Latest Snippet(s)
Positive
"• Continue with efforts to encourage uptake of cancer screening services in particular cervical screening."
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with the national average."
Latest Snippet(s)
Positive
"At the time of our inspection the lead nurse was planning to attend an infection control advanced training course to support her in her recently appointed role as infection control lead."
Positive
"• The practice had successfully trained nurses on the General Nurse to Practice Nurse course for two consecutive years."
Positive
"The practice planned for the nurse to attend an advanced training course to ensure competency in her new role."
Positive
"• The practice was piloting a scheme which provided onsite facilities once a week for a mental health nurse to support patients with mild to moderate mental health issues."
Positive
"For example the practice was facilitating a mental health nurse once a week as part of a pilot scheme to improve access to mental health services."
Positive
"We saw that the lead nurse kept a log of safety alerts that she actioned however the practice did not maintain an overall log of all alerts."
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser and a practice manager adviser."
Neutral
"The lead nurse had recently been appointed as the IPC lead following the retirement of her predecessor."
Neutral
"Test results would be interpreted by the nurse and patients were called for further review when needed."
2015-06-04 Snippet(s)
Positive
"Outstanding practice We found the practice to be outstanding in the following area: • The practice had employed a nurse who was based at the local probation office to carry out health checks."
Positive
"They had introduced an integrated care plan model whereby they had employed a social worker and community nurse to work alongside other nursing colleagues to provide better assessment and support in patients own homes."
Positive
"We saw an area of outstanding practice: • The practice had employed a nurse who was based at the local probation office to carry out health checks."
Positive
"The nurse carried out health checks for people on probation and offered advice and support on a variety of health promotion topics such as sexual health and healthy eating."
Positive
"The nurse carried out health checks on people on probation and offered advice and support on a variety of health promotion topics such as sexual health and healthy eating."
Positive
"National patient safety alerts were received by the practice manager and practice nurse and cascaded to the appropriate staff."
Positive
"The nursing team consists of four practice nurses a nurse practitioner and two health care assistants."
Positive
"They would be referred to the nurse if they had unmet health needs for further assessment or referred to other organisations if appropriate."
Positive
"The nurse practitioner told us that they had an appraisal with a specific GP and that the practice supported training identified."
Positive
"For example the practice had supported them to undertake the nurse practitioner degree course."
Positive
"Patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing with the nurse and reviewed annually by their individual GPs."
Positive
"They advised patients how to register with a GP and if any abnormalities were found as a result of their health assessment the nurse would contact a practice with their permission to facilitate registration and ensure their health problem was dealt with."
Positive
"They advised patients how to register with a GP and if any abnormities were found as a result of their health assessment the nurse would contact a practice with their permission to facilitate registration and ensure their health problem was dealt with."
Neutral
"They had employed a nurse who was based at the local probation office to carry out health checks which was part of a pilot project with Public Health England."
Neutral
"Results were reviewed by the nurse the following day and any necessary action was carried out."
Neutral
"The practice had also employed a nurse who was based at the local probation office to carry out health checks."
Neutral
"The practice was situated over the ground and first floor of the building with all GP and nurse consulting rooms for patients on the ground floor."
Neutral
"For example there was a lead nurse for infection control and a GP lead for safeguarding."
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
"They pertained this to the effective work undertaken by their clinical team in closely monitoring and supporting these patients."
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."
2015-06-04 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
Positive
"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."
Positive
"There was a policy for monitoring patients receiving high risk medicines which we noted was out of date and required review."
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
"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Neutral
"There is a large car park outside the surgery with disabled parking available."
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 policies procedures and activities to ensure safety however some of these needed expanding to provide assurance."
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."
2015-06-04 Snippet(s)
Neutral
"The practice held multidisciplinary team meetings every three months to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."
Latest Snippet(s)
Positive
"• Develop a programme of regular clinical audit to ensure efficacy and improve outcomes for patients."
2015-06-04 Snippet(s)
Positive
"These included areas such as chronic obstructive pulmonary disease asthma heart disease and diabetes Following discussions with staff and looking at minutes from meetings we found that the team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Neutral
"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."
2015-06-04 Snippet(s)
Positive
"These included areas such as chronic obstructive pulmonary disease asthma heart disease and diabetes Following discussions with staff and looking at minutes from meetings we found that the team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Neutral
"• There were comprehensive risk assessments in relation to health and safety issues including COSHH and Fire safety."
2015-06-04 Snippet(s)
Positive
"The practice had a health and safety policy which staff were advised to read in the employee handbook."
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 policies procedures and activities to ensure safety however some of these needed expanding to provide assurance."
Positive
"• There was an effective system to manage infection prevention and control IPC."
2015-06-04 Snippet(s)
Positive
"Practice reception staff we spoke with told us that if any patients who required urgent medical attention for example children who are ill or an elderly patient they would contact the doctors on duty to get a consultation."
Positive
"The practice also worked closely with other agencies and hosted a monthly drop in session from Carers Milton Keynes the local MIND organisation and AgeUK for carers those with mental health issues and the elderly to access support and advice."
Latest Snippet(s)
Positive
"• The practice acted on and 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."
2015-06-04 Snippet(s)
Positive
"Medicines management We spoke with the nurses and found that there was a robust process for checking medicines stored in the treatment rooms and medicine refrigerators."
2015-06-04 Snippet(s)
Neutral
"We also met with the chair of the patient participation group."
Neutral
"We spoke to the chair of the PPG who reported that the practice worked well with the group and responded to feedback."
2015-06-04 Snippet(s)
Positive
"It had a palliative care register and held multidisciplinary meetings every three months to discuss the care and support needs of patients and their families."
2015-06-04 Snippet(s)
Neutral
"However there was lift access to the first floors where occasional additional services took place."
2015-06-04 Snippet(s)
Positive
"Cleanliness and infection control We observed the premises to be clean and tidy and saw that there were cleaning schedules in place and cleaning records were kept."
Neutral
"Each room had a cleaning schedule which showed the required procedures necessary and at what intervals and we saw that they had been completed."
Neutral
"The practice employed external cleaners to manage the cleaning of the practice and we saw records to show what they were contracted to carry out each week."