Latest Snippet(s)
Positive
"There is a large team of mixed skilled nursing and assistant nursing staff including a fulltime mental health nurse three practice nurses two health care assistants an assistant practitioner and an advanced nurse practitioner who is able to prescribe."
Positive
"A fully integrated medicines management team is employed by the practice consisting of administration staff a clinical pharmacist and a pharmacistassistant practitioner who has just completed their training to be an advanced nurse practitioner."
Neutral
"They offer appointments with a named GP within five working days as well as ontheday appointments with nurse practitioners for urgent cases and two dedicated urgent appointments daily per GP surgery."
2018-07-12 Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser and a second CQC inspector."
Neutral
"They offer appointments with a named GP within five working days as well as ontheday appointments with nurse practitioners for urgent cases and two dedicated urgent appointments daily per GP surgery."
Neutral
"There were two GP appointments available each day specifically for this purpose as well as appointments with the nurse practitioners."
2016-02-04 Snippet(s)
Positive
"For example they regularly worked with other services to optimise patient care they had initiated weekly ward rounds in nursing homes and they had employed a nurse practitioner to help meet patient demand."
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
"For example : • The practice regularly worked with other services to optimise patient care they had initiated weekly ward rounds in nursing homes and they had employed a nurse practitioner to help meet patient demand."
Positive
"However although they were aware of its existence the lead nurse told us that they had not had sight of that audit nor had they or the other practice nurses contributed to improving standards in any way."
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser and an Expert by Experience."
Neutral
"The nurse practitioner and one of the practice nurses were qualified as independent prescribers and could therefore prescribe medicines for specific clinical conditions."
Neutral
"The nurse practitioner volunteers at a local animal sanctuary and the practice participated in Buy a dog a Christmas dinner."
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."
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 introduced rigorous monitoring and maintenance of vulnerable patients and ensured that contact with those patients remained consistent when they were in crisis and reduced when they became stable."
2018-07-12 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."
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."
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."
2016-02-04 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."
Latest Snippet(s)
Neutral
"Background to Delamere Medical Practice Delamere Medical Practice is located within Delamere Medical Centre and is close to public transport and local amenities."
2018-07-12 Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"Delamere Medical Practice is located within Delamere Medical Centre and is close to public transport and local amenities."
Latest Snippet(s)
Neutral
"Background to Delamere Medical Practice Delamere Medical Practice is located within Delamere Medical Centre and is close to public transport and local amenities."
2018-07-12 Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"Delamere Medical Practice is located within Delamere Medical Centre and is close to public transport and local amenities."
Latest Snippet(s)
Positive
"We saw several areas of outstanding practice including: • The practice introduced an improved medicine review template because they found the standard template in the clinical system was not effective and did not reduce error."
2018-07-12 Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Positive
"Patients with chronic obstructive pulmonary disease COPD were provided rescue packs in advance to try and reduce admissions and medicine optimisation clinics were available for diabetic and COPD patients."
2016-02-04 Snippet(s)
Positive
"The practice had two medicine managers who carried out regular medicines audits with the support of the local CCG pharmacy teams to ensure prescribing was in line with best practice guidelines for safe prescribing."
Positive
"The practice is supported by a business and office Manager two medicine managers and a team of admin and reception staff."
2018-07-12 Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with the national average."
2018-07-12 Snippet(s)
Positive
"They provide the regulated activities of diagnostic and screening services treatment of disease disorder or injury family planning maternity services surgical procedures and General Medical Services under a contract provided by the Trafford Clinical Commissioning Group."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2016-02-04 Snippet(s)
Positive
"• The practice staff were also involved in fundraising for the local community and had undertaken several activities to raise money for patients with cancer child cardiac support local hospices and the local homeless population."
2018-07-12 Snippet(s)
Positive
"• There was a low level desk in the reception area to allow wheelchair users easy access to receptionists."
2018-07-12 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."
2018-07-12 Snippet(s)
Neutral
"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."
2016-02-04 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
2018-07-12 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 policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2016-02-04 Snippet(s)
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-02-04 Snippet(s)
Positive
"However there was no forms on the website or at reception and patients would have to request a complaints form if from the receptionist if required."
2016-02-04 Snippet(s)
Positive
"There was a health and safety policy available."
Neutral
"However there was no information in the reception office which identified local health and safety representatives."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."