2019-06-25 Snippet(s)
Positive
"The practice had reviewed their skill set and recruited an additional advanced nurse practitioner ANP in addition to hosting a physician associate training programme in conjunction with a local university."
2017-02-16 Snippet(s)
Positive
"• The advanced nurse practitioner ANP provided a triage service to prioritise patient needs and direct them to the most appropriate clinician according to the urgency of their need of care."
Positive
"The advanced nurse practitioner ANP provided a triage service to prioritise patient needs and direct them to the most appropriate clinician."
Positive
"The practice team consisted of: • Three GP partners two male one female • An advanced nurse practitioner • A practice nurse • A health care assistant • A practice manager • Eight reception and administrative staff The practice provides a number of specialist clinics and services."
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
"For example the practice nurse was supported to undertake training to administer childhood and immunisations and treat patients with diabetes."
Positive
"Staff told us that if relatives had suffered bereavement a GP or nurse normally called them."
Neutral
"For example a locum nurse employed by the practice had proof of identification training records that included safeguarding a DBS check proof of registration with a professional body and immunisation status."
Neutral
"• A nurse meeting was held bimonthly."
Neutral
"For example the nurse had been enrolled for a course to provide training in the management of patients with diabetes."
Latest 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."
2019-06-25 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."
2018-03-06 Snippet(s)
Positive
"This system allowed GPs to view all results online such as blood tests to ensure the patient has had the appropriate monitoring before prescribing their medicine."
Positive
"• The practice had reviewed and improved their procedure for the monitoring of prescription stationary and ensured an audit trail was in now place to monitor the usage of controlled stationary."
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
"Patients who require ongoing monitoring are given advance appointments authorised by a clinician."
Neutral
"During the inspection we carried out a computer search and found patients prescribed a specific high risk medicine were now receiving appropriate monitoring before their medicines were prescribed."
2017-02-16 Snippet(s)
Positive
"We looked at two examples of National Asthma survey guidelines and NICE guidelines for the treatment of cancer and found that through audit and monitoring the practice evidenced that guidelines had been actioned in a comprehensive manner."
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
"The practice had a clear monitoring protocol that defined how and when computer searches of patients receiving high risk medicines would be carried out."
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
"Patients who required ongoing monitoring are given advance appointments authorised by a clinician."
Neutral
"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs."
Neutral
"Patients who required ongoing monitoring were given advance appointments authorised by a clinician."
2019-06-25 Snippet(s)
Positive
"However arrangements for clinical leadership and overall governance structures required further development and changes fully embedded to improve patient care."
2018-03-06 Snippet(s)
Positive
"• Although a designated health and safety lead had been appointed the name of the lead was not detailed on the health and safety poster displayed but this was rectified at the time of the inspection."
Positive
"We saw a health and safety policy was in place but this was not dated."
Positive
"In particular: 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."
2017-02-16 Snippet(s)
Positive
"• Further develop the health and safety policies and protocols to identify assess and minimise risk to patients and staff using risk assessments and a review of the process for responding to alerts."
Positive
"Further develop the health and safety policies and protocols to identify assess and minimise risk to patients and staff using risk assessments and a review of the process for responding to alerts."
Positive
"The health and safety poster was displayed but there was no appointed health and safety lead."
Neutral
"• The development of health and safety procedures to ensure risks to staff and patients were regularly assessed."
2018-03-06 Snippet(s)
Positive
"However a risk assessment to demonstrate how risks to patients would be mitigated in the absence of this medicine had not been completed."
Positive
"• Document actions taken in response to external medicine safety alerts and ensure they are fully documented in patients’ records."
Positive
"The practice was not aware that additional medicines had been added and therefore had not obtained all of the suggested medicines to include a medicine used to treat croup in children and an antiinflammatory medicine used for treating pain."
Neutral
"During the inspection we carried out a computer search and found patients prescribed a specific high risk medicine were now receiving appropriate monitoring before their medicines were prescribed."
Neutral
"At the previous inspection we found the practice did not have an anticonvulsant medicine used to treat epilepsy available."
2017-02-16 Snippet(s)
Positive
"However there was no anticonvulsant medicine used to treat epilepsy."
Positive
"• A second audit was carried out to improve the prescribing of anticoagulants medicine to prevent blood clots."
2017-02-16 Snippet(s)
Positive
"• The practice team met bimonthly with other professionals including palliative care and community nurses."
2017-02-16 Snippet(s)
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition those requiring advice on their diet and smoking cessation."
2017-02-16 Snippet(s)
Positive
"This covered such topics as safeguarding infection prevention and control fire safety and confidentiality."
2017-02-16 Snippet(s)
Positive
"• Frail elderly patients were identified and the practice had recruited a healthcare assistant with a community care background who performed regular visits to assess their needs and reported back to the GPs."