Types of Facilities

Nurse

Latest Snippet(s)

Positive

"The service is provided by five GP partners three female and two male two salaried GPsfemale one practice manager one advanced nurse practitioner four practice nurses and three health care assistants."

Positive

"Each significant event had been discussed at GP nurse and administration meetings and records of those meetings showed this to be the case."

2016-05-10 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 recorded the outcome of the assessment."

Positive

"The practice had a system for production of Patient Specific Directions to enable Health Care Assistants to administer vaccinations after specific training when a doctor or nurse were on the premises."

Positive

"Nursing staff we spoke with described incidents they had reported and we saw evidence that they had been discussed in nurse meetings Significant events were a standing item on some business and clinical meeting minutes we reviewed."

Neutral

"A practice nurse was the infection control clinical lead."

Monitoring

Latest 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."

2016-12-22 Snippet(s)

Positive

"The practice did not have a risk log but there were some procedures in place for monitoring and managing risks to patient and staff safety."

Positive

"• A system had been put in place for the monitoring of training and we found that it was easy to identify when training and updates were due."

Positive

"• No system for the monitoring of training for all staff • Meeting minutes had limited recording of discussions about performance quality and risk At this most recent inspection we saw that the practice had governance systems in place and had made significant improvements."

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 systems for assessing and monitoring risks and the quality of the service provision."

2016-05-10 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

"• The practice did not have a risk log but there were some procedures in place for monitoring and managing risks to patient and staff safety."

Positive

"• The practice took part in shared care monitoring for specific medicines."

Positive

"• The recording monitoring and investigation for significant events was not consistent or robust."

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

"A discussion was held on changes to the monitoring of blood glucose."

Health and Safety

2016-05-10 Snippet(s)

Neutral

"We were told it covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Infection Prevention and Control

2016-12-22 Snippet(s)

Neutral

"• Action had been taken to address identified concerns with infection prevention and control practice."

Neutral

"At this inspection we found that the infection control lead had been on infection prevention and control update training and had disseminated information to the practice team."

2016-05-10 Snippet(s)

Neutral

"We were told it covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Cleaning Service

2016-12-22 Snippet(s)

Positive

"There was no schedule or record of cleaning specifically relating to minor surgery."

Positive

"There were no formal records that the management team carried out any spot checks of the cleaning within the practice."

Neutral

"The practice had implemented a record of cleaning specific to minor surgery."

Neutral

"Formal records of spot checks for cleaning were now in place."

2016-05-10 Snippet(s)

Positive

"There was no schedule or record of cleaning specifically relating to minor surgery."

Neutral

"• The practice employed an external cleaning company."

Neutral

"We saw there was a cleaning schedule for the premises which detailed cleaning to be carried out for specific areas of the practice for example treatment rooms and consultation rooms."

Neutral

"Since the inspection the practice have implemented a record of cleaning specific to minor surgery."

Medicines

2016-05-10 Snippet(s)

Positive

"GP Registrars are fully qualified doctors who already have experience of hospital medicine and gain valuable experience by being based within the practice."

Receptionist

Parking

2016-05-10 Snippet(s)

Positive

"For example car parking for patients with a disability and do not attend DNA issues • The practice had gathered feedback from staff through appraisals and informal discussions."

Clinical Supervision

2016-05-10 Snippet(s)

Positive

"This included appraisals mentoring informal clinical supervision and facilitation and support for revalidating GPs."