Latest Snippet(s)
Neutral
"The nurse was the infection control lead and we saw the practice carried out annual infection control audits."
Neutral
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice."
2016-03-10 Snippet(s)
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 where appropriate recorded the outcome of the assessment."
Positive
"• The practice nurse also worked as a practising midwife and ran the shared care antenatal and post natal clinic at the surgery."
Positive
"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"• The practice nurse also worked as a practising midwife and ran the shared care antenatal and postnatal clinic at the surgery."
Positive
"The female nurse was only at the practice for six hours per week and was only able to provide limited chaperone duties."
Positive
"Patient Group Directions had been adopted by the practice to allow the nurse to administer medicines in line with legislation."
Neutral
"A community psychiatric nurse attended the monthly multi disciplinary meeting saw individual patients at the practice and liaised closely with the clinical team."
Neutral
"The lead GP provided cover for the nurse when she was absent."
Neutral
"The community psychiatric nurse attended monthly multidisciplinary meetings liaised closely with the GP regarding patients and saw with individual patients as required."
2016-03-10 Snippet(s)
Neutral
"The administration team comprises of a full time practice manager one full time receptionist and two part time receptionists."
Neutral
"During our visit we: • Spoke with a range of staff doctor practice manager receptionist site manager and spoke with patients who used the service."
Neutral
"A microphone system was in use to enable patients to be easily heard by the receptionist behind a glass screen."
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."
2016-03-10 Snippet(s)
Positive
"The premises management company organised regular fire risk assessments legionella monitoring and carried out fire drills for all three practices based at the centre."
Positive
"Monitoring risks to patients Some risks to patients were assessed and managed • There were some procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"• Implement formal governance arrangements including systems for assessing and monitoring the quality of the service provision."
Positive
"Smoking cessation advice blood pressure monitoring phlebotomy and spirometry were available from the health care assistant at the practice."
Positive
"There were very limited formal governance arrangements including systems for assessing monitoring and recording the quality of the service provided."
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)
Positive
"At this inspection we saw practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2016-03-10 Snippet(s)
Positive
"The practice was registered with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures maternity and midwifery services treatment of disease disorder and injury and surgical procedures."
Latest Snippet(s)
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
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • At the last inspection we found although the practice had a number of policies and procedures to govern activity they were not practice specific."
Latest Snippet(s)
Positive
"• The practice had a Primary Care Navigator who worked closely with the team to provide an additional tier of social support to elderly and vulnerable patients."
Latest Snippet(s)
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
2016-03-10 Snippet(s)
Positive
"Staff training records were incomplete however we saw evidence of training on: safeguarding infection control fire procedures basic life support health and safety and mental capacity and consent."
Positive
"Several versions of health and safety policies were seen but were not practice specific and staff we spoke with were not familiar with these policies."
Neutral
"For example training records were incomplete neither the health and safety policy or the recruitment policy were practice specific with evidence of current use."