Latest Snippet(s)
Positive
"Whilst we found no breaches of regulations the provider should: • Continue to promote and drive the uptake of childhood immunisations and cancer screening programmes with their patients."
2020-12-02 Snippet(s)
Positive
"• Unverified data for childhood immunisations and cancer screening was showing an overall improved performance but further emphasis was required to improve uptake and for this to be reflected in outcomes when these are next published."
Neutral
"• Promote and drive the uptake of childhood immunisations and cancer screening programmes with their patients."
2020-05-22 Snippet(s)
Neutral
"• Childhood immunisations and cancer screening performance were below average with limited evidence of any work completed by the practice to improve it."
2019-01-21 Snippet(s)
Positive
"• The practice should continue to work to improve QOF performance in the area of diabetes and to improve cancer screening and childhood immunisation rates."
Positive
"QOF Performance in the area of diabetes cancer screening and childhood immunisation rates continued to be a challenge for the practice."
Positive
"This is because: • We saw that QOF performance in the area of diabetes and cancer screening and childhood immunisation rates were below national averages and targets."
Positive
"• The practice’s uptake for breast and bowel cancer screening was below the national average."
Latest Snippet(s)
Positive
"The team is led by a clinical service manager supported by a business manager reception manager and team of reception staff and includes a practice nurse assistant practitioner and wellbeing advisor."
2020-12-02 Snippet(s)
Positive
"The practice team is led by an advanced nurse practitioner who also leads the team at the nearby Derby Urgent Care Centre which is another of the provider’s registered locations."
Neutral
"There is a practice nurse and an assistant practitioner and the practice are trying to recruit for a deputy lead nurse role."
2020-05-22 Snippet(s)
Positive
"The practice utilised locum GP and advanced nurse practitioners ANP to fill clinical roles."
Neutral
"The surgery team is led by the clinical lead for the surgery who is a nurse practitioner along with the practice manager."
Neutral
"There was one salaried male GP a practice nurse and an assistant practitioner."
2019-01-21 Snippet(s)
Neutral
"The surgery team is led by the clinical lead for the surgery who is an nurse practitioner along with the practice manager."
Neutral
"There are also one salaried male GP a nurse and an assistant practitioner and administration reception staff."
Neutral
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice."
2018-02-06 Snippet(s)
Positive
"• We did not see evidence of formal discussion of updates to NICE guidelines in GP meeting minutes however the advance nurse practitioner ANP had a special interest in NICE guidelines in particular for hypertension and made use of updates to inform care for patients."
Positive
"We saw evidence that the advanced nurse practitioner used a sepsis identification tool to inform clinical decision making Information to deliver safe care and treatment Staff had the information they needed to deliver safe care and treatment to patients."
Positive
"Leadership capacity and capability • Leadership was provided at corporate level by a chief medical officer and regional operations manager and at practice level by a clinical lead who was an advanced nurse practitioner ANP and the practice manager."
Positive
"• An advanced nurse practitioner ANP had been appointed as a clinical lead in recognition of the need to develop leadership capacity."
Positive
"For example; we noted a delay in practice group directions PGDs being signed off by an appropriate clinician in order to allow a practice nurse to administer certain medicines."
Positive
"There are also two salaried GPs a nurse and an assistant practitioner and administrationreception staff Clinical and operational leadership are provided on site by the Clinical Lead and Practice Manager."
Positive
"Appointments were also available with an advanced nurse practitioner ANP and nurses."
Neutral
"There is a daily ‘sit and wait’ clinic where patients can turn up and wait to see a GP or nurse without making an appointment."
Neutral
"For example; a walkin service had recently been implemented each morning whereby patients could see a GP or nurse on the same day without making an appointment."
Neutral
"For example extended opening hours and Saturday and Sunday appointments at two nearby hub practices where GP and nurse appointments could be booked."
2015-06-04 Snippet(s)
Positive
"• Patients said they found it easy to make an appointment with a GP or a nurse and that there was continuity of care with urgent appointments available the same day or through the walkin service."
Positive
"There are three advanced nurse practitioners ANP who can prescribe medicines."
Positive
"We saw that all new patients were asked to complete a general health questionnaire when they first registered and were invited into the practice to see a nurse or healthcare assistant for a health check and exploration of their medical history and lifestyle."
Positive
"For example one of the nursing team had lead responsibility for infection control and the senior advanced nurse practitioner ANP coordinated the delayed discharge initiative."
Neutral
"We saw that some of the GPs and the advanced nurse practitioners ANP had lead roles in specialist clinical areas such as diabetes heart disease and asthma which allowed the practice to focus on specific conditions for its population of registered patients."
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."
2020-12-02 Snippet(s)
Positive
"The service is now rated as requires improvement for providing safe services because: • Whilst safe systems for monitoring patients prescribed high risk medicines had been implemented there needed to be more indepth reviews to ensure that historic prescribing was appropriate and in line with guidance."
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."
2020-05-22 Snippet(s)
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
"• There was limited monitoring of people’s outcomes of care and treatment."
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."
2019-01-21 Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health."
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."
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."
