Types of Facilities

Chairs

Latest Snippet(s)

Positive

"• The practice provided innovative services to support staff and foster a positive culture including staff awards a daily coffee ‘debrief’ session three times weekly chair yoga sessions and a wellbeing services package for staff."

Positive

"The lead GP partner was the chair of the local GP collaborative primary care home and the managing partner was the director of the organisation."

Cancer Screening Equipment

Latest Snippet(s)

Positive

"• The practice’s uptake for breast and bowel cancer screening was below the national average."

Nurse

Latest Snippet(s)

Positive

"• There was an effective skill mix of staff including a clinical pharmacist a phlebotomist a social prescriber a nurse practitioner and a care coordinator."

Positive

"The nursing team consists of a fulltime advanced nurse practitioner three parttime practice nurses and a parttime health care assistant."

Positive

"They had secured additional resources via internal investment and external funding to meet patients’ varied and complex needs including a social prescriber two clinical pharmacists and nurse practitioner."

Positive

"• There were clear GP and nurse leads for a range of longterm conditions."

Neutral

"The project involved directly bookable diabetes clinics with a community specialist diabetic nurse via remote email telephone and joint consultations."

Neutral

"• A dementialink nurse attended multidisciplinary team meetings every two months."

Monitoring

Latest Snippet(s)

Positive

"The practice had analysed performance data and local population health data and implemented a project to improve treatment and monitoring for these patients which included working with the local community healthcare NHS trust to deliver an approved approach to diabetes care."

Positive

"Quality improvement projects included those for improving cervical screening uptake improving childhood immunisation uptake reducing cervical smear inadequate rates and improving monitoring of diabetic patients."

Positive

"The areas where the provider should make improvements are: • Further develop quality improvement systems to include monitoring and analysing trends from verbal patient feedback."

Positive

"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."

Positive

"• The practice intranet system which had been sourced and adapted by the managing partner included an organisational ‘dashboard’ to allow continuous and effective monitoring across a range of systems."

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."

Neutral

"This was in response to the practice identifying that improvements were required for monitoring practice patients with diabetes."

2015-12-10 Snippet(s)

Positive

"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."

Positive

"• There were procedures 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 and mix of staff to needed to meet patients’ needs."

Parking

Latest Snippet(s)

Neutral

"The premises were fully accessible to those with restricted mobility and the practice had accessible parking spaces and a wheelchair for patients to use if necessary."

2015-12-10 Snippet(s)

Positive

"In addition some patients made positive comments about the walk in clinic while others would prefer a booked appointment at a set time and some patients found parking at the practice an issue."

Transport/Minibus Available

Latest Snippet(s)

Positive

"The GP and practice nurses also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Near Public Transport

Latest Snippet(s)

Positive

"The GP and practice nurses also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."

Activities

Latest Snippet(s)

Positive

"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."

Positive

"The practice is registered as a partnership of four partners with the Care Quality Commission to provide the regulated activities of diagnostic and screening services family planning services maternity and midwifery services and treatment of disease disorder or injury."

Neutral

"Regulated activities are provided at one location operated by the provider."

2015-12-10 Snippet(s)

Positive

"The practice is registered with the Care Quality Commission CQC to provide the regulated activities of: treatment of disease disorder or injury maternity and midwifery services diagnostics and screening procedures and family planning services."

Wheelchair Access

Latest Snippet(s)

Neutral

"The premises were fully accessible to those with restricted mobility and the practice had accessible parking spaces and a wheelchair for patients to use if necessary."

End of Life Care

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."

2015-12-10 Snippet(s)

Positive

"For example they used care plans for people receiving end of life care to ensure the individual’s wishes were available to those providing care or treatment."

Neutral

"For example those receiving end of life care carers those at risk of developing a longterm condition and those requiring information and advice on their diet and smoking cessation."

Clinical Audit

Latest Snippet(s)

Positive

"• A range of quality improvement measures including clinical audit had a positive impact on quality of care and outcomes for patients."

Clinical Supervision

Latest Snippet(s)

Neutral

"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."

2015-12-10 Snippet(s)

Positive

"Staff had access to clinical supervision and support for the revalidation of GPs and nurses."

Medicines

Latest Snippet(s)

Positive

"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."

2015-12-10 Snippet(s)

Neutral

"Medical records showed assessments were completed investigations were carried out referrals were made to specialist services and medicine reviews were carried out when required."

Palliative

2015-12-10 Snippet(s)

Positive

"The practice held monthly multidisciplinary meetings with the palliative care team health visitors and district nurses to understand and meet the needs of patients with complex health needs."

Receptionist

Clinical Governance

2015-12-10 Snippet(s)

Neutral

"The partners met weekly for clinical governance meetings to review how the practice was operating and discuss future improvements."

Health and Safety

2015-12-10 Snippet(s)

Positive

"The practice had developed policies regarding health and safety which were accessible to all staff."

Neutral

"We looked at the provider’s policies and a range of records including staff recruitment and training files health and safety building and equipment maintenance infection control complaints significant events and clinical audits."

Neutral

"• The practice had an induction programme for new staff which included essential policies such as confidentiality fire safety first aid health and safety and safeguarding."

Cleaning Service

2015-12-10 Snippet(s)

Positive

"Clinical staff were responsible for cleaning between patients and had access to equipment to complete this."

Positive

"Staff told us they would report issues with the cleaning to the cleaner or practice manager."

Positive

"The practice manager carried out regular checks to ensure the cleaning met the required standards."

Neutral

"There was a cleaning schedule which detailed the areas to be cleaned daily weekly and monthly."