Latest Snippet(s)
Positive
"• Two advanced nurse practitioners had been employed to support the clinical team by working within their competencies as nonmedical prescribers along with an additional practice nurse."
Positive
"Additional staff such as advanced nurse practitioners had been recruited into posts to optimise workflow."
2017-08-21 Snippet(s)
Positive
"• One of the practice nurse was the infection prevention and control IPC lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"This meant advanced nurse practitioners and PCPs may not always have access to timely support."
Positive
"The practice was actively recruiting advanced nurse practitioners ANP and had secured a forthcoming locum ANP on a temporary basis."
Positive
"A temporary advanced nurse practitioner is shortly due to start at the service and one of the two primary care practitioners is shortly due to leave the service."
Positive
"• We also spoke to the Registered Manager who is the medical director for Symphony Health Services and members of their governance team including the lead nurse and quality lead."
Positive
"There are vacancies for two WTE advanced nurse practitioners."
Neutral
"• The diabetic specialist practice nurse trained community carers on diabetic management and provided a diabetic group for patients to discuss management of their diabetes."
Neutral
"Practice nurses had weekly nurse meetings."
Latest Snippet(s)
Positive
"Management monitoring and improving outcomes for people There was evidence of quality improvement including clinical audit: • We saw the GP clinical lead had raised the profile of audit within the culture of the practice and there was good evidence to support this."
Positive
"During this inspection we found there were procedures for assessing monitoring and managing fire risks to patients and staff."
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
"At this inspection we saw there were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2017-08-21 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice participated in a local quality and outcomes framework Somerset Practice Quality Scheme SPQS rather than the Quality and Outcomes Framework QOF."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety: • There was a health and safety policy available."
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 cleaning schedules and monitoring systems in place."
Neutral
"• The cold chain was maintained in the vaccine fridges by regular monitoring however sufficient space should be maintained around the vaccine packages for air to circulate."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"• We also reviewed medicine audits a national audit on end of life care and an annual review of patients with diabetes who were housebound and had not received their annual monitoring."
2017-08-21 Snippet(s)
Positive
"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."
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."
Neutral
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation were signposted to the relevant service."
Latest Snippet(s)
Positive
"We saw evidence of quality improvement including a robust clinical audit plan and ongoing audits to drive improvement in patient outcomes."
2017-08-21 Snippet(s)
Neutral
"An annual clinical audit plan had been developed and an audit working group set up."
Latest Snippet(s)
Positive
"Overview of safety systems and process At our previous inspection we saw there was a potential infection prevention and control IPC risk as some measures to minimise risk to staff and patients were not in place."
Positive
"An annual IPC statement and infection prevention and control risk assessment were evidenced undertaken as per the infection prevention and control policy."
Neutral
"Our key findings were as follows: • Systems and processes such as for mandatory training and infection prevention and control measures were in place to keep patients safe."
Neutral
"We saw improvements to infection prevention and control measures and to the arrangement to manage refrigerated medicines."
Neutral
"Completion of face to face infection prevention and control measures training was booked for the October training session."
2017-08-21 Snippet(s)
Positive
"Although patients were potentially at risk of harm because systems and processes were incomplete such as infection prevention and control and overarching fire safety management."
Positive
"• One of the practice nurse was the infection prevention and control IPC lead who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"• Address identified concerns with infection prevention and control practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• We also reviewed medicine audits a national audit on end of life care and an annual review of patients with diabetes who were housebound and had not received their annual monitoring."
2017-08-21 Snippet(s)
Positive
"There was evidence of quality improvement including clinical audit: • We were provided with some medicine management audits including a reaudit prior to our inspection."
Positive
"They also carried out medicine reviews for patients taking medicines for high blood pressure."
Neutral
"They also received national medicine alerts MHRA and we saw action was taken as a result of these."
2017-08-21 Snippet(s)
Positive
"We saw plans to make the reception desk more accessible for wheelchair users • The practice provided patients with additional services including a foot care clinic which the practice subsidised for patients."
2017-08-21 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
2017-08-21 Snippet(s)
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety: • There was a health and safety policy available."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-08-21 Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."
Neutral
"An appropriate waste bin for hand towels waste was required in the sluice and in the cleaner’s area cleaning equipment was stored incorrectly."