Latest Snippet(s)
Positive
"• The practice worked closely with Macmillan nurses to provide palliative care to those patients nearing the end of life."
Latest Snippet(s)
Positive
"Effective staffing The practice employed a nurse prescriber and a health care assistant to provide increased flexibility to appointments and service provided."
Positive
"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."
Positive
"Patients with a new diagnosis of dementia were offered an appointment with the practice nurse to discuss support services in the locality and an information pack on local services was provided."
Positive
"• The practice nurse had an interest in Diabetes and was able to initiate insulin."
Positive
"• The practice nurse had a prescribing role for chronic disease management."
Neutral
"There are two male GPs; a female practice nurse who can prescribe medication and female healthcare assistant."
Neutral
"During our visit we: • Spoke with a range of staff including the lead GPs the practice nurse a healthcare assistant reception staff and spoke with patients who used the service."
Neutral
"GPs and the practice nurse were trained to child protection or child safeguarding level three."
Neutral
"The nurse practitioner was the infection prevention and control IPC clinical lead and had completed training at level one and two in this area."
Neutral
"However these were signed and dated by the practice nurse but not all had been countersigned by the practice manager."
Neutral
"The practice nurse had undertaken training courses in the enhanced management of diabetes including initiating insulin and in taking samples for the cervical screening programme."
Neutral
"The practice satisfaction scores on consultations with GPs and practice nurse were similar to the CCG and national averages."
Neutral
"The practice used a triage system whereby the nurse took calls and prioritised treatment according to the seriousness of the patient’s condition."
Neutral
"These were signed and dated by the practice nurse however; some recently printed PGDs had not been countersigned by the practice manager."
2016-04-18 Snippet(s)
Positive
"• Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."
Positive
"• Additional staff had been recruited such as a nurse prescriber and a health care assistant to provide increased flexibility to appointments and service provided."
Positive
"They had also improved their appointment access by the nurse taking calls and prioritising treatment according to the seriousness of the patient’s condition."
Positive
"There are two male GPs; a female advanced nurse practioner female practice nurse who can prescribe medication and female healthcare assistant."
Latest Snippet(s)
Positive
"The audit was conducted to ensure that prescribing and monitoring was in line with the National Institute for Health and Care Excellence NICE and the East Lancashire medicines management board ELMMB guidance."
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."
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."
2016-04-18 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."
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
"• There were disabled facilities wheelchair and stepfree access to the premises."
Latest Snippet(s)
Positive
"• We found appropriate recruitment checks were carried out including disclosure and barring service checks DBS."
Neutral
"The staff files we checked contained references disclosure and barring service DBS checks CV or application form and a check of professional registration."
Latest Snippet(s)
Positive
"• The practice worked to the gold standard framework for end of life care using regular reviews and multidisciplinary working."
2016-04-18 Snippet(s)
Positive
"• The practice delivered gold standard end of life care using regular reviews and multidisciplinary working."
Latest Snippet(s)
Positive
"A programme of clinical audit was used to monitor quality and to make improvements."
Latest Snippet(s)
Positive
"This included ongoing support clinical supervision and facilitation and support for revalidating GPs and nursing staff."
2016-04-18 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."
Latest Snippet(s)
Positive
"• There was a detailed health and safety policy available."
Neutral
"There was an induction programme in place for newly appointed nonclinical members of staff that covered such topics as health and safety safeguarding adults and child protection infection prevention and control fire safety information governance and confidentiality."
2016-04-18 Snippet(s)
Positive
"We noted that health and safety risk assessments for the building and fire and legionella risk assessments were not in place."
Positive
"Ensure staff be fully aware of evacuation procedures • Risk assessments must be in place including health and safety and legionella assessments • Emergency medications and equipment for emergency procedures must be in date and easily accessible."
Positive
"They had failed to identify the risks associated with health and safety safe medication management fire and legionella."
Positive
"• The practice had not undertaken risk assessments in in areas such as health and safety and legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."
Positive
"• We found that risk assessments such as health and safety fire and legionella were omitted and that systems were not in place to ensure patients were safe."
Positive
"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding health and safety and confidentiality."
Latest Snippet(s)
Neutral
"The nurse practitioner was the infection prevention and control IPC clinical lead and had completed training at level one and two in this area."
Neutral
"There was an induction programme in place for newly appointed nonclinical members of staff that covered such topics as health and safety safeguarding adults and child protection infection prevention and control fire safety information governance and confidentiality."
2016-04-18 Snippet(s)
Positive
"A member of staff was identified as the infection prevention and control IPC lead but had only received basic training in infection control and there had been no liaison with the IPC teams to keep up to date with best practice."
Latest Snippet(s)
Positive
"• Same day appointments were prioritised for elderly and vulnerable patients."
Positive
"• The practice provided care and treatment to elderly patients from a nearby nursing home and carried out regular visits to the home."
Latest Snippet(s)
Neutral
"There was a protocol in place for reviewing hospital discharge letters."
Latest Snippet(s)
Positive
"Vision and strategy The practice had a vision to deliver high quality care the practice values were based on the statement ‘Health is wealth’ with a commitment to deliver care at the highest standard with ‘old style family medicine with a modern twist’."
Positive
"• Records showed medicine refrigerator temperature checks were carried out which ensured medicines and vaccines were stored at appropriate temperatures."