2018-02-06 Snippet(s)
Positive
"We observed that appropriate monitoring was taking place but that improvements could be made to clinicians records within patients notes to ensure that GPs involved in patients care were clear about the arrangements."
Positive
"• Continue to review systems for recall of patients with long term conditions to ensure appropriate monitoring and follow up."
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 utilised the IMPACT asthma scheme to provide close monitoring for relevant patients."
2015-06-04 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice actively ran regular searches using their computer system and the quality and outcomes framework QOF to help them to manage their performance and to assess their quality."
Positive
"There was a policy in place and a system for monitoring the fridge temperatures daily so that the practice was assured the vaccines remained viable and safe to use."
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."
Latest Snippet(s)
Positive
"Practice staff receive ongoing support from the wider infrastructure within One Medicare Ltd. Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance most clinician appointments are telephone consultations."
2018-02-06 Snippet(s)
Positive
"• There was an effective system to manage infection prevention and control IPC."
2020-12-02 Snippet(s)
Positive
"Background to St Thomas Road Surgery St Thomas Road Surgery is registered with the Care Quality Commission to carry out the following regulated activities diagnostic and screening procedures family planning surgical procedures maternity and midwifery services and the treatment of disease disorder or injury."
2019-01-21 Snippet(s)
Positive
"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2020-12-02 Snippet(s)
Positive
"• comprehensive medicine reviews being undertaken."
2019-01-21 Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Neutral
"Sexual health issues could be referred directly to the local genitourinary medicine clinic."
2018-02-06 Snippet(s)
Positive
"• There was an effective system in place for receiving and acting on 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."
Positive
"For example repeat prescriptions were limited to a specific number after which a GP reviewed whether the patient was required to see a GP for a review prior to the medicine being issued again."
2015-06-04 Snippet(s)
Positive
"We looked at a clinical audit of higher risk broad spectrum antibacterial medicine prescribing that had involved a review of prescriptions issued to its registered as opposed to its walkin patients."
2018-02-06 Snippet(s)
Positive
"• Practice leaders were supported by the organisation and attended quarterly performance meetings and clinical governance meetings with the organisational leadership team."
2019-01-21 Snippet(s)
Positive
"Car parking is on site but limited."
2019-01-21 Snippet(s)
Neutral
"• The practice ensured that end of life care was delivered in a coordinated way which considered the needs of different patients including those who may be vulnerable because of their circumstances."
2018-02-06 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."
2019-01-21 Snippet(s)
Positive
"Staff support included one to one meetings when required appraisals clinical supervision and revalidation."
2018-02-06 Snippet(s)
Positive
"Nurses had access to monthly clinical supervision jointly with Derby Urgent Care Centre and were given time to attend sessions."
2015-06-04 Snippet(s)
Positive
"The practice had arrangements to provide clinical supervision for the nursing staff an activity that brings clinicians from the same or similar professions and skills together in order to review and improve individual or group performance."
2018-02-06 Snippet(s)
Neutral
"• There was wheelchair and lift access within the building."
2015-06-04 Snippet(s)
Positive
"There was level access throughout automatic doors accessible toilets a lift and an installed hearing loop in reception."
2018-02-06 Snippet(s)
Neutral
"• There was wheelchair and lift access within the building."
2018-02-06 Snippet(s)
Positive
"• The practice provided wound care including compression hosiery for older patients with complex leg ulceration and in conjunction with the district nursing services."
2018-02-06 Snippet(s)
Positive
"The clinical lead also attended organisation clinical leadership meetings which provided the opportunity to share learning and receive peer supervision and support."
2018-02-06 Snippet(s)
Positive
"• The practice conducted safety risk assessments including those for fire Legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings and general health and safety issues."
Positive
"• The practice had a number of comprehensive risk assessments related to health and safety which were groupwide and used for all locations managed by the provider."
2015-06-04 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
Positive
"The practice also had a health and safety policy."
2015-06-04 Snippet(s)
Positive
"There were identified lead roles for areas such as safeguarding palliative care and minor surgery which were shared between the GPs."
Positive
"This was also the case for people who were approaching their endoflife; their specific needs were discussed at multidisciplinary team MDT meetings every three months involving the community nursing team and the palliative care nurses."
Positive
"The evolving needs of each of its registered patients receiving palliative care were discussed at threemonthly MDT meetings."
2015-06-04 Snippet(s)
Positive
"We looked at a clinical audit of higher risk broad spectrum antibacterial medicine prescribing that had involved a review of prescriptions issued to its registered as opposed to its walkin patients."
Neutral
"We learned that this antibiotic prescribing was to become part of the parent provider’s systemwide clinical audit programme for the period following our inspection."
2015-06-04 Snippet(s)
Positive
"Cleaning schedules were in place and records were kept that helped the practice to monitor the effectiveness of the cleaning process."
2015-06-04 Snippet(s)
Positive
"As we have reported above the practice worked closely with the hospital and local nursing homes to operate a delayed hospital discharge service where the needs of patients discharged to a short term placement at a nursing home were assessed and monitored through a personalised care plan."