Latest Snippet(s)
Positive
"• The practice had carried out role play for medical emergency situations and had identified and acted on areas for improvement to be able to respond to a medical emergency more efficiently."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
Positive
"• The practice had access to equipment for use in medical emergencies but there was no formal written arrangement or oversight of the monitoring of this equipment."
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
"We were advised after the inspection that the practice was to purchase its own defibrillator and have their own system for monitoring use of emergency equipment."
Positive
"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
"There was no formal written shared agreement in place and the practice did not review the monitoring of the equipment."
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 provider should: • Have a monitoring system for the use of prescription forms for printers in the building."
2016-01-28 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."
2015-07-09 Snippet(s)
Positive
"Management monitoring and improving outcomes for people There were systems in place to evaluate the operation of the service and the care and treatment given."
Positive
"The GPs specialised in clinical areas such as diabetes high risk medication monitoring heart disease and sexual 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
"For example an audit of bariatric patients had led to changes in the practice protocols for monitoring the healthcare needs of these patients."
Neutral
"An audit of bariatric patients had led to changes in the practice protocols for monitoring the healthcare needs of these patients."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring safety incidents."
Positive
"The second cycle of this audit showed that all patients were now having the correct health care monitoring and it had been identified that several patients needed further intervention such as the prescribing of supplementary vitamins."
Positive
"These included medicines management infection control dealing with emergencies and monitoring the safety of equipment."
Latest Snippet(s)
Positive
"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Neutral
"• The practice ensured that end of life care was delivered in a coordinated way which considered the needs of different patients including those who may be vulnerable because of their circumstances."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2015-07-09 Snippet(s)
Positive
"Medicines Management The GPs told us they reauthorised medicines in accordance with the needs of patients and a system was in place to highlight patients requiring medicine reviews."
2015-07-09 Snippet(s)
Positive
"Multidisciplinary team and palliative care meetings were held where patient care was reviewed to ensure patients were receiving the support they required."
Positive
"Multidisciplinary team and palliative care meetings where held monthly were patient care was reviewed to ensure patients were receiving the support they required."
Positive
"They also specialised and took the lead with different patient groups such as patients living in vulnerable circumstances patients experiencing poor mental health and patients with cancer and those receiving palliative care."
Positive
"Patients receiving palliative care were allocated two GPs so there was always a GP available who knew the patients’ needs."
Positive
"Multidisciplinary team and palliative care meetings were held on a regular basis."
Positive
"Social workers attended the multidisciplinary team and palliative care meetings which enabled a more holistic approach to reviewing a patient’s needs."
Neutral
"For example patients with learning disabilities and those who were on the palliative care register."
2015-07-09 Snippet(s)
Positive
"Ninety eight percent of patients said the last time they saw or spoke to a nurse the nurse was good or very good at treating them with care or concern."
Positive
"We spoke to four receptionadministrative staff and a nurse who told us the practice was supportive of their learning and development needs."
Positive
"GPs and the practice nurse were able to refer patients on to Are services caring?"
Positive
"Emergency drugs and vaccines were held securely and routinely checked by a designated nurse to ensure they were in date and suitable for use."
Positive
"Arrangements to deal with emergencies and major incidents Emergency medicines were held securely and routinely checked by a designated nurse to ensure they were in date and suitable for use."
Neutral
"We spoke with the practice manager registered manager GPs practice nurse practice development lead information manager reception manager administrative staff and reception staff on duty."
2015-07-09 Snippet(s)
Positive
"There were comfortable waiting areas for patients attending an appointment and car parking was available nearby."
Neutral
"There were disabled parking spaces and toilet facilities."
2015-07-09 Snippet(s)
Neutral
"We noted that a cold chain policy cold chain refers to the process used to maintain optimal conditions during the transport storage and handling of vaccines was not in place for clinical staff to refer to."
2015-07-09 Snippet(s)
Positive
"A television screen in the waiting area also provided details of how to make a complaint."
2015-07-09 Snippet(s)
Neutral
"The practice had a system in place for completing clinical audit cycles."
2015-07-09 Snippet(s)
Positive
"A health and safety policy and procedure was available."
Positive
"The practice manager was the lead for health and safety and these issues were discussed at staff meetings."
2015-07-09 Snippet(s)
Positive
"Practice staff made checks of the premises to ensure cleaning was carried out to a satisfactory standard."
Neutral
"A cleaning schedule was in place and we were told that the cleaners completed a log of cleaning works undertaken."