Latest Snippet(s)
Positive
"Engagement with other agencies such as palliative care teams took place to ensure appropriate packages of care were in place."
2017-07-03 Snippet(s)
Positive
"• The practice liaised closely with district nurses and palliative care staff when patients were identified as approaching the end of life."
Positive
"Multidisciplinary meetings were not held on site with district nurses and palliative care nurses; however patients from the practice were discussed and their needs reviewed at a meeting held at another site within One Medical Group."
Positive
"The organisation held and minuted a range of multidisciplinary meetings including meetings with district nurses and palliative care nurses."
Positive
"• The organisation held and minuted a range of multidisciplinary meetings including meetings with district nurses and palliative care nurses."
Latest Snippet(s)
Positive
"• The GP practice supported national priorities and initiatives to improve the population’s health for example cancer screening smoking cessation and tackling obesity."
Positive
"• There was a GP practice ‘screening champion’ who promoted cancer screening and supported patients to access this service."
Positive
"• There was a GP practice ‘screening champion’ who promoted cancer screening and supported patients to uptake this service."
Latest Snippet(s)
Positive
"The nursing team consists of one male practice nurse two regular sessional female practice nurses and a female health care assistant."
Positive
"• A clinical nurse specialist in respiratory care delivered a weekly clinic in the GP practice for those patients who had asthma or COPD."
Positive
"There are four advanced nurse practitioners ANPs who work in the walkin centre."
Positive
"One of the advanced nurse practitioners ANPs who also acted in the capacity of clinical lead was the safeguarding lead for the GP practice and walkin centre."
Positive
"At the time of our inspection the GP practice and walkin centre were supporting a nurse and a trainee ANP."
Positive
"However we were informed that some rooms had to be shared with other community services meaning practice nurse clinics could only be delivered four days per week."
Neutral
"In addition team members include a patient advisor patient ambassadors physiotherapist midwife and a respiratory nurse specialist."
Neutral
"An issue of only having a male practice nurse had been raised; consequently the services of two female practice nurses had been procured."
2017-07-03 Snippet(s)
Positive
"For those patients with the most complex needs the GP and practice nurse worked with relevant health and care professionals to deliver a multidisciplinary package of care."
Positive
"During our visit we: • Spoke with a range of staff including the practice manager locum GP practice nurse and health care assistant for the practice and locum advanced nurse practitioner for the walk in centre."
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
"Additional clinical cover is provided by one male practice nurse one female nurse practitioner and one female health care assistant."
Positive
"In addition they had recruited an additional female practice nurse who was able to carry out cervical screening in an attempt to improve uptake."
Positive
"We saw examples of rotas which showed that GP and nurse appointments were available each day for the GP practice; and that appointments with advanced nurse practitioners were available each day for the Walk in Centre."
Neutral
"• All these patients were offered a structured annual review with the practice nurse in the month of their birthday; to check their health and medicines needs were being met."
Neutral
"The practice told us their relatively low performance in QOF was a result of being without a practice nurse for a period of time in the previous year."
Neutral
"As a result they had employed an additional practice nurse and had arranged access to additional consulting rooms within the premises on a sessional basis in order to accommodate additional staff."
2017-07-03 Snippet(s)
Neutral
"We also spoke with the practice manager and one receptionist and both patient advisors."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
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
"• There were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"This included raising staff awareness and actively monitoring and reporting on prescribing rates."
2017-07-03 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."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"This included tracking who was responsible for monitoring of patients taking these medicines and ensuring that any necessary tests were collated and results stored."
Positive
"• Continue to improve systems and processes for monitoring patient outcomes."
Positive
"• The practice hosted a midwife clinic weekly providing support and monitoring for pregnant women."
Positive
"Amber drugs are medicines usually initiated by a hospital consultant which require additional monitoring by the practice before repeat prescribing due to the risk of side effects."
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 a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."
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."
Neutral
"For example recent action taken as a result included updating the process for monitoring the prescribing of amber drugs within the practice."
Latest Snippet(s)
Neutral
"• Staff 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
"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."
2017-07-03 Snippet(s)
Positive
"The practice encouraged patient involvement in contributing to their end of life care plan."
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)
Positive
"• A clinical nurse specialist in respiratory care delivered a weekly clinic in the GP practice for those patients who had asthma or COPD."
Latest Snippet(s)
Neutral
"• All clinical operational and clinical governance arrangements were addressed at the provider’s executive board level."
2017-07-03 Snippet(s)
Neutral
"One Medical Group Integrated Governance Committee met regularly addressing clinical operational and clinical governance issues."
Neutral
"• The One Medical Group Integrated Governance Committee took place within the Executive Board meetings and addressed clinical operational and clinical governance arrangements."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2017-07-03 Snippet(s)
Positive
"This included ongoing support onetoone meetings when required coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
Latest Snippet(s)
Positive
"Issues in relation to health and safety were also discussed at team meetings."
2017-07-03 Snippet(s)
Positive
"Areas for improvement Action the service MUST take to improve • The provider must do all that is reasonably practicable to assess monitor manage and mitigate risks to the health and safety of patients who use services."
Positive
"Safe care and treatment How the regulation was not being met: The registered person did not do all that was reasonably practicable to assess monitor manage and mitigate risks to the health and safety of patients who use services."
Positive
"The areas where the provider must make improvement are: • The provider must do all that is reasonably practicable to assess monitor manage and mitigate risks to the health and safety of patients who use services."
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."
Latest Snippet(s)
Positive
"• There was an effective system to manage infection prevention and control across both the GP practice and walkin centre."
Neutral
"A sample of audits they undertook included quarterly audits on infection prevention and control sepsis and antimicrobial prescribing."
2017-07-03 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."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-07-03 Snippet(s)
Neutral
"PSDs are written instructions signed by a doctor; dentist or nonmedical prescriber for medicines to be supplied and or administered to a named patient after the prescriber has assessed the patient on an individual basis."
2017-07-03 Snippet(s)
Positive
"The practice has limited parking spaces on site."
2017-07-03 Snippet(s)
Positive
"Equipment we saw on the day appeared visibly clean however we saw that some equipment cleaning schedules were not completed at the time of our inspection."
Neutral
"There were cleaning schedules and monitoring systems in place."