Latest Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was below the national average."
Latest Snippet(s)
Neutral
"The GP and practice nurse also accommodated home visits."
2017-11-22 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision for the pharmacist and practice nurse and facilitation and support for revalidating GPs and nurses."
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
"two locum nurse practitioners offering six sessions per week two practice pharmacists working eight sessions per week two practice nurses and a health care assistant."
Positive
"The practice had improved access since taking over of the service by employing additional staff including pharmacists and nurse practitioners."
Neutral
"During our visit we: • Spoke with a range of staff GP pharmacist practice nurse practice management and reception and administrative staff and spoke with patients who used the service."
Neutral
"Staff who administered vaccines could demonstrate how they stayed up to date with changes to the immunisation programmes for example by access to on line resources and discussion at practice meetings and nurse forums both within the locality and those hosted by AT Medics."
Neutral
"The practice introduced nurse practitioners and pharmacists and recruited a GP who could provide more consultations while working the same number of sessions as a retiring GP."
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
"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."
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."
2017-11-22 Snippet(s)
Positive
"The practice had clear and effective policies and procedures to govern activity in most respects; however the practice were not following their policy for monitoring vaccine fridge temperatures and the safeguarding policies did not contain accurate information regarding the practice leads."
Positive
"The arrangements for managing medicines did not always ensure that patients were kept safe particularly in respect of monitoring vaccine fridge temperatures."
Positive
"Management monitoring and improving outcomes for people The practice was using the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"• The arrangements in place for monitoring and mitigating risks associated with infection control were not effective."
Positive
"This ensured that patients would be called in at appropriate intervals for monitoring and assessments and provided with suitable advice where required."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"Specifically we found concerns related to the management of significant events medicines and risks associated with infection control medicines management the management of equipment procedures around recruitment and monitoring and chaperoning."
Positive
"Though there were monitoring systems in place for the practice’s oxygen supply there were no documented checks to monitor the working status of the defibrillator though we were told that this was being done in practice."
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 arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"Falmouth Road Group Practice is registered to provide the following regulated activities Diagnostic and screening procedures Treatment of disease disorder or injury Maternity and midwifery services and Family planning."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper 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 took into account the needs of different patients including those who may be vulnerable because of their circumstances."
2017-11-22 Snippet(s)
Positive
"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."
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."
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."
Latest Snippet(s)
Positive
"This included an induction process which included regular one to ones with the practice manager appraisals coaching and mentoring clinical supervision and support for revalidation."
2017-11-22 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision for the pharmacist and practice nurse and facilitation and support for revalidating GPs and nurses."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2017-11-22 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."
Latest Snippet(s)
Positive
"Though the practice still reported that there were occasional issues with their cleaning company staff were in regular communication with the contractor to ensure than the premises were cleaned to an acceptable standard."
2017-11-22 Snippet(s)
Neutral
"The cleaning schedules were completed inconsistently and incorrectly."
Neutral
"The practice told us that they were aware of this issue and we saw evidence that they had raised the concerns with the cleaning contractors on several occasions."
2017-11-22 Snippet(s)
Positive
"For example they were undertaking comprehensive assessments for frail elderly patients and drafting comprehensive care plans which addressed both the patients’ health and social needs."
Positive
"However we did identify some examples of good practice: • The practice held a register of patients living in vulnerable circumstances including homeless people frail elderly and those with a learning disability."
Positive
"The practice population has higher levels of deprivation effecting children and older people compared with the national average and there is a higher proportion of working age patients and significantly lower proportion of elderly compared with national averages."
Positive
"For example the practice provided Holistic Health assessments which aimed to ensure that the health and social needs of elderly vulnerable patients were met through the production of comprehensive care plans and engagement with local services both in the health and voluntary sector."
Positive
"Care plans were produced on the basis of assessment which aimed to address both health and social needs and provide additional support to elderly vulnerable and housebound patients."
Latest Snippet(s)
Positive
"At this inspection we found evidence of action taken in response to patient and medicine safety alerts."
2017-11-22 Snippet(s)
Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
2017-11-22 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."