Types of Facilities

Nurse

Latest Snippet(s)

Positive

"Safe track record and learning • We viewed the systems and processes in place for the health care assistants HCAs competencies to be formally assessed by the supervising nurse as part of the appraisal system."

Positive

"• There was an appraisal system that included assessing competencies and the HCAs were observed a minimum of three times a year by the nurse to ensure competencies were maintained."

Neutral

"• An identified nurse had now completed the specialist course on infection prevention and control."

Neutral

"The lead IPC nurse had completed the relevant specialist IPC training since the last inspection."

Neutral

"Tasks relating to IPC were allocated using the computer system and monitored by the lead nurse and practice manager."

2016-05-31 Snippet(s)

Positive

"The practice employs a part time advanced nurse practitioner ANP four part time practice nurses two part time health care assistants a part time phlebotomist and five part time dispensers."

Positive

"The practice nurse was the infection control lead supported by the Practice Manager and Reception Team Leader all of whom had assigned areas of responsibility."

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."

Neutral

"The team included a GP specialist adviser a practice nurse specialist adviser and a Pharmacist specialist advisor."

Neutral

"We noted the next available routine appointment with a GP was in four weeks and with the nurse in two days."

Monitoring

Latest Snippet(s)

Positive

"• A training matrix and monitoring systems had ensured the practice had full oversight of staff training completed due and outstanding."

Positive

"• The practice had a training matrix and monitoring systems in place that ensured the practice had full oversight of staff training completed due and outstanding."

Positive

"The practice undertook a quarterly walkthrough monitoring of the surgery environment and an annual comprehensive audit in February each year."

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."

2016-05-31 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

"There were procedures in place for monitoring and managing risks to patient and staff safety."

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."

Infection Prevention and Control

Latest Snippet(s)

Positive

"Overview of safety systems and process • We observed the improved infection prevention and control IPC arrangements and ongoing audits were satisfactorily completed."

2016-05-31 Snippet(s)

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Cleaning Service

Latest Snippet(s)

Positive

"The practice had a daily clean with a cleaning schedule and a weekly deep clean by a contractor."

Receptionist

Television

2016-05-31 Snippet(s)

Positive

"Information about support groups was also available on the practice website and displayed on the television within the practice waiting area."

End of Life Care

2016-05-31 Snippet(s)

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."

Clinical Audit

2016-05-31 Snippet(s)

Positive

"• Continuous clinical and internal audit was used to monitor quality and make improvements although the practice did not have a programme of clinical audit in place."

Health and Safety

2016-05-31 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."

Medicines

2016-05-31 Snippet(s)

Positive

"Staff demonstrated an effective system for managing urgent medicine requests from secondary care or other clinics."

Positive

"For example the practice was unable to provide evidence of action taken in respect of a recent medicine alert."