Latest Snippet(s)
Positive
"• The practice invited relevant practitioners such as palliative care specialists district nurses and social care practitioners to quarterly training meetings at the practice to enhance collaborative working."
2017-12-27 Snippet(s)
Positive
"• The practice could demonstrate that they held multidisciplinary case review meetings where all patients on the palliative care register were discussed."
Latest Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with the local and national averages."
Latest Snippet(s)
Positive
"• A GP had received and a nurse was in the process of receiving training for the management of long acting Are services effective?"
Positive
"• The practice had access to a CCGled nurse visiting scheme; where a nurse was available to conduct home visits for patients unable to access the practice."
Neutral
"The practice employs one advance nurse practitioner three practice nurses an emergency care practitioner two healthcare assistants and one phlebotomist."
Neutral
"• The practice had access to a visiting nurse who made regular visits to local residential and nursing homes."
Neutral
"The nurse was also available to conduct visits to the residential and nursing homes within the area."
Neutral
"• A GP had received and a nurse was in the process of receiving training in the management of long acting contraceptive devices."
2017-12-27 Snippet(s)
Positive
"The nurse attended care homes supported by the practice to carry out visits."
Positive
"Feedback received from two of the care homes was extremely positive about the way the GPs and nurse cared for the patients and the communication with the practice."
Positive
"The practice had recognised the needs of this patient group and the GP supported the locality nurse who provided home visits for those in local care homes."
Positive
"For example the practice had a high number of patients in care homes and was actively working with the nurse liaison to reduce unplanned admissions."
Positive
"For example a nurse was undertaking a prescribing qualification that was funded by the practice and support was being offered throughout the training."
Neutral
"The practice employs one advance nurse practitioner who works closely with the GPs three practice nurses and emergency care practitioner two healthcare assistants who can also do phlebotomy and one phlebotomist."
Neutral
"The practice were active in the overseas GP recruitment campaign and had addressed skill mix within the practice to meet patient demand by recruiting nurse practitioners and an emergency care practitioner."
2015-03-05 Snippet(s)
Positive
"The lead nurse is supported by two practice nurses and two health care assistants phlebotomists who worked varying hours."
Positive
"During our visit we spoke with a range of staff including four GPs the lead practice nurse a health care assistantphlebotomist the practice manager the deputy practice manager the reception team leader three receptionists one administrator and the apprentice administrator."
Positive
"They also offered the opportunity for them to speak with the GP or a nurse whenever they wanted to."
Neutral
"For example specialist diabetes training for one of the nurse practitioners."
Neutral
"The lead nurse told us they explained tests and treatments to patients before carrying them out and ongoing information was provided during the procedures so that patients knew what to expect."
Latest Snippet(s)
Positive
"• The practice had established links with the local Dementia Meeting Point group and had provided dementia training for the practice staff; a receptionist had also been provided with additional training to understand how best to support patients with dementia in the practice."
2015-03-05 Snippet(s)
Positive
"A receptionist told us they could ask a patient to speak with them privately in an unoccupied room to protect their confidentiality."
Neutral
"A receptionist had suggested that prebookable appointments could continue to be made by clinical staff in order to monitorreview patients but this facility should otherwise be closed."
Neutral
"For example a receptionist had suggested the recent change in the appointments system whilst senior staff recruited a salaried GP."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
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."
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."
2017-12-27 Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"• For example the practice had run an audit to ensure effective monitoring of the renal function of patients on a specific medicine."
Positive
"This included the review and safe monitoring of patients on high risk medicines including methotrexate and lithium."
Positive
"From this the practice had added a prompt to the patient record implemented a monitoring protocol and placed a reminder on the system of when to stop the medicine."
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."
2015-03-05 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Practice staff actively participated in recognised clinical quality and effectiveness schemes such as the national Quality Outcomes Framework QOF and the local Clinical Commissioning Group CCG enhanced service schemes."
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 system included a facility to flag up patients who required closer monitoring such as children at risk."
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
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"The practice had a very small number of patients who were listed as a virtual patient participation group although there was no evidence of any engagement or activities taking place."
2017-12-27 Snippet(s)
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Neutral
"• The practice ensured 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."
2017-12-27 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."
2015-03-05 Snippet(s)
Neutral
"A multidisciplinary meeting was held every month to discuss patients receiving end of life care and those considered to be at risk."
Latest Snippet(s)
Neutral
"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."
2017-12-27 Snippet(s)
Positive
"This included a tailored induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation and students."
Latest Snippet(s)
Neutral
"At this inspection the practice had taken action in relation to this and had comprehensive risk assessments in place relating to safety issues such as health and safety fire legionella."
2017-12-27 Snippet(s)
Positive
"• There was an up to date health and safety risk assessment which covered areas including home visits work station assessments and building and premises."
Neutral
"The areas where the provider must make improvements are: • Ensure that the practice assesses and mitigated the risks to the health and safety of service users and staff."
2015-03-05 Snippet(s)
Positive
"There was a health and safety policy in place and staff knew where to access it."
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 policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"There was a clear protocol for the dissemination of learning from the infection prevention and control audits and we saw evidence this took place."
2017-12-27 Snippet(s)
Positive
"• There was an effective system to manage infection prevention and control IPC."
Latest Snippet(s)
Positive
"The practice had a system in place to ensure patient and medicine safety alerts were processed in a timely manner and patients were recalled where appropriate."
Positive
"• We saw evidence the practice acted on and 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."
2017-12-27 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."
2015-03-05 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 by authorised staff."
2017-12-27 Snippet(s)
Neutral
"There were cleaning schedules in place and hand hygiene audits were completed every six months."
2015-03-05 Snippet(s)
Neutral
"A caretaker was also employed and three cleaning staff some of which worked part time."
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."
Neutral
"We were shown the cleaning schedule for staff to follow and recordings that had been made where actions needed to be followed by the cleaning staff."