Latest Snippet(s)
Neutral
"At this inspection we found: • The infection prevention control IPC lead nurse had completed a training update and had received additional training to undertake this role."
Neutral
"The infection prevention control IPC lead nurse had completed update training and had received additional training to undertake this role."
2018-01-23 Snippet(s)
Positive
"• The practice nurse had undertaken a diploma in diabetes care and attended regular educational updates."
2015-09-17 Snippet(s)
Positive
"The practice nurse told us they would review this process to ensure vaccines were kept secure at all times."
Neutral
"The practice nurse told us they would review the process to see if an official action plan could be used to monitor changes."
2015-06-11 Snippet(s)
Positive
"Our interviews with staff confirmed that the practice was proactive in providing training and funding for relevant courses for example a nurse had requested further education in chest examinations and the practice had encouraged this and now the nurse had developed her role."
Neutral
"For example there was a lead nurse for infection control and a GP partner was the lead for safeguarding."
Latest Snippet(s)
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."
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."
2018-01-23 Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"For example we saw that the practice had an effective system to ensure that patients were receiving regular monitoring when on high risk medicines that necessitated this."
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
"• There were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"For example the monitoring of test results for GPs who were away from the practice."
2015-09-17 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."
2015-06-11 Snippet(s)
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
"Management monitoring and improving outcomes for patients The practice had a system in place for completing clinical audit cycles."
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
"Vaccine refrigerators were kept at required temperatures through twice daily monitoring of the refrigerator including the current minimum and maximum temperature recorded."
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)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2018-01-23 Snippet(s)
Positive
"The practice 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."
2015-06-11 Snippet(s)
Positive
"Areas for improvement Action the service MUST take to improve • Ensure medicine management systems are reviewed to ensure all medicines are kept securely and monitored appropriately."
Positive
"Importantly the provider must; • Ensure medicine management systems are reviewed to ensure all medicines are kept securely and monitored appropriately."
Positive
"For example following an alert from the Medicines and Healthcare Products Regulatory Agency MHRA regarding a medicine used for heart problems a clinical audit was carried out."
Positive
"We noted a good skill mix among the doctors with three having additional diplomas in obstetrics and gynaecology medicine and one with a diploma in children’s health."
Positive
"The aim of the audit was to ensure that all patients prescribed this medicine were changed to a medicine with less risk of drug interactions."
Positive
"For example an audit was completed for patients taking a specific medicine for irregular heartbeats to ensure they were having an annual electrocardiogram ECG test annually."
Neutral
"All these patients had a named GP and a structured annual review to check their health and medicine needs were being met."
Neutral
"Either the strength of the medicine was incorrect or in one case a medicine had been missing from the compliance aid."
2018-01-23 Snippet(s)
Positive
"• Practice leaders had policies procedures and activities to govern safety."
2018-01-23 Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2015-06-11 Snippet(s)
Positive
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the effectiveness of interventions made by clinical staff."
2018-01-23 Snippet(s)
Neutral
"• The practice had an infection prevention and control policy."
2018-01-23 Snippet(s)
Positive
"• The practice engaged with social prescribing to provide effective support to elderly patients."
2015-09-17 Snippet(s)
Positive
"Additional services are provided from the practice premises including NHS ultrasound service pain clinic primary mental health clinics speech and language therapy and midwifery and health visitors’ sessions."
2015-06-11 Snippet(s)
Positive
"Additional services are provided from the practice premises including NHS ultrasound service pain clinic primary mental health clinics speech and language therapy and midwifery and health visitors’ sessions."
2015-06-11 Snippet(s)
Positive
"The practice had quarterly multidisciplinary meetings with district nurses and the palliative care team to discuss the care and support needs of patients and their families."
Positive
"They had a palliative care register at the time of the inspection."
2015-06-11 Snippet(s)
Positive
"Following each clinical audit changes to treatment or care were made where needed and the audit was repeated to ensure outcomes for patients had improved."
Positive
"For example following an alert from the Medicines and Healthcare Products Regulatory Agency MHRA regarding a medicine used for heart problems a clinical audit was carried out."
Positive
"Management monitoring and improving outcomes for patients The practice had a system in place for completing clinical audit cycles."
Positive
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the effectiveness of interventions made by clinical staff."
2015-06-11 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
2015-06-11 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."