Latest Snippet(s)
Neutral
"Patients selfreferred to an antenatal clinic in addition to the practice contacting the patient when they were notified of the pregnancy so that they could offer a nurse appointment."
2015-05-28 Snippet(s)
Positive
"However the practice performed just below the Clinical Commissioning Group average for; patients getting to see or speak with their preferred GP for the nurse being good at explaining tests and treatments and for patients recommending the practice."
Positive
"On the day of our inspection the district nurse called the line and it was immediately answered and appropriately actioned by the reception staff."
Positive
"For example there was a lead nurse for infection control and GPs led on specialist areas of care."
Latest Snippet(s)
Positive
"For example they had trained a receptionist to take bloods and upskilled another receptionist to carry out secretarial responsibilities to help share work load."
Neutral
"For example the practice had listened to their patients and staff and trained a receptionist to take patients bloods."
2015-05-28 Snippet(s)
Neutral
"Patients had reported difficulty getting through to a practice receptionist and the practice had responded by Are services wellled?"
Latest Snippet(s)
Positive
"• There was sufficient and appropriate equipment for use in the treatment of patients including in the event of a medical emergency and the equipment was calibrated to ensure it was working correctly."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"They also had plans in place to start monitoring their missed appointments to reduce the amount of unused appointments they had to help alleviate the negative feedback."
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."
2015-05-28 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
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)
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."
2015-05-28 Snippet(s)
Neutral
"for example those with end of life care needs or children on the at risk register."
Latest Snippet(s)
Neutral
"This included an induction process clinical supervision for staff."
2015-05-28 Snippet(s)
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Neutral
"• The practice offered evening and weekend West Essex Hub appointments; this meant that when elderly patients wanted an appointment at a weekend so a family member could attend with them they could."
2015-05-28 Snippet(s)
Positive
"We spoke with partner health and social care services such as the District Nursing Team and care homes for the elderly and people with dementia."
Latest Snippet(s)
Positive
"The areas where the provider should make improvements are: • Continue to establish effective systems to ensure medicine reviews are conducted and documented in line with standard practice."
Positive
"In some cases we found patients had not had a medicine review within the recommended time scale."
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."
Neutral
"• We found the practice had appropriate systems in place to monitor cold chain however they were unable to monitor medicine temperatures that were kept at room temperature."
Neutral
"The practice were aware of this and told us that some medicine reviews had been completed but not updated on the computer system."
2015-05-28 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."
2015-05-28 Snippet(s)
Positive
"These meetings were attended by the community matron district nurses palliative care nurses and decisions about care planning were documented in a shared care record."
Positive
"The practice had a palliative care register and also held regular monthly internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."
Positive
"The GPs told us they led in specialist clinical areas such as ophthalmology diabetes minor surgery sexual health palliative care and the practice nurses supported this work which allowed the practice to focus on specific conditions."
Positive
"For example the practice maintained registers of vulnerable groups such as people who experience poor mental health people with learning disabilities looked after children children under child protection and those in receipt of palliative care."
2015-05-28 Snippet(s)
Positive
"We discussed this with the GPs and reviewed their clinical audit which suggested appropriate clinical practice."
Positive
"It was not a clinical audit rather administrative to determine if they were all appropriate and necessary."
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
2015-05-28 Snippet(s)
Positive
"The practice also had a health and safety policy."
Positive
"The practice was considering appointing a health and safety representative."
2015-05-28 Snippet(s)
Positive
"The practice manager had been actively addressing the need for greater transparency and assurance regarding cleaning undertaken."
Positive
"However these failed to provide sufficient assurance to the provider of when certain cleaning tasks had been conducted such as the cleaning of the communal toilets."
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."