Latest Snippet(s)
Positive
"Since the last inspection the practice has increased its GP partners from two to three recruited a new nurse promoted a member of staff to practice manager and were training another member of staff to be a phlebotomist."
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"• The practice were part of a group of local GPs who offered seven day access to a GP and nurse during evenings weekends and bank holidays."
Neutral
"• Following suggestions from patients the practice introduced WiFi access for patients bought childrens books for the waiting area provided water for patients provided a high seat for frail patients in the waiting area and made more doctor and nurse appointments available."
2015-04-16 Snippet(s)
Positive
"The practice nurse provided an example where early intervention had provided a positive impact for the patient."
Positive
"The practice nurse also helped manage patients with longterm conditions such as COPD chronic obstructive pulmonary disorder asthma diabetes and heart conditions."
Positive
"The practice nurse administered vaccines using directions that had been produced in line with legal requirements and national guidance."
Neutral
"The practice nurse was part time and there was a phlebotomist at the practice."
Neutral
"The practice nurse had a defined role and was able to demonstrate that they understood that role and were trained to fulfil their duties."
Latest Snippet(s)
Neutral
"For example in January this year one of the personal assistants had become the practice manager and a receptionist was being trained to be a phlebotomist."
2015-04-16 Snippet(s)
Positive
"A new member of staff employed as a receptionist asked if they could do a phlebotomy course and this was agreed and sanctioned."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
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."
2015-04-16 Snippet(s)
Positive
"The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework QOF and the National Patient Survey."
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"Other regular auditing and outcome monitoring included flu audits patients at risk of dementia shingles immunisations carers and child protection patients."
Positive
"• The practice were able to evidence that they were continually monitoring and reviewing the quality of the service provided through clinical audits and information based on feedback from patients."
Positive
"Learning and improvement from safety incidents 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)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
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 proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2015-04-16 Snippet(s)
Positive
"They assessed their eyes ears falls feet social support and activities of daily living."
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."
2015-04-16 Snippet(s)
Neutral
"The practice held monthly multidisciplinary team meetings to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
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 proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Positive
"• All elderly patients had a named GP and were offered a personalised care plan."
2015-04-16 Snippet(s)
Positive
"The practice were proactively joint working to support frail elderly patients and patients with multiple morbidities and aimed to keep them out of hospital."
Positive
"We observed this on the day when the practice responded and supported an elderly carer who was not a patient of the practice but whose husband was."
Neutral
"Examples included details of patients with learning disabilities children in foster care elderly patients and any other information that any GP reviewing the patient should be aware of."
Latest 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."
2015-04-16 Snippet(s)
Positive
"A similar audit with similar actions was undertaken for benzodiazepines an addictive medicine used in the treatment of anxiety disorders to identify and reduce prescribing where appropriate."
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."
Positive
"We were shown how the system could evidence that after receiving an alert the GPs had reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."
Neutral
"All other patients on repeat medicines received an annual medicine review by the lead GP."
2015-04-16 Snippet(s)
Positive
"These meetings were attended by district nurses social workers palliative care nurses and decisions about care planning were documented in a shared care record."
Positive
"The practice held regular multidisciplinary and palliative care meetings."
2015-04-16 Snippet(s)
Positive
"National data showed that the practice was in line with targets for cancer screening and referral rates to secondary and other community care services for all conditions."
2015-04-16 Snippet(s)
Neutral
"Facilities are available for disabled patients with disabled toilets and car parking at the rear of the building."
2015-04-16 Snippet(s)
Positive
"There was no lift to the upstairs but there were no clinic rooms upstairs and the person who dealt with prescriptions came downstairs if required."
2015-04-16 Snippet(s)
Positive
"The practice also had a health and safety policy."
2015-04-16 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."