Latest Snippet(s)
Positive
"Meetings took place with other health care professionals community matron district nurse palliative care nurse and health & social care team on a monthly basis when care plans were routinely reviewed and updated for patients with complex needs."
Positive
"They stated that the staff were very responsive to patients’ needs either with a visit to a patient on the same day if requested as an urgent need or when needing palliative support."
Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
Positive
"Regular meetings were held with palliative care staff to discuss any patients at the end of life."
Positive
"The GPs attended palliative patients either by regular phone calls or visits and worked with hospice nurses and consultants when dealing with difficult symptom plans."
Latest Snippet(s)
Positive
"Meetings took place with other health care professionals community matron district nurse palliative care nurse and health & social care team on a monthly basis when care plans were routinely reviewed and updated for patients with complex needs."
Positive
"The GPs are supported by a nurse practitioner two practice nurses a locum practice nurse and one health care assistant."
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
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
"• The practice had a proactive nursing team including a nurse practitioner to meet the needs of the local population."
Positive
"The nursing team at the practice were leading on new local student nurse training in collaboration with Plymouth University."
Positive
"• One of the GPs and the nurse practitioner were active members of the Locality Clinical Commissioning Group."
Neutral
"For example all patients were offered a telephone consultation with a GP or nurse practitioner."
Neutral
"During our visit we: • Spoke with a range of staff including the practice manager operations manager team leader nurse practitioner three GPs practice nurse healthcare assistant and three receptionadministration staff."
Neutral
"The nurse practitioner and one of the practice nurses had qualified as an Independent Prescriber and could therefore prescribe medicines for clinical conditions within their expertise."
Neutral
"We saw a testimonial from a community specialist nurse for the local hospice."
2016-03-10 Snippet(s)
Positive
"The team were supported by a practice manager operations manager nurse practitioner two practice nurses a health care assistants and additional reception and administration staff."
Positive
"The nurse practitioner was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"There had also been reductions in nurse and health care assistant appointments and out of hours contact made by these patients making more appointments available for other patients."
Positive
"The nurse practitioner looked at these reports and managed them appropriately which included arranging follow up visits appointments or telephone consultations."
Positive
"There had also been reductions in nurse and health care assistant appointments and out of hours contact."
Positive
"The staff explained that this system meant that by dealing with straightforward things over the phone the GPs and nurses had enough appointments to ensure that patients could see a GP or Nurse if they need to on the same day or at a time that is convenient to them."
Positive
"For example ensuring out of hours reports were seen by the nurse practitioner before they took calls from patients."
Positive
"The staff explained that this system meant that by dealing with straightforward things over the phone the GPs and nurses had enough appointments to ensure that patients could see a GP or nurse if they need to on the same day or at a time that is convenient to them."
Neutral
"• All patients were offered a telephone consultation with a GP nurse practitioner or nurse initially which ensures they get the treatment they need without spending time waiting for a surgery appointment if this is not necessary."
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser and a practice manager specialist adviser."
Latest 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
"Monitoring risks to patients There were procedures for assessing 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
"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."
Neutral
"There were daily and weekly cleaning schedules and monitoring systems in place."
Neutral
"• There were arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2016-03-10 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
"The GPs and practice manager said they were aware of the mixed feedback and were monitoring this through the friends and family survey results and patient complaints."
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)
Positive
"These included weight management cancer care bowel and breast screening social activities website information direction for simple and common ailments and Depression and Anxiety service."
Latest Snippet(s)
Positive
"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."
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."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
Latest Snippet(s)
Positive
"• There was a health and safety policy available."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-03-10 Snippet(s)
Positive
"The areas where the provider should make improvement are: • Review the process for regular fire drills • Review the process for health and safety risk assessment and fire risk assessments."
Positive
"Areas for improvement Action the service SHOULD take to improve • Review the process for regular fire drills • Review the process for health and safety risk assessment and fire risk assessments."
Positive
"There was a health and safety policy available."
Positive
"However the health and safety risk assessment shown to us during the inspection was not detailed."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-03-10 Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Neutral
"There were daily and weekly cleaning schedules and monitoring systems in place."
Latest Snippet(s)
Positive
"For example blood tests were regularly performed on patients receiving certain mental health medicines and mental health medicine reviews were conducted to ensure patients were receiving appropriate medicines and no side effects."
Positive
"Healthcare professionals also praised reception staff commenting that they went above and beyond to sort any issues such as arranging GPs to return telephone calls organising GP visits and dealing with medicine requests quickly and efficiently."
2016-03-10 Snippet(s)
Positive
"A review of their care education about effective inhaler technique support and change of prescription had led to patients using the medicine more effectively to relieve their condition and had resulted in an increased uptake in annual reviews."
2016-03-10 Snippet(s)
Neutral
"• Disabled parking was available in the car park adjacent to the practice and disabled toilets were provided on the ground floor."
2016-03-10 Snippet(s)
Positive
"This work involved complex case management and was also an educational opportunity for the GPs to improve their skills through closer working with the care of the elderly consultants."