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Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
Positive
"Examples included a bimonthly Gold Standard Framework palliative caremultidisciplinary meeting."
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Positive
"• Patients we spoke with said they found it easy to make an appointment with a GP nurse or health care assistant and there was continuity of care with urgent appointments available the same day."
Positive
"• The practice nurse and GPs had lead roles in longterm disease management and patients at risk of hospital admission were identified as a priority."
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
"There is one female practice nurse and one female health care assistant."
Positive
"The practice nurse and health care assistant were also trained to level two however arrangements had been made for them to update to level three."
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Neutral
"They were looking at others ways to develop this patient group this included a receptionist being deployed in the waiting room one morning a week to talk to and inform patients."
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Positive
"During the inspection a medical emergency occurred and this was dealt with very efficiently and with care respect and kindness shown to the patient."
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Positive
"We were also informed that the larger organisation City Health Care Partnership CIC had robust systems in place for reviewing and monitoring significant events complaints and safety alerts."
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
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"The practice had also introduced ‘Telehealth’ the remote monitoring of patients with long term conditions such as COPD chronic heart failure or diabetes."
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
"This enabled the practice to have health monitoring of patients via their mobile phones."
Neutral
"The practice reviewed process for monitoring the collection of prescriptions."
Neutral
"There were cleaning schedules and monitoring systems in place."
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
"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 and alcohol cessation."
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Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
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Positive
"• There was a health and safety policy available."
Positive
"We reviewed a number of policies and procedures and saw that there was the need to review and update such as the chaperone policy and health and safety policy."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
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Positive
"• The infection prevention and control IPC clinical lead was a member of the nursing team from the corporate organisation City Health Care Partnership CIC."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."