Latest Snippet(s)
Positive
"• Vulnerable patients registering were seen by the Health Care Assistant or Practice nurse for a health check and the practice pharmacist so they had a clear view of medication needs."
2015-06-25 Snippet(s)
Positive
"Staff said they felt confident in their roles and responsibilities and were encouraged to ask for help and support and were able to give examples of when they had asked for instance a GP or nurse for additional clinical support if they felt unsure."
Positive
"People with conditions such as diabetes and asthma attended regular nurse clinics to ensure their conditions were appropriately monitored and were involved in making decisions about their care."
Positive
"It was thought that the situation would improve when the advance nurse practitioners came into post."
Positive
"The practice was aware of the issue and was in the process or recruiting two advanced nurse practitioners which would increase the number of appointments available."
Positive
"This was being addressed as two advanced nurse practitioners were being recruited."
Neutral
"There are three female salaried GPs a nurse practitioner and a healthcare assistant."
Neutral
"At the time of our inspection the practice was in the process of recruiting two advance nurse practitioners to work closely with GPs."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"On the day of the inspection we saw evidence of cleaning schedules but did not see evidence of cleaning monitoring however the practice appeared clean and patients told us that this was always the case."
Positive
"For example recent audits had been done to ensure compliance with guidelines and monitoring in medicines such as methotrexate lithium and sodium valproate."
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
"We were provided with evidence of cleaning monitoring following the inspection."
Neutral
"• There were arrangements for planning and monitoring the number and mix of staff needed."
2015-06-25 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice routinely collected information about people’s care and outcomes."
Positive
"The practice supported patients engaged with substances reduction services by ensuring the monitoring tests were taken and reported to the initiating service."
Positive
"Potential misuse of drugs was minimised by dose reduction and monitoring within the practice."
Positive
"Nationally returned data showed the practice performed well in carrying out additional health checks and monitoring for those experiencing a mental health problem."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
Positive
"The practice was proactive in monitoring those who did not attend for screening or long term condition clinics and followed these up."
Positive
"The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
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
"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"The practice is registered with the Care Quality Commission CQC to provide the regulated activities of diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures and treatment of disease disorder and injury."
2015-06-25 Snippet(s)
Positive
"The practice is registered with the Care Quality Commission CQC to provide the regulated activities of diagnostic and screening procedures; family planning; maternity and midwifery services; surgical procedures and treatment of disease disorder and injury."
Latest 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."
2015-06-25 Snippet(s)
Positive
"Information was made available to out of hours providers for those on end of life care to ensure appropriate care and support was offered."
Positive
"The practice held multidisciplinary meetings to ensure the needs of those with chronic conditions or end of life care were met."
Latest Snippet(s)
Neutral
"We saw evidence that clinical supervision was undertaken by the nursing staff but not GPs."
Neutral
"This was not in line with the practice policy on clinical supervision which stated that clinical supervision should take place at least every eight weeks."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2015-06-25 Snippet(s)
Positive
"The practice had up to date infection prevention and control IPC and waste disposal policies."
Latest Snippet(s)
Positive
"The building was leased from NHS property services and therefore maintenance and cleaning was arranged by the property owner we found that the practice would benefit from a greater oversight on this."
Positive
"On the day of the inspection we saw evidence of cleaning schedules but did not see evidence of cleaning monitoring however the practice appeared clean and patients told us that this was always the case."
Neutral
"We were provided with evidence of cleaning monitoring following the inspection."
2015-06-25 Snippet(s)
Positive
"Staff said they were given sufficient PPE to allow then to do their jobs safely and were able to discuss their responsibilities for cleaning and reporting any issues."
Positive
"Aprons gloves and other personal protective equipment PPE were available in all treatment areas as was hand cleaning liquid and safe hand washing guidance."
Neutral
"We saw that cleaning schedules for all areas of the practice were in place."
Latest 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."
2015-06-25 Snippet(s)
Positive
"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Positive
"Equipment We found that equipment such as weighing scales spirometer ECG machines used to detect heart rhythms and medicine fridges were on external contracts to be checked and calibrated on a timely regular basis to ensure they were functioning correctly."
2015-06-25 Snippet(s)
Positive
"The practice also kept registers of other groups who may need extra support such as those receiving palliative care and patients with mental health issues so extra support could be provided."
Positive
"Patients requiring palliative care were discussed at regular multidisciplinary care meetings to ensure their needs assessment remained up to date."
Positive
"The practice also used the computer system to identify patients with specific needs such as those with dementia or who were in need of palliative care and support."
Positive
"Working with colleagues and other services The practice worked with other service providers to meet people’s needs and manage complex cases for instance regular multidisciplinary meetings were held to identify and discuss the needs of those requiring palliative care or those with mental health needs."
2015-06-25 Snippet(s)
Positive
"Arrangements to deal with emergencies and major incidents Staff we spoke with were able to describe what action they would take in the event of a medical emergency situation."
2015-06-25 Snippet(s)
Neutral
"Disabled parking spaces were available."
2015-06-25 Snippet(s)
Neutral
"The practice has a system in place for completing clinical audit cycles."
2015-06-25 Snippet(s)
Positive
"There were health and safety policies in place covering subjects such as fire safety manual handling and equipment and risk assessments for the running of the practice."
Positive
"On starting staff commenced an induction comprising health and safety incident reporting and fire precautions in addition to further role specific induction training and shadowing of other members of staff."