Latest Snippet(s)
Positive
"The nursing team includes a nurse practitioner two nurse prescribers one practice nurse and a health care assistant."
Positive
"The nurse would then contact the patient to check if they needed additional support and invited them for an appointment if necessary."
Positive
"The nurse who specialised in respiratory condition also told us they received reports from the hospital if patients had been admitted following an exacerbation of their condition."
Neutral
"An additional nurse had been recruited recently and they were also undertaking specialist training in the management of diabetes."
Neutral
"Since the last inspection the practice had recruited another nurse who was undertaking training in diabetes."
2017-12-08 Snippet(s)
Positive
"The nursing team includes a nurse practitioner two nurse prescribers one practice nurse and a health care assistant."
Neutral
"• The practice hosted a weekly mental health clinic led by a senior mental health nurse so patients could access this service locally."
2016-05-16 Snippet(s)
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."
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."
Latest Snippet(s)
Positive
"• The practice had overhauled their meeting structure to make them more effective and focused on monitoring and discussing patient safety."
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."
Positive
"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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."
2017-12-08 Snippet(s)
Positive
"For example the practice was working with the CCG and other neighbouring practices to implement improvement initiatives such as improving patient access to a GP and sharing pharmacists to assist in the monitoring of medicines and prescribing patterns."
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"• The registered person did not demonstrate that systems in place were effective in monitoring the care and treatment of patients diagnosed with long term conditions."
Positive
"The areas where the provider must make improvements as they are in breach of regulations are: • Ensure care and treatment is provided in a safe way for patients with regards to vaccines and the monitoring of long term conditions."
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
"• There were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"• The practice offered blood monitoring service for patients on blood thinning medicines."
2016-05-16 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 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
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2017-12-08 Snippet(s)
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
2016-05-16 Snippet(s)
Positive
"For example the practice worked with the CCG pharmacist to review current medicine and prescribing guidelines and ensure correct care was in place."
2017-12-08 Snippet(s)
Positive
"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Neutral
"• However the governance arrangement had not ensured oversight of some activities which could compromise patient safety."
2017-12-08 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."
2017-12-08 Snippet(s)
Neutral
"We reviewed one complete cycle clinical audit where actions had been implemented and improvements monitored."
2017-12-08 Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2016-05-16 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for GP revalidation."
2017-12-08 Snippet(s)
Positive
"How the regulation was not being met: • The registered person did not do all that was reasonably practicable to assess monitor manage and mitigate risks to the health and safety of service users."
2016-05-16 Snippet(s)
Positive
"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-05-16 Snippet(s)
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."