Types of Facilities

Nurse

2019-10-28 Snippet(s)

Positive

"The practice’s clinical team consists of six parttime salaried GPs three nurse practitioners four practice nurses five health care assistants and two emergency care practitioners."

2018-10-23 Snippet(s)

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Monitoring

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."

2019-10-28 Snippet(s)

Positive

"• Processes to ensure patients received appropriate monitoring of highrisk medicines were not always effective to ensure patients received safe and appropriate care and treatment."

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

"In particular we found: • Processes to ensure patients received appropriate monitoring was not always embedded."

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."

2018-10-23 Snippet(s)

Positive

"The practice was aware of the shortfalls in monitoring systems including the necessity to increase the use of using QOF indicators to assist with patients receiving the care and support they needed."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

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."

Positive

"The provider had set up a focussed quality monitoring system at practice and provider level for monthly reporting on key areas which included safety alerts incidents and complaints."

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

"• The practice had reviewed the systems for the logging and monitoring of the prescription stationery used in the practice in line with changed information from the provider."

Neutral

"There were gaps at both practices regarding clinical coding so that accurate information; in respect of monitoring of regular reviews for patients with long term conditions learning disabilities and mental health; were not accurate."

Infection Prevention and Control

Latest Snippet(s)

Neutral

"Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance most GP appointments were telephone consultations."

2018-10-23 Snippet(s)

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment safeguarding training and training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Medicines

2019-10-28 Snippet(s)

Positive

"We rated the practice as requires improvement for providing safe effective and well led services because: • Information regarding medicine reviews was not consistent and did not ensure reviews were carried out in line with practice policy and relevant guidance."

2018-10-23 Snippet(s)

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

Positive

"• A process of checking that all patients with COPD long term respiratory problems had sufficient ‘just in case’ medicine over the Christmas and New Year period was in place."

Neutral

"Sustained improvements were required in the management of medicines Patient Group Directions and Patient Specific Directions medicine administration instructions and prescription paper security."

Cancer Screening Equipment

2018-10-23 Snippet(s)

Positive

"• The practice’s uptake for breast and bowel cancer screening was above the national average."

Transport/Minibus Available

2018-10-23 Snippet(s)

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Near Public Transport

2018-10-23 Snippet(s)

Positive

"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Activities

2018-10-23 Snippet(s)

Positive

"• The provider had implemented a portfolio of new and updated corporate policies procedures and activities to ensure safety and assure themselves that they were operating as intended."

End of Life Care

2018-10-23 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."

Clinical Supervision

2018-10-23 Snippet(s)

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

Health and Safety

2018-10-23 Snippet(s)

Positive

"Additional training and support was needed at practice and provider level to ensure health and safety monitoring was carried out by trained and knowledgeable persons."

Positive

"Areas across both locations such as prescription paper management health and safety and the management of patients with longterm conditions and mental health needs to be improved and sustained."

Positive

"• Ensure there are safe systems in place for fire safety checks for safe equipment safeguarding training and training for persons undertaking health and safety audits and risk assessments for infection prevention and control and for chemicals used by the practice."

Positive

"• The provider had carried out regular audits for health and safety however there was no trained health and safety staff lead at the practice or within the organisation."

Positive

"However in other aspects such as recruitment obtaining information regarding staff immunisations and training health and safety fire and management of the location these were still being formalised."

Cleaning Service

2018-10-23 Snippet(s)

Neutral

"However improvements needed to be implemented such as checking cleaning staff store equipment in line with guidance at West One Surgery."