Latest Snippet(s)
Positive
"For patients with the most complex needs the GP and nurse worked with other health and care professionals to deliver a coordinated package of care."
Positive
"The clinical team also includes a practice nurse and a health care assistant."
Positive
"• The practice operated a diabetes in community care extension DiCE specialist clinic every eight weeks jointly with a hospital diabetic specialist nurse and with the practice nurse for diabetic patients with complex needs."
Positive
"• The practice told us they reviewed all diabetic patients effectively and held joint Diabetic Specialist Clinic DiCE with a Hospital Diabetic Specialist Nurse and the practice nurse for complex diabetics."
Neutral
"• The GP practice nurse and healthcare assistant accommodated home visits for those who had difficulties getting to the practice."
Neutral
"• The practice operated a joint diabetic specialist clinic DICE every eight weeks with a hospital diabetic specialist nurse and with the practice nurse for their diabetic patients with complex needs."
2017-11-27 Snippet(s)
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 where appropriate recorded the outcome of the assessment."
Positive
"The clinical team also includes a practice nurse and a health care assistant."
Positive
"The practice nurse and the healthcare assistant would usually act as chaperones; we saw that they had received appropriate training."
Positive
"The practice nurse was named as the lead members of staff for safeguarding; they had received the appropriate level of safeguarding training relevant to their lead role."
Positive
"• We saw that the nurse and the health care assistant attended study days for updates on immunisations and that the nurse also attended training updates on specific areas such as cervical screening."
Neutral
"The practice nurse was the infection control lead and the practice manager was the deputy lead for infection control."
Neutral
"• The practice operated a joint diabetic specialist clinic DICE every eight weeks with a hospital diabetic specialist nurse and with the practice nurse for their diabetic patients with complex needs."
Neutral
"• The practice nurse was the infection control lead and the practice manager was the deputy lead for infection control."
Neutral
"The practice nurse and the healthcare assistant received regular clinical supervision from the two long termsessional locum GPs."
Neutral
"• The practice nurse and healthcare assistant engaged with local nurses during education events and nurse conferences."
Latest Snippet(s)
Positive
"However when we found two syringes which had exceeded the expiry date in the medical emergency bag this was actioned by the manager at the time of the inspection."
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
"• 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
"• Review the system for monitoring emergency medicines and equipment to ensure it is effective."
Positive
"• There was a system for recording and acting on significant events as well as monitoring of themes and trends."
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."
2017-11-27 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
"Actions included providing five additional sessions for more appointment availability monitoring appointment demand three times a day to effective manage appointments and improving access for vulnerable groups by implementing dedicated lines and same day access."
Positive
"Although overall incidents were formally recorded; the evidence viewed during our inspection did not demonstrate an effective system for monitoring trends and themes arising from incidents."
Positive
"Monitoring risks to patients • Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Positive
"However gaps in the practices system for managing safety alerts highlighted that sometimes the practice had not followed guidelines for safe medicines monitoring and prescribing; such as guidelines from the Medicines and Healthcare products Regulatory Agency MHRA."
Positive
"This audit demonstrated improvement in blood monitoring and management for diabetic patients."
Positive
"This was reflected across systems for managing national safety alerts systems for monitoring prescription stationery and for managing uncollected prescriptions."
Positive
"The alert indicated that where patients were prescribed such medicines regular blood monitoring should take place; with any adverse reactions being reported to the MHRA."
Positive
"Although we gained assurance that the patient’s bloods were within the normal range as a result of the search conducted on the day of our inspection we found that the monitoring to this point had not been in line with advice given in the alert."
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 was an effective system in place for the prescribing and monitoring of high risk medicines."
Neutral
"There was also a repeated audit in place which focussed on monitoring of blood glucose levels in patients with diabetes."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Overall the practice had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Positive
"• Patients receiving end of life care were discussed at multidisciplinary team meetings so that information was shared in a timely manner."
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 clinical leadership provided by one of the longterm locum."
2017-11-27 Snippet(s)
Positive
"As the registered provider we found that the practice manager was committed to the practice however there was a lack of clinical leadership at the practice and this posed the risk of clinical issues being missed."
Positive
"Shortly after our inspection took place the provider outlined that clinical leadership is provided by the long termsessional locum GP and jointly shared and monitored by the practice manager and the whole of the clinical team."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Overall the practice had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
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."
2017-11-27 Snippet(s)
Neutral
"In addition the practice manager regularly engaged with local practices and other practice managers as chair of the practice manager forums for the clinical commissioning group CCG."
2017-11-27 Snippet(s)
Positive
"We saw that the practices palliative care was regularly reviewed and discussed as part of the MDT meetings to support the needs of patients and their families."
Positive
"• Multidisciplinary team MDT meetings and palliative care meetings took place on a regular basis."
Positive
"Multidisciplinary team MDT meetings and palliative care meetings took place on a monthly basis."
Neutral
"The practice also operated a priority telephone line for their vulnerable patients and patients receiving palliative care."
2017-11-27 Snippet(s)
Neutral
"The practice nurse and the healthcare assistant received regular clinical supervision from the two long termsessional locum GPs."
2017-11-27 Snippet(s)
Positive
"• There was a health and safety policy in place and the practice had a range of formal risk assessments in place to demonstrate how they managed and monitored risk associated with the overall health and safety of the premises."
2017-11-27 Snippet(s)
Positive
"We observed the premises to be visibly clean and tidy and we saw that cleaning specifications were in place and records were kept to support that medical equipment was frequently cleaned."
2017-11-27 Snippet(s)
Positive
"Immunisations such as flu and shingles vaccines were also offered to patients at home such as elderly patients and housebound patients who could not attend the surgery."