Latest Snippet(s)
Positive
"Especially those in relation to following up children who are regular attenders of accident and emergency A+E departments Legionella risk assessment water temperatures the monitoring and security of prescription stationery and encouraging women to attend for their cervical screening and patients to engage in national cancer screening programmes."
Latest Snippet(s)
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser a practice manager specialist adviser and a CQC hospitals inspector in a shadowing role."
2017-03-23 Snippet(s)
Positive
"We saw that the advanced nurse practitioner and one of the GP partners had received a NHS innovation award for their work on responsible antibiotic prescribing in primary care."
Positive
"Due to the success of the work funding was available for the advanced nurse practitioner to spread the practise across the locality and nationally."
Positive
"The clinical team includes three male and three female GP partners six female and two male salaried GPs two trainee GPs one advanced nurse practitioner five practice nurses including one minor illness nurse one assistant practitioner and two healthcare assistants."
Positive
"During our inspection we spoke with a range of staff including two GP partners three salaried GPs the advanced nurse practitioner two practice nurses the assistant practitioner the practice manager one deputy practice manager and members of the reception and administration team."
Positive
"• The advanced nurse practitioner was the infection control lead."
Positive
"The advanced nurse practitioner had qualified as an Independent Prescriber and could therefore prescribe medicines for specific clinical conditions."
Positive
"There were also nurse led clinics for patients with diabetes and respiratory conditions such as asthma and chronic obstructive pulmonary disease."
Neutral
"The team included a GP a nurse and a practice manager acting as specialist advisers."
Latest Snippet(s)
Positive
"They included those relating to: DBS checks staff awareness of the process for following up children who were regular attenders of accident and emergency A+E departments staff vaccinations Legionella risk assessment and the monitoring and security of prescription stationery."
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."
Positive
"Especially those in relation to following up children who are regular attenders of accident and emergency A+E departments Legionella risk assessment water temperatures the monitoring and security of prescription stationery and encouraging women to attend for their cervical screening and patients to engage in national cancer screening programmes."
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."
2017-03-23 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
"• There was an understanding of the performance of the practice through the use and monitoring of the Quality and Outcomes Framework QOF data and other performance indicators."
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 skill mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Neutral
"A registered manager is an individual registered with CQC to manage the regulated activities provided."
Latest Snippet(s)
Positive
"The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."
2017-03-23 Snippet(s)
Positive
"Whether completed by the practice or the property management service for Bushey Health Centre’s fire and Legionella assessments up to date health and safety and fire risk assessments were available for all four surgeries."
Positive
"There was a health and safety policy available with posters displayed in staff areas which identified local health and safety representatives."
Neutral
"It covered such topics as safeguarding health and safety fire safety and infection control."
Latest Snippet(s)
Positive
"We rated the practice as requires improvement for providing safe services because: • Appropriate standards of cleanliness and hygiene were not always met because some infection prevention and control measures were lacking."
2017-03-23 Snippet(s)
Positive
"• Ensure that all staff employed are supported by receiving appropriate supervision and appraisal and are completing the essential training relevant to their roles including safeguarding adults infection prevention and control and basic life support training."
2017-03-23 Snippet(s)
Positive
"At Bushey Health Centre clinical services were provided on the first floor of a shared premises and a working lift was available."
2017-03-23 Snippet(s)
Positive
"We saw evidence that multidisciplinary team meetings to discuss the needs of complex patients including those with end of life care needs took place on a monthly basis."
Positive
"We saw there were nominated GP leads for safeguarding and patients with diabetes mental health issues and end of life care needs."
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."
2017-03-23 Snippet(s)
Positive
"This included ongoing support during clinical sessions appraisals mentoring clinical supervision and facilitation and support for revalidating GPs."