Latest Snippet(s)
Positive
"The change was supported with additional training and shifts were planned to ensure there was always a senior prescribing advanced nurse practitioner on duty with backup oncall support available within the organisation."
Positive
"The service was currently supported by the provider’s Associate Director of Operations & Performance who is an advanced nurse practitioner and could also provide clinical support as needed."
Positive
"For example a health care assistant was being supported to access nurse training by providing flexibility with their shifts to accommodate course work and the Office Manager was undertaking a management qualification."
Positive
"The staffing structure consists of a nurseled model with three advanced nurse practitioners who are prescribers two nurse practitioners a junior nurse practitioner and three health care assistants."
Positive
"• Patients were streamed by a clinical assessment undertaken by a nurse with support from a health care assistant to measure blood pressure respiration rate etc."
Positive
"We observed two PGDs for a locum nurse that had not been countersigned by an appropriate service lead although this had already been identified by the group pharmacist and action taken to check the patients seen by this nurse."
Positive
"There were always three advanced nurse practitioners rostered for duty each day with two on duty at any time throughout the day."
Positive
"If locum staff were on duty they would always work with an experienced employed advanced nurse practitioner."
Positive
"The junior practitioner and nonprescribing nurse practitioners would always work with an advanced nurse practitioner."
Neutral
"The team included a GP specialist adviser a nurse specialist adviser and a second CQC inspector."
2017-03-31 Snippet(s)
Positive
"The centre is supported by five senior nurse practitioners who are prescribers six senior nurse practitioners two nurse practitioners and two health care assistants."
Positive
"The streaming nurses were present at the desk to support the receptionist and where more information was required to enable accurate streaming the streaming nurse would take the patient into an assessment room to conduct a more detailed streaming assessment."
Positive
"For example nurse Are services effective?"
Positive
"A nurse practitioner or healthcare assistant carried out initial observations which included taking a patients pulse temperature blood pressure heart rate respiration rate oxygen level and recorded their responsiveness level."
Neutral
"The team included a GP specialist adviser a second CQC inspector a service nurse specialist adviser and an Expert by Experience."
Neutral
"A senior nurse was the lead for infection control within the centre."
Neutral
"The receptionist immediately alerted the streaming nurse who assessed the patient and called for an ambulance."
Latest Snippet(s)
Positive
"Performance was shared with staff and the local CCG as part of contract monitoring arrangements."
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
"These risks were assessed and actions taken to mitigate any impact with regular monitoring until they were resolved."
2017-03-31 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The service produced monthly monitoring reports of the activity undertaken and service delivered which were shared with the Clinical Commissioning Group CCG who had agreed key performance indicators."
Positive
"Performance was shared with staff and the local clinical commissioning group as part of contract monitoring arrangements."
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
"Patient feedback was obtained by the provider on an ongoing basis and was included in the centre’s contract monitoring reports."
Latest Snippet(s)
Positive
"The negative comments related to parking and waiting times."
Latest Snippet(s)
Positive
"• The provider had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Neutral
"The day incorporated a groupwide formal clinical governance meeting."
2017-03-31 Snippet(s)
Positive
"Any changes to practice including NICE guidelines were discussed at the regional clinical governance meeting and implemented via discussions at the monthly centre meeting."
Neutral
"There were also monthly team meetings and lead clinicians attended clinical governance meetings that were external to the service."
Latest Snippet(s)
Positive
"This included regular meetings appraisals clinical supervision and support for revalidation."
2017-03-31 Snippet(s)
Positive
"This included ongoing support meetings coaching and mentoring clinical supervision and facilitation and support for the revalidation of GPs and nurses."
Latest Snippet(s)
Positive
"There was a clinical leadership rota in place."
Latest Snippet(s)
Positive
"A PGD allows specified health care professionals to supply andor administer a medicine directly to a patient with an identified clinical condition without the need for a prescription or an instruction from a prescriber."
Positive
"For example a young patient reported allergies to the proposed medicine which was to be prescribed but this was disputed by their accompanying parent."
Positive
"The medicine and allergy status was the checked with the child’s mother over the phone to ensure safe prescribing."
2017-03-31 Snippet(s)
Positive
"For example; clinicians were advised on the most appropriate nonsteroidal antiinflammatory NSAID medicine to be prescribed initially."
2017-03-31 Snippet(s)
Positive
"The streaming nurses were present at the desk to support the receptionist and where more information was required to enable accurate streaming the streaming nurse would take the patient into an assessment room to conduct a more detailed streaming assessment."
Neutral
"The receptionist immediately alerted the streaming nurse who assessed the patient and called for an ambulance."
2017-03-31 Snippet(s)
Neutral
"These covered areas such health and safety IT fire safety infection control and confidentiality."
2017-03-31 Snippet(s)
Positive
"The centre had effective communication with the cleaning staff who were contracted to clean the centre."
Neutral
"Cleaning schedules were in place which detailed the cleaning tasks to be undertaken on a daily and weekly for all areas of the site."