2016-07-11 Snippet(s)
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
"• 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
"To address this the practice nurse held a cervical smear awareness event to explain the importance of regular smear testing."
Positive
"On the day of the event the practice nurse opportunistically undertook three smear tests and booked a further seven appointments."
Positive
"Actions from the minutes included inhouse nurse peer support for consultation skills and a review of the appointment length for some consultations."
Neutral
"• Monitor findings from the national GP patient survey relating to access to appointments via the telephone system and nurse consulations."
Neutral
"During our visit we: • Spoke with a range of staff GP partners salaried GP nurse practitioner practice nurse healthcare assistant practice manager deputy practice manager and reception and administration staff and spoke with patients who used the service."
Neutral
"For example an audit of asthma patients undertaken by a GP and practice nurse regarding inhaler technique revealed incorrect inhaler technique for the majority of patients."
Neutral
"We saw minutes of a meeting where the national GP patient survey results had been discussed in relation to nurse consultations as some responses had been below local and national averages."
Neutral
"Practice nurse appointments were available up to eight weeks in advance."
Latest Snippet(s)
Positive
"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected; • information from our ongoing monitoring of data about services; and • information from the provider patients the public and other organisations."
Positive
"• Continue monitoring and working to improve data for childhood immunisations cervical screening and cancer patient reviews."
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."
2016-07-11 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."
2016-07-11 Snippet(s)
Positive
"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening and used a text reminder service to invite patients for annual campaigns for example influenza."
2016-07-11 Snippet(s)
Positive
"The first floor is accessible by a lift and stairs."
2016-07-11 Snippet(s)
Positive
"The practice is registered as a partnership with the Care Quality Commission to provide the regulated activities of diagnostic and screening procedures; treatment of disease; disorder or injury; maternity and midwifery services; and family planning."
2016-07-11 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 were signposted to the relevant service."
2016-07-11 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
2016-07-11 Snippet(s)
Positive
"The health and safety policy stated all staff had fire training but on the day of the inspection only the two fire marshals had undertaken training."
Positive
"There was a health and safety policy available with a poster in the reception office on the ground floor and the first floor which identified local health and safety representatives."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-07-11 Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-07-11 Snippet(s)
Positive
"Areas for improvement Action the service SHOULD take to improve • Review the cleaning arrangements for the practice and infection control audit to ensure all standards have been assessed accurately."
Positive
"A cleaning schedule was available and a Control of Substances Hazardous to Health COSHH risk assessment for cleaning products."
Positive
"The areas where the provider should make improvement are: • Review the cleaning arrangements for the practice and infection control audit to ensure all standards have been assessed accurately."
Neutral
"The practice told us they used a contract cleaning company."
Neutral
"The practice told us they would contact the cleaning company regarding our findings."