Latest Snippet(s)
Positive
"Patients on palliative care register were discussed."
2015-07-09 Snippet(s)
Positive
"The practice held a register of palliative care patients."
Neutral
"Registers were in the process of being developed to identify patients with learning disabilities long term conditions such as diabetes and arthritis and patients who received palliative care."
Latest Snippet(s)
Positive
"• The afternoon appointment system was easy to use for GP access and the practice provided nurse appointments in both the morning and afternoon."
Neutral
"A practice nurse attended the IPC link forum meetings."
2015-07-09 Snippet(s)
Positive
"The practice nurse confirmed that any patients who had risk factors for disease identified at the health check were seen by a GP and scheduled for further investigations where necessary."
Positive
"The practice nurse was aware of the need for parental consent for childhood immunisations and what action to follow if a parent was unavailable."
Neutral
"The practice worked closely with patients hospital consultants and community psychiatric nurse CPN."
Neutral
"The nurse told us that she had recently been appointed to this role within the practice and told us that they were not aware that an infection control audit had been carried out."
Neutral
"The practice nurse told us that plans were in place for her to undertake infection control training."
Neutral
"The nurse had liaised with the local infection control nurse in the Clinical Commissioning Group CCG to enable the practice to provide advice on the practice infection control policy and carry out staff training."
Neutral
"This process was nurse led."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
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 were arrangements for planning and monitoring the number and mix of staff needed."
2015-07-09 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the Quality and Outcomes Framework QOF which is a voluntary system for the performance management and payment of GPs in the National Health Service."
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 practice is a single storey building with good access for cars and has parking bays for people with a physical disability."
2015-07-09 Snippet(s)
Positive
"The practice is a single storey building set in a rural location with good access for cars and with parking bays for people with a physical disability."
Positive
"The practice building is a single storey building set in a rural location with good access for vehicles and parking bays for patients with a physical disability."
Latest Snippet(s)
Positive
"This can present significant challenges for the practice with secondary care providers transport services patient mobile phone and internet access."
Positive
"The GPs 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 GPs also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Neutral
"The practice did not have a formalised or documented business plan however demonstrated their awareness of the actions and activities they were required to undertake to achieve their goals."
Latest Snippet(s)
Positive
"This can present significant challenges for the practice with secondary care providers transport services patient mobile phone and internet access."
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."
2015-07-09 Snippet(s)
Neutral
"They told us that they did not hold formal multidisciplinary meetings to discuss for example patients with end of life care needs or children on the at risk register."
Latest Snippet(s)
Positive
"• Continue to action areas identified for improvement in the infection prevention and control audit."
Positive
"• There was an effective system to manage infection prevention and control IPC."
Latest Snippet(s)
Positive
"For example practice systems were strengthened with clinical alerts following an incident when a patient with a particular allergy to certain medicine was prescribed this medicine."
Positive
"The practice learned from external safety events as well as patient and medicine safety alerts."
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."
2015-07-09 Snippet(s)
Positive
"Information we looked at identified that one of the practice nurses had not been aware of a significant safety alert related to the prescribing of Simvastatin A medicine used to lower Cholesterol levels and antibiotics."
Positive
"We checked the medicine refrigerators and found that medicines were stored securely and were only accessible to authorised staff."
Positive
"The patient management IT system flagged up relevant medicine safety alerts when the GP prescribed medicines."
Positive
"We were shown evidence to confirm that following the receipt of an alert the GPs had reviewed the use of the medicine in question."
Neutral
"For example safety alerts were not disseminated to all relevant staff which resulted in a medicine related significant safety alert being missed by nurses."
Neutral
"We found that the practice manager and dispensers received medicine safety alert emails."
Neutral
"The nurses told us that the daily temperature of the medicine fridge in the nurses treatment room was monitored."
Neutral
"However where a GP made the decision to continue to prescribe the medicine the reason for this was not documented."
2015-07-09 Snippet(s)
Positive
"A clinical audit