Latest Snippet(s)
Neutral
"People who did not have a regular dentist were provided with details of local dental practices and how they could register as patients."
2016-11-28 Snippet(s)
Positive
"For example this could be a GP service in or out of hours walkin centre or urgent care centre community nurse emergency dentist emergency department emergency ambulance late opening pharmacy or home management."
Latest Snippet(s)
Positive
"The team included three further CQC primary care inspectors a GP specialist adviser an advanced nurse practitioner specialist adviser and a primary care practice manager specialist adviser."
2016-11-28 Snippet(s)
Positive
"For example this could be a GP service in or out of hours walkin centre or urgent care centre community nurse emergency dentist emergency department emergency ambulance late opening pharmacy or home management."
Positive
"• Validated training for nurse clinican advisors was automatically appended to their revalidation process."
Neutral
"A clinical advisor is a clinically trained member of staff typically a nurse or paramedic."
2014-11-06 Snippet(s)
Positive
"There was also a process for ensuring that any national guidance provided by the National Institute for Health and Care Excellence NICE and Medicines and Healthcare products Regulatory Agency MHRA alerts were received by the outofhours lead nurse and acted upon by disseminating information to frontline staff."
Positive
"All the advanced nurse practitioners ANPs were qualified in supplementary prescribing to enable pathways of care to be followed seamlessly within the consultation."
Positive
"Safeguarding patients from harm The provider had policies in place for the safeguarding of children and vulnerable adults and the regional outofhours lead nurse was the identified safeguarding lead."
Positive
"The regional medical director and the lead nurse told us that incidents were discussed at the local quality assurance and governance meetings QAGM and escalated to the regional meeting as necessary."
Positive
"The provider also employed advanced nurse practitioners who worked autonomously and saw patients at most locations this excluded children under one year of age pregnant women and patients that have mental health issues and palliative care patients."
Positive
"We were told by the regional medical director that doctors and advanced nurse practitioners were expected to provide some essential equipment of their own and this equipment was not routinely checked."
Neutral
"Staff members included the regional medical director director of operations registered manager doctors lead nurse and operational staff such as call handlers and drivers."
Latest Snippet(s)
Neutral
"The out of hours dental services are provided by a team of eight dentists four dental nurses one receptionist and one driver who work on a part time basis."
Latest Snippet(s)
Positive
"Performance was shared with staff and the local clinical commissioning group as part of contract monitoring arrangements."
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
"These included auditing and monitoring arrangements and mechanisms for reporting and investigating discrepancies."
Neutral
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2016-11-28 Snippet(s)
Positive
"The provider had a system in place for the reporting recording and monitoring of complaints."
Positive
"Management monitoring and improving outcomes for people • The service monitored its performance through the use of the national Minimum Data Set as well as compliance with the NHS Commissioning Standards."
Positive
"• Daily weekly and monthly monitoring and analysis of the service achievements was measured against key performance targets and shared with the lead clinical commissioning group CCG members."
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
"In addition the provider had established its performance monitoring arrangements and reviewed its performance daily."
2014-11-06 Snippet(s)
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."
Latest Snippet(s)
Neutral
"• The service monitored that these guidelines were followed as part of the audits that they carried out of the activities of all clinical staff."
2016-11-28 Snippet(s)
Positive
"• The provider had an emphasis on developing staff and helping them to progress through a portfolio based approach that enabled them to gain experience in other healthcare activities provided by Care UK Ltd. • The provider’s policies and procedures to govern activity were effective appropriate and up to date."
2014-11-06 Snippet(s)
Positive
"The location inspected was based in the Suffolk local authority area and is registered to provide two of the six regulated activities which are: transport services triage and medical advice provided remotely and treatment of disease disorder or injury."
Latest Snippet(s)
Positive
"They were clear about their line management arrangements as well as the clinical governance arrangements in place."
2016-11-28 Snippet(s)
Positive
"They were clear about their line management arrangements as well as the clinical governance arrangements in place."
Latest Snippet(s)
Positive
"There was a health and safety policy available with a poster in areas accessible to all staff that identified local health and safety representatives."
Neutral
"This covered topics including safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"Infection control audits were carried out on the dental van and contents every six months in line with the Infection Prevention Society IPS guidelines to test the effectiveness of the infection prevention and control procedures."
Neutral
"This covered topics including safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"The cleaning and decontamination of dental instruments was carried out by the Central Sterile Services Department CSSD at West Suffolk Hospital."
Neutral
"There were systems in place for cleaning and cleaning schedules were usedmaintained and reviewed regularly."
2014-11-06 Snippet(s)
Positive
"One of the locations which wwas not owned by the provider was in need of redecoration although it was considered clean and we saw that there was a weekly cleaning schedule in place."
Latest Snippet(s)
Neutral
"The regional clinical director also attended CCG local prescribing and medicine project meetings."
2014-11-06 Snippet(s)
Positive
"We looked at a range of policies such as safeguarding children vulnerable adults recruitment complaints and medicine management as well as a range of standard operating procedures."
Neutral
"The newsletters were also available within the department which gave information such as training medicine management and highlighted any changes to policies."
2016-11-28 Snippet(s)
Positive
"This included on going support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support ."
2016-11-28 Snippet(s)
Neutral
"Patient demographics vary across the three contracts with there being a higher proportion of elderly people living in rural communities in Suffolk and Lincolnshire compared to Milton Keynes’ higher percentage of younger people living in an urban environment."
2014-11-06 Snippet(s)
Positive
"The newsletters also highlighted patient care such as mental health and palliative care patient satisfaction results and case studies relating to incidents."
Positive
"The provider also employed advanced nurse practitioners who worked autonomously and saw patients at most locations this excluded children under one year of age pregnant women and patients that have mental health issues and palliative care patients."
Neutral
"This included GPs accessing the computer management system to provide information regarding their vulnerable patients such as palliative care or people that were housebound."
2014-11-06 Snippet(s)
Positive
"There was easy access to the locations we visited with car parking availability at both sites."
Positive
"There was easy access to the locations we visited with car parking availability at both sites for both patients and staff."
2014-11-06 Snippet(s)
Positive
"The location inspected was based in the Suffolk local authority area and is registered to provide two of the six regulated activities which are: transport services triage and medical advice provided remotely and treatment of disease disorder or injury."
2014-11-06 Snippet(s)
Neutral
"The newsletter identified how staff could access the policy and provided the internet link."
2014-11-06 Snippet(s)
Positive
"The provider had a system in place for re checking with the disclosure and barring service every three years for both employed and selfemployed staff; however agency staff employed criminal records checks were completed by the agency and information confirmed by the provider."