Latest Snippet(s)
Positive
"For example palliative care patients."
Latest Snippet(s)
Positive
"Staff employed by Devon Doctors Limited include; call handlers drivers reception staff GPs nurse practitioners and call centre coordinators."
2021-08-09 Snippet(s)
Positive
"• The provider was aware of the challenges to recruitment which included shortage of GPs and had started to review staff skill mix with the aim of employing more advanced nurse practitioners and paramedics."
Neutral
"Staff employed by Devon Doctors Limited include; call handlers drivers reception staff GPs nurse practitioners call centre coordinators and supporting office staff holding lead roles such as clinical governance recruitment rotas and medicines."
2021-03-17 Snippet(s)
Positive
"There were nine GPs and one advanced nurse practitioner on shift."
Latest Snippet(s)
Positive
"Arrangements for allocating and monitoring home visits in the OOH service were not always effective in ensuring that service users received timely care and treatment."
Positive
"• Improvements had been made in monitoring service provision and performance to improve timely access and patients were informed of any delays to care and treatment."
Positive
"The system for monitoring medicines had been strengthened and there were clear audits trails for all medicines used."
Positive
"We found: • There had been continual improvements in the monitoring and oversight of effective care and treatment."
Positive
"We have observed an increase in both the performance and ongoing monitoring and oversight of care and treatment."
Positive
"Changes were being implemented in a planned manner to enable effective ongoing monitoring and realistic timeframes had been identified to enable changes to be embedded."
Positive
"Performance was shared with staff and the local CCGs 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
"• Regular monitoring of staffing levels and performance occurred."
Neutral
"However there were still shortfalls which the provider was regularly monitoring and taking action when they were able to."
Neutral
"There were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"We found: • Improvements had been made in monitoring service provision so that the service had a clear oversight of volumes of calls and staff availability."
Neutral
"Timely access to the service We saw evidence that Devon Doctors had made improvements in the monitoring of timeliness of patients accessing services and had plans in place to manage this."
Neutral
"• It was also noted that a large number of cases had been checked by the lead clinician on duty as part of their monitoring of the call queue."
2021-08-09 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."
Neutral
"However they had started to look at an automated process where realtime monitoring could occur."
2021-03-17 Snippet(s)
Positive
"Changes to personnel filing had been made and all personnel files were being uploaded to digital format and a more effective monitoring system."
Positive
"• Arrangements for allocating and monitoring home visits in the Out of Hours service were not effective in ensuring that service users received timely 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."
Neutral
"• There was limited measurement and monitoring of safety performance."
Neutral
"• Staff told us there were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"Work undertaken with the CCGs had identified eight areas where improvements were needed this included monitoring of moderate and minor incidents."
Neutral
"There were no monitoring systems to ensure that learning required had been understood and acted upon."
Latest Snippet(s)
Positive
"• There were arrangements and systems to support staff to respond to people with specific health care needs such as end of life care and those who had mental health needs."
Positive
"There were arrangements and systems to support staff to respond to people with specific health care needs such as end of life care and those who had mental health needs."
2021-03-17 Snippet(s)
Positive
"There were arrangements and systems to support staff to respond to people with specific health care needs such as end of life care and those who had mental health needs."
Neutral
"If these special notes were missing such as end of life care directions these were put into a specific book for action."
Latest Snippet(s)
Positive
"• Where cases of potential harm were identified these were highlighted to the senior clinical team and the clinical governance team."
Positive
"• The six cases identified as potential harm had been passed to the clinical governance team to find out what the outcome was for the patient and whether this needed to be recorded as a significant event."
Neutral
"For example clinical governance recruitment rotas medicines communication and information governance."
2021-08-09 Snippet(s)
Neutral
"Staff employed by Devon Doctors Limited include; call handlers drivers reception staff GPs nurse practitioners call centre coordinators and supporting office staff holding lead roles such as clinical governance recruitment rotas and medicines."
2021-03-17 Snippet(s)
Neutral
"The provider used the Royal College of General Practitioners clinical audit tool and reports were produced to show the number of consultations a clinician carried out per shift and average telephone call times."
Latest Snippet(s)
Positive
"• Consider completing the two outstanding actions from the external health and safety inspection."
Neutral
"This covered such topics as infection control health and safety and fire safety."
2021-08-09 Snippet(s)
Positive
"These covered governance systems; privacy breaches; health and safety in the service; medicine management; infection control; complaints handling; recruitment process; consent to care and treatment; and staff training."
Latest Snippet(s)
Neutral
"Infection prevention and control systems There was a system to manage infection prevention and control IPC."
2021-08-09 Snippet(s)
Positive
"Devon Urgent cases One was to verify a death Three cases were upgraded due to the patient’s condition getting worse Four cases were about medicine requests One case had a paramedic on scene Three cases were upgraded and an emergency No adverse outcomes were identified for all these cases."
Positive
"These covered governance systems; privacy breaches; health and safety in the service; medicine management; infection control; complaints handling; recruitment process; consent to care and treatment; and staff training."
2021-03-17 Snippet(s)
Neutral
"• There were systems and processes for managing infection control at the premises used to provide regulated activities however some audits had not been carried out due to a staff absence."