Latest Snippet(s)
Positive
"▪ The templates promoted efficiency with inbuilt formularies which were designed with key partners such as district nurses palliative care formulary."
2015-11-19 Snippet(s)
Positive
"Shared access of specific information was available to the palliative care team Consent to care and treatment Patients’ consent to care and treatment was always sought in line with legislation and guidance."
Positive
"It had a palliative care lead GP who held regular Gold Standard Framework meetings to ensure good communication between team members looking after palliative care patients as well as a forum for multidisciplinary learning."
Positive
"The GP partners had developed streamlined care pathway templates for example palliative care templates to ensure patients receiving palliative care followed the same pathway."
Positive
"The practice was at or above the national average for many of the QOF domains particularly in asthma atrial fibrillation cancer chronic kidney disease dementia chronic obstructive pulmonary disease depression diabetes heart failure hypothyroidism learning disabilities mental health palliative care and peripheral arterial disease."
Positive
"GP partners had developed streamlined care pathway templates for example palliative care templates to ensure patients with the condition followed the same pathway."
Positive
"We looked at the formulary for anticipatory care drugs on the template for palliative care drugs."
Positive
"Regular palliative care meetings were held to support patients’ needs and they had an assigned GP."
Latest Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was above the national average."
Latest Snippet(s)
Positive
"Families children and young people: • The practice worked closely with the local high school and had identified that some young girls were disclosing unprotected sexual activity to their teacher school nurse but felt too embarrassed to go to a pharmacy for emergency contraception."
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 extended travel service was developed by the nurse manager."
Neutral
"The practice have continued to develop processes of INR control having each session followed by a ‘debrief’ by a GP and nurse and regular training of GPs and nurses and HCAs."
2015-11-19 Snippet(s)
Positive
"Young people at schools had direct access to same day appointments for emergency contraception when the school nurse may accompany the patient."
Positive
"During our visit we spoke with a range of staff including three GPs a practice nurse a health care assistant four reception staff the practice manager and assistant practice manager."
Positive
"The lead nurse was the clinical lead and responsible for undertaking the infection prevention and control IPC audit and any actions implemented."
Positive
"The practice nurse provided us with an example that demonstrated how the nursing team responded to the low uptake of flu vaccinations in pregnant women."
Neutral
"The team included a second inspector a GP specialist advisor a nurse specialist advisor and a practice manager specialist advisor."
Neutral
"We saw minutes identified other health professionals who attended these meetings for example midwifes community matron practice nurse and school nurses."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
Positive
"• The practice is also a Royal College of General Practitioners surveillance site for monitoring of disease trends and feeding this information into public health helping predict and manage flu outbreaks and pandemics."
Positive
"• The practice was a RCGP surveillance site for monitoring of disease trends and feeding this information into public health helping predict and manage flu outbreaks and pandemics."
Positive
"• The practice was an RCGP surveillance site for monitoring of disease trends and feeding this information into public health with the aim of helping to predict and manage flu outbreaks and pandemics."
Positive
"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."
Positive
"Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."
Positive
"In conjunction with the local NHS Trust a hub and spoke model was devised with three tiers of services: Tier three being ongoing monitoring of patients."
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
"The practice provides Personal Medical Services PMS and also offers enhanced services for various immunisation checks has extended hour’s access remote care monitoring minor surgery learning disability alcohol and people living with dementia health check schemes."
2015-11-19 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The GP partners had lead roles in how they monitored and improved outcomes for 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
"The practice provides Personal Medical Services PMS and also offers enhanced services for various immunisation checks has extended hour’s access remote care monitoring minor surgery learning disability alcohol and people living with dementia health check schemes."
2015-11-19 Snippet(s)
Neutral
"In addition patients had access to a cafe at the hospital if patients were waiting for appointments or transport home."
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."
2015-11-19 Snippet(s)
Neutral
"In addition patients had access to a cafe at the hospital if patients were waiting for appointments or transport home."
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
"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2015-11-19 Snippet(s)
Positive
"They work with older people to enable them to improve their quality of life combat loneliness and reduce isolation by providing activities such as Armchair Exercise and Lunches and Sharing Memories is a registered local charity in Holme Valley."
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."
Latest Snippet(s)
Neutral
"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."
2015-11-19 Snippet(s)
Neutral
"Clinical audit clinical supervision and staff meetings were used to assess performance."
2015-11-19 Snippet(s)
Positive
"However no health and safety risk assessment had been undertaken for the premises."
Positive
"However there was no health and safety risk assessment."
Positive
"A health and safety risk assessment for the premises had not been completed to identify any risks or areas for improvement."
Neutral
"Importantly the provider should: • Ensure a health and safety risk assessment for the premises is completed and an action plan implemented in accordance with the findings."
Neutral
"However the practice should ensure a health and safety risk assessment for the premises is completed and an action plan implemented in accordance with the findings."
Neutral
"Evidence reviewed showed that: • The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as fire safety infection prevention and control safeguarding health and safety and information governance."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2015-11-19 Snippet(s)
Neutral
"There were also designated car parking facilities for disabled patients."
2015-11-19 Snippet(s)
Positive
"Healthy lifestyle information was available to patients via leaflets posters and a television in the waiting room and also accessible through the practice website."
2015-11-19 Snippet(s)
Positive
"These included staffing information governance clinical governance complaints significant events safeguarding and business management."
2015-11-19 Snippet(s)
Positive
"Following each clinical audit changes to treatment or care had been made where needed and the audit repeated to ensure outcomes for patients had improved."
Positive
"The practice had an effective system in place for how they completed clinical audit cycles."
2015-11-19 Snippet(s)
Positive
"Cleanliness and infection prevention and control We observed the premises to be clean and tidy."
Positive
"The lead nurse was the clinical lead and responsible for undertaking the infection prevention and control IPC audit and any actions implemented."
Neutral
"Evidence reviewed showed that: • The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as fire safety infection prevention and control safeguarding health and safety and information governance."
2015-11-19 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and records were kept."