Latest Snippet(s)
Positive
"The practice had quarterly palliative care meetings which a member of the district nursing team and Macmillan nursing team also attended."
2015-02-05 Snippet(s)
Positive
"The GSF is a practice based system to improve the quality of palliative care in the community so that patients receive supportive and dignified end of life care where they choose."
Positive
"We saw that the Gold Standard Framework GSF palliative care meetings were held monthly."
Positive
"These meetings were attended by district nurses social workers and palliative care nurses."
Positive
"For example palliative care was carried out in an integrated way."
Positive
"This was done using a MultiDisciplinary Team MDT approach with district nurses palliative care nurse and hospitals."
Latest Snippet(s)
Positive
"•The practice’s uptake for breast and bowel cancer screening was in line with the national average."
Latest Snippet(s)
Positive
"The GPs are supported by practice nurses a diabetes specialist nurse healthcare assistants a phlebotomist and a physician’s associate."
Positive
"The specialist diabetes nurse had a comprehensive pack with information on living with type two diabetes which was given out to patients."
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"The practice had a specialist diabetes nurse who ran regular clinics."
2015-02-05 Snippet(s)
Positive
"A GP told us this nurse received regular supervision and support in their role from a named GP."
Positive
"This was done using a MultiDisciplinary Team MDT approach with district nurses palliative care nurse and hospitals."
Neutral
"During our inspection we spoke with three GPs one GP registrar a GP registrar is a qualified doctor who is training to become a GP through a period of working and training in a practice one practice nurse the practice manager one phlebotomist two receptionists and two administrative staff."
Neutral
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor enabling a nurse to administer a medicine to groups of patients without individual prescriptions."
Neutral
"One specialist nurse for diabetes was qualified as an independent prescriber for diabetes medicines only."
Neutral
"For example for the administration of vaccines cervical cytology and nurse prescribing for diabetes."
Neutral
"The practice held nurse led clinics for insulin and warfarin initiation."
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
"•The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention people with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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."
2015-02-05 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice routinely collects information about patients care and outcomes."
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
"For example there was a blood pressure monitoring machine in place that patients could use to monitor their own blood pressure."
Positive
"The practice had a system in place for reporting recording and monitoring significant events over time."
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)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
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."
2015-02-05 Snippet(s)
Positive
"The GSF is a practice based system to improve the quality of palliative care in the community so that patients receive supportive and dignified end of life care where they choose."
Positive
"The practice held multidisciplinary team meetings regularly to discuss the needs of complex patients such as those with end of life care needs or children on a safeguarding plan."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
Neutral
"•One of the GPs at the practice was the lead for clinical supervision and one partner was the deputy lead this ensured clinical staff got time to reflect on their practice."
Latest Snippet(s)
Positive
"•There were comprehensive risk assessments in relation to safety issues for example health and safety fire safety and legionella."
2015-02-05 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
Positive
"The practice also had a health and safety policy."
Latest Snippet(s)
Positive
"•The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2015-02-05 Snippet(s)
Positive
"A good skill mix was noted amongst the GPs with six having additional diplomas in female reproductive medicine two in family planning two in sexual and reproductive health one with a diploma in child health and one GP with a diploma in tropical medicine and hygiene."
Positive
"There was a system in place that ensured patients with long term conditions were invited for regular health and medicine reviews and followed up if they failed to attend."
Positive
"Medicines management We checked medicines stored in the store room and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Positive
"The GP showed us the procedures they used to ensure that patients repeat medicines were reviewed and what action was taken if the patient failed to respond to attend a medicine review request."
Neutral
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor enabling a nurse to administer a medicine to groups of patients without individual prescriptions."
2015-02-05 Snippet(s)
Positive
"We saw that the upholstery on a treatment couch and the arm of the phlebotomist’s chair were worn and cracked which exposed the inner padding."
2015-02-05 Snippet(s)
Neutral
"Blood results xray results letters from the local hospital including discharge summaries and out of hours providers were received both electronically and by post."
2015-02-05 Snippet(s)
Neutral
"For example the receptionist left their post and came through to reception to assist a patient through the double doors to the consulting rooms as soon as they were called."
2015-02-05 Snippet(s)
Neutral
"There were two disabled parking spaces at the front entrance of the practice."
2015-02-05 Snippet(s)
Neutral
"To access other areas that might be used by patients or staff with a mobility disability there was a shaft lift suitable for wheelchair users."
Neutral
"We saw that a shaft lift was available for patients to access the upper floors of the practice building should the need arise."
2015-02-05 Snippet(s)
Neutral
"There was a disabled toilet and wheelchair access to and throughout the practice for patients with mobility difficulties."
Neutral
"To access other areas that might be used by patients or staff with a mobility disability there was a shaft lift suitable for wheelchair users."
2015-02-05 Snippet(s)
Neutral
"The practice had a system in place for completing clinical audit cycles."
2015-02-05 Snippet(s)
Neutral
"An action plan was in place for the cleaning of privacy curtains as this was highlighted as a shortfall."
Neutral
"We saw that this had been actioned as they had been included on the cleaning schedule for the practice."
Neutral
"The practice manager told us the carpets in reception and the corridors were scheduled for cleaning that coming weekend."