Latest Snippet(s)
Positive
"• The practice’s uptake for breast cancer screening was in line with the national average."
Positive
"• The practice’s uptake for bowel cancer screening was below the national average."
2017-09-26 Snippet(s)
Positive
"The practice manager was focusing on improving bowel cancer screening and had discussed this at the last patient participation group meeting to increase patient awareness."
Latest Snippet(s)
Neutral
"• The practice offered weekly diabetic clinics with a diabetes specialist nurse and there was an econsultation service which allowed clinicians to communicate directly with acute diabetic consultants."
Neutral
"• The practice offered weekly mental health and dementia clinics with the GPs and nurse to carry out annual reviews."
2017-09-26 Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
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
"• Patient safety alerts were received by the GPs practice nurse and the practice manager."
Neutral
"• The practice offered weekly diabetic clinics with a diabetes specialist nurse and there was an econsultation service which allowed clinicians to communicate directly with diabetic consultants."
Neutral
"• The practice offered weekly mental health clinics with the GPs and nurse to carry out annual reviews."
Neutral
"During our visit we: • Spoke with a range of staff including two GP partners practice nurse practice manager and two nonclinical staff."
Neutral
"The practice had focussed on diabetes management by monitoring monthly performance offering weekly diabetic clinics with a diabetes specialist nurse and communicating directly with acute diabetic consultants."
Neutral
"• The practice nurse offered smoking cessation advice and a dietician was available on the premises."
2016-03-03 Snippet(s)
Positive
"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
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 practice had a system for production of Patient Specific Directions to enable Health Care Assistants to administer vaccinations after specific training when a doctor or nurse were on the premises."
Neutral
"During our visit we: • Spoke with a range of staff including the GP partners practice nurse practice manager & administrative staff and spoke with patients who used the service."
2017-09-26 Snippet(s)
Positive
"For example complaints about receptionists were discussed with staff to prevent reoccurrence and receptionists were encouraged to attend the local clinical commissioning group CCG receptionist training."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health."
Positive
"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention people with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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 and busy periods."
Positive
"• The practice had developed a protocol to ensure the monitoring of patients taking lithium was in line with current national guidelines."
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 had signed up to the ‘common complex and serious mental health’ out of hospital service for monitoring and caring for patients with longterm depression and serious mental illness."
2017-09-26 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
"Another alert advising monitoring of renal function in patients coprescribed a diuretic and heart failure medicine had not been actioned."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"This was not in line with current national guidelines which recommend blood test monitoring every three months."
Positive
"• Risks to patients were assessed and well managed with the exception of those relating to managing safety alerts the monitoring of patients taking lithium and tracking blank prescription forms."
Positive
"For example managing safety alerts monitoring patients on high risk medicines and tracking blank prescription forms."
Positive
"• Most risks to patients were assessed and well managed with the exception of those relating to managing safety alerts and the monitoring of patients taking lithium."
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
"For example the practice had signed up to the ‘common complex and serious mental health’ out of hospital service for monitoring and caring for patients with longterm depression and serious mental illness."
Neutral
"There were cleaning schedules and monitoring systems in place."
Neutral
"We made the practice aware of this and were told they would review their protocols for monitoring patients taking lithium."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Neutral
"The practice had focussed on diabetes management by monitoring monthly performance offering weekly diabetic clinics with a diabetes specialist nurse and communicating directly with acute diabetic consultants."
Neutral
"The protocols for monitoring patients taking lithium was not in line with national guidance."
2016-03-03 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."
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
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"The practice is registered with the Care Quality Commission to provide the regulated activities of: diagnostic and screening procedures; maternity and midwifery services; family planning; surgical procedures; and treatment of disease disorder and Injury."
2017-09-26 Snippet(s)
Positive
"The practice service is registered with the Care Quality Commission CQC to provide the regulated activities of diagnostic and screening procedures; treatment of disease disorder and injury; family planning services; surgical procedures; and maternity and midwifery services."
2016-03-03 Snippet(s)
Positive
"The practice is registered as a partnership with the Care Quality Commission CQC to provide the regulated activities of: treatment of disease disorder or injury; diagnostic and screening procedures and family planning services; and maternity and midwifery services at one location."
2017-09-26 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."
Latest Snippet(s)
Positive
"For example the practice had carried out a clinical audit to review the records and management of patients presenting with chest pain."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2017-09-26 Snippet(s)
Positive
"This included ongoing support onetoone meetings mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
2016-03-03 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and Are services effective?"
Latest Snippet(s)
Neutral
"Although we noted the frequency of changing privacy curtains had not been detailed in the infection prevention and control policy."
2017-09-26 Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"• Staff received training that included: safeguarding fire safety awareness infection prevention and control basic life support the mental capacity act chaperoning and information governance."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Neutral
"GPs and nurses had lead roles in key areas such as diabetes mental health women’s health infection prevention and control and safeguarding."
Neutral
"For example annual infection prevention and control audits were carried out."
2016-03-03 Snippet(s)
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Neutral
"For example staff issuing repeat prescriptions were reminded that written requests for repeat prescriptions should include the full name of the medicine requested and not generic terms such as ‘eye drops’."
2017-09-26 Snippet(s)
Positive
"Another alert advising monitoring of renal function in patients coprescribed a diuretic and heart failure medicine had not been actioned."
Positive
"For example a safety alert relating to women of childbearing age taking a medicine used to treat epilepsy and bipolar disorder had not been followed up."
Neutral
"• We saw evidence that the medicine fridges’ temperatures were checked daily by the nursing team."
2017-09-26 Snippet(s)
Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
2017-09-26 Snippet(s)
Positive
"The television screen in reception also displayed health promotion information including bowel cancer screening."
2017-09-26 Snippet(s)
Positive
"• 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."
2016-03-03 Snippet(s)
Positive
"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-09-26 Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."
2016-03-03 Snippet(s)
Positive
"• The practice had access to a lift to help patients who could not use the stairs."