Latest Snippet(s)
Positive
"For example we saw completed and live clinical audits with the aim to address areas of poor clinical performance within national cancer screening programmes had been completed."
Positive
"• The practice had taken steps to improve rates of practice patients attending national cancer screening programmes."
Positive
"These included audits for prescribing asthma stroke prevention diabetes urology referrals atrial fibrillation atrial fibrillation is a heart condition that causes an irregular and often abnormally fast heart rate and participation for national cancer screening programmes."
Positive
"Furthermore uptake for practice patients attending national cancer screening programmes was mixed."
Neutral
"The practice had taken steps to increase the number of patients completing the national bowel cancer screening programme and ensure accuracy within the number of practice patients participating in the cervical cancer screening programme."
Latest Snippet(s)
Positive
"We were also informed that the health care assistant was being supported by the practice to attend a fast track nurse retraining programme to become a practice nurse."
Positive
"The allfemale nursing team is led by a nurse manager who is also a prescribing nurse practitioner and the team consists of three practice nurses and a health care assistant."
2017-01-18 Snippet(s)
Positive
"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or practice nurse assessed the patient’s capacity and recorded the outcome of the assessment."
Positive
"The allfemale nursing team consists of one nurse practitioner three practice nurses and a health care assistant who also performs phlebotomy duties."
Neutral
"• Practice staffing included GPs nurses a nurse practitioner healthcare assistant managerial and administrative staff."
Latest Snippet(s)
Positive
"• We saw evidence that there was an effective monitoring system in place to ensure all staff had undertaken appraisals and training relevant to their role."
Positive
"• Appropriate appraisal arrangements were now in place appraisals had been completed and there was evidence of performance monitoring and identification of personal and professional development."
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."
2017-01-18 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"For example monitoring of specific areas required improvement such as: • Significant event documentation fire safety uptake of some national screening programmes telephone access lack of an appraisal programme poor patient feedback and an inactive patient participation group."
Positive
"• There were procedures in place for monitoring and managing most risks to patient and staff safety."
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
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"Furthermore we identified a lack of clinical audit activity a lack of an appraisal programme poor patient satisfaction and an inactive patient participation group."
Positive
"For example we saw updated clinical audit guidance and examples of audit cycles had been disseminated to ensure the team was ready to proceed and increase audit activity."
Positive
"To further increase the number of respondents to this programme we saw a single cycle bowel cancer clinical audit with the aim to further increase patient participation in this screening programme."
Positive
"We also saw there were planned designated clinical audit meetings to review the audit programme and increased level of audits."
Positive
"• Significant improvements had been made to the practices clinical audit programme."
Neutral
"We reviewed information given to us by the practice and also reviewed processes and documents relevant to the management of the practice including clinical audit programmes training records and anonymised appraisals."
2017-01-18 Snippet(s)
Positive
"• Implement a clinical audit schedule with the view to increase the level of clinical audit activity ensuring quality improvement."
Neutral
"• The provider had not implemented a rolling programme of clinical audit to drive improvements to patient outcomes."
Latest Snippet(s)
Positive
"• There was now clear visible clinical leadership lead roles had been designated and staff spoke highly of the new teams and culture within the practice."
2017-01-18 Snippet(s)
Positive
"However there was a lack of clinical leadership and governance framework to support the delivery of good quality care."
Latest Snippet(s)
Positive
"The pharmacist supported the practice to complete medicine management reviews therefore increasing the availability of GPs to see patients."
2017-01-18 Snippet(s)
Positive
"They told us the practice was responsive to patients needs including complex medicine needs and treated them with dignity and respect."
Positive
"• National patient safety and medicine alerts were disseminated within the practice in a formal way which included the inhouse pharmacist and there was a system to record that these had been appropriately dealt with."
Positive
"The pharmacist supported the practice to complete medicine management reviews therefore increasing the availability of GPs to see patients."
Positive
"One of the complaints we reviewed regarding a medicine concern was investigated by the practices inhouse pharmacist and included contact with specialists at the hospital and the pharmaceutical manfacter."
2017-01-18 Snippet(s)
Positive
"Confidentiality posters were displayed to promote private confidential conversations and the practice had a system to allow hand written notes to be reviewed by a receptionist in the back office away from other patients."
2017-01-18 Snippet(s)
Positive
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet alcohol cessation received support or were signposted to the relevant service."
2017-01-18 Snippet(s)
Positive
"During the inspection we saw that the health and safety policy displayed did not reflect the current health and safety arrangements this included incorrect contact details of the local health and safety representatives."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-01-18 Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."