Latest Snippet(s)
Positive
"There was a lead GP for palliative care at the practice and systems were in place to liaise with the out of hours GP service provider."
2015-01-14 Snippet(s)
Positive
"They also worked closely with the Western Cheshire Extended Hours Service and Western Cheshire Out of Hours service to make sure doctors working in the out of hours service had full information about patients’ needs including care plans for people receiving palliative care."
Latest Snippet(s)
Positive
"For example a practice nurse visited a patient with learning disabilities support worker to plan specific dietary information for the patient and GPs participated in the adult attention deficit hyperactivity disorder ADHD local steering group."
Positive
"The lead 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."
Positive
"Other examples showing how the practice had responded to meetings patients’ needs were as follows: • The practice offered nurse appointments for minor illnesses and long term condition treatment and reviews."
Neutral
"The practice has three female GPs three male GPs three nurse practitioners two healthcare assistants administration and reception staff and a practice management team."
Neutral
"The practice nurse initiated insulin treatment for diabetic patients."
2015-01-14 Snippet(s)
Positive
"For example one GP had reviewed diabetic care at the service and determined that equipping the nurse practitioners with the skills to commence the insulin initiation programme with newly identified diabetics improved the patients’ confidence around managing this condition."
Neutral
"The nurse prescribers used patient group directions PGD when deciding what medicines to prescribe."
Neutral
"Cleanliness & Infection Control We spoke with the nurse who had the lead role for infection control and found her to be extremely knowledgeable."
Neutral
"We found that the team had allocated lead roles for example a nurse lead for infection control."
2015-01-14 Snippet(s)
Neutral
"For example PPG suggested the introduction of an IPad so patients could book in and find out which waiting room they needed to go to without needing to wait for the receptionist to finish conversations with other patients."
Latest Snippet(s)
Positive
"For example following a medical emergency the practice implemented meningitis treatment packs in all the clinical rooms."
2015-01-14 Snippet(s)
Positive
"Oxygen was available for use in a medical emergency and checked each day to ensure it was in working condition."
Latest Snippet(s)
Positive
"Areas for improvement Action the service SHOULD take to improve • Review the monitoring of the cleanliness of the premises to include documenting adherence to the cleaning schedule."
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."
2015-01-14 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."
Neutral
"Clinicians had systems for monitoring their areas such as whether they were using the latest guidance and protocols."
Latest Snippet(s)
Neutral
"• There were practice specific policies and procedures in place however local to the practice safeguarding policies and procedures were not available the practice told us they referred to the local safeguarding authority’s policies and procedures via the internet for information and guidance."
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 clinical supervision and facilitation and support for revalidating GPs."
2015-01-14 Snippet(s)
Neutral
"The team used clinical audit tools clinical supervision and staff meetings to assess how well they delivered the service."
Latest Snippet(s)
Positive
"There was a health and safety policy available with a poster which identified local health and safety representatives."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality and included a period of supervisionmentorship."
Latest Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality and included a period of supervisionmentorship."
Latest Snippet(s)
Positive
"Areas for improvement Action the service SHOULD take to improve • Review the monitoring of the cleanliness of the premises to include documenting adherence to the cleaning schedule."
Neutral
"There was a cleaning schedule in the manager’s office however we did not see evidence that this was used or completed by the cleaners and monitored by the practice."
Latest Snippet(s)
Positive
"For example in care pathways dementia long term conditions and elderly care and the care of those at risk of unplanned admissions to hospital."
2015-01-14 Snippet(s)
Positive
"There were appropriately stocked medicine stores and equipment bags ready for doctors to take on home visits."
Positive
"The medicine management staff used this information to support practice staff to coordinate how they scheduled the regular reviews and health checks such as for diabetes routine health checks and to review GP prescribing patterns."
Positive
"Centrally the medicine management staff monitored the practice to ensure reviews of medication were completed with patients in a timely manner."
Neutral
"They explored this with the hospital and established that the particular medicine could only be sourced by hospital pharmacy staff."
Neutral
"The medicine management staff regularly checked that patients receiving repeat prescriptions had been reviewed by the GP."
Neutral
"We were shown evidence to confirm that following the receipt of an alert the GPs had clearly reviewed the use of the medicine in question and where they continued to prescribe it outlined why they this was necessary."
2015-01-14 Snippet(s)
Neutral
"Our findings Responding to and meeting people’s needs The practice was divided across three floors and there was lift access to all of these floors."
2015-01-14 Snippet(s)
Positive
"We spoke with people from different age groups including parents and children patients with different physical health care needs and those who had various levels of contact with the practice."
2015-01-14 Snippet(s)
Positive
"We saw that as a routine part of the quality assurance and clinical governance processes the provider checked the General Medical Council GMC and Nursing Midwifery Council NMC registration lists each year to make sure the doctors and nurses were still deemed fit to practice."
2015-01-14 Snippet(s)
Neutral
"The team used clinical audit tools clinical supervision and staff meetings to assess how well they delivered the service."