Latest Snippet(s)
Neutral
"A new chair had recently been appointed."
Latest Snippet(s)
Positive
"The practice discussed palliative care patients at monthly multidisciplinary meetings to ensure those who were approaching end of life have a more cohesive plan of care."
2015-11-19 Snippet(s)
Positive
"These meetings were attended by district nurses palliative care nurses as appropriate and decisions about care planning were documented."
Positive
"Patients who received palliative care the specialised medical care of people with advanced progressive illness were given support to stay in their own homes if they wished to do so."
Positive
"Patients who received palliative care were given support to stay in their own homes if they wished to do so."
Positive
"Patients who required palliative care palliative care is a holistic approach to care for patients with incurable illnesses and their families were regularly reviewed."
Latest Snippet(s)
Positive
"Telephone consultations were available with a duty GP and the advanced nurse practitioner for patients unable to access the practice."
Neutral
"For example providing advanced nurse prescribers ANPs and a paramedic to reduce the demand on GP appointments and to provide an alternative complimentary source of primary healthcare alongside services traditionally provided by GPs."
2015-11-19 Snippet(s)
Positive
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor for a nurse or appropriately trained person to administer a medicine to groups of patients without individual prescriptions."
Positive
"The practice nurse was aware of the need for parental consent and what action to follow if a parent was unavailable."
Positive
"The practice used an interpretation service to ensure patients understood procedures if their first language was not English Health Promotion & Prevention We saw all new patients were offered a consultation with a practice nurse or healthcare assistant when they first registered with the practice."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"• The practice had systems for monitoring high risk medicines but they needed strengthening to review the effectiveness of actions taken."
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
"For example the monitoring of methotrexate with secondary services."
Neutral
"• There were arrangements for planning and monitoring the number and mix of staff needed."
2015-11-19 Snippet(s)
Positive
"Learning and improvement from safety incidents Clifton Road Surgery had systems in place for reporting recording and monitoring significant events incidents and accidents."
Positive
"There was also a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."
Positive
"Some of the monitoring carried out by the practice was undertaken as part of the Quality and Outcomes Framework QOF."
Positive
"Based on information we gathered as part of our intelligent monitoring systems we had no concerns about the practice."
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."
Latest Snippet(s)
Positive
"For example Connect Well who support patients to improve their health and wellbeing through activities and selfhelp groups."
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
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."
2015-11-19 Snippet(s)
Positive
"The practice held integrated team meetings every month to discuss concerns for example the needs of complex patients those with end of life care needs or children who are at risk of harm."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings coaching and mentoring clinical supervision and support for revalidation."
Latest Snippet(s)
Neutral
"There was a designated infection prevention and control IPC clinical lead in place."
Latest Snippet(s)
Positive
"The practice offers a range of services including family planning service travel health long term conditions sports medicine well man and well woman and smoking cessation support."
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
Positive
"We checked a numbers of alerts including a recent alert for women of child bearing age who were prescribed a certain long term medicine and found that it had been actioned appropriately."
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."
2015-11-19 Snippet(s)
Positive
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor for a nurse or appropriately trained person to administer a medicine to groups of patients without individual prescriptions."
Positive
"Medicines management During our inspection we checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Neutral
"For example changes to diabetes medicine guidelines."
Neutral
"Clinical staff told us they discussed any proposed changes to a patients’ treatment or medicine with them."
2015-11-19 Snippet(s)
Positive
"The ground floor of the practice was fully wheelchair accessible."
2015-11-19 Snippet(s)
Positive
"The results of significant event analyses and clinical audit cycles were also used to contribute to staff learning as well as to monitor performance."
Neutral
"We examined the clinical audit for unplanned hospital admissions."
Neutral
"We saw examples of completed clinical audit cycles such as cervical screening."
2015-11-19 Snippet(s)
Positive
"During our inspection we were shown records that demonstrated information gained from clinical audits and health and safety audits were assessed with patient safety in mind."
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative who had received appropriate training for the role."
Positive
"The practice also had a health and safety policy."
2015-11-19 Snippet(s)
Neutral
"Cleaning schedules were in place and cleaning records were kept."