services situated in the building such as a pharmacy physiotherapy and osteopath services a dental hygienist and a travel centre."
2014-10-24 Snippet(s)
Positive
"The practice managed medicines safely and had the correct equipment training and emergency drugs to manage a medical emergency safely."
2014-10-24 Snippet(s)
Neutral
"These meetings included activities and sometimes speakers from external organisations."
2014-10-24 Snippet(s)
Neutral
"There was wheelchair access and accessible toilet facilities and the waiting room offered seating that was accessible to patients with restricted mobility."
2014-10-24 Snippet(s)
Positive
"However this risk was mitigated by ensuring all staff had received criminal records check undertaken by the disclosure and barring service DBS."
2014-10-24 Snippet(s)
Neutral
"The practice had a system in place for completing clinical audit cycles."
2014-10-24 Snippet(s)
Neutral
"Cleaning records were completed on a daily and weekly basis and a monthly cleaning audit was completed by the practice manager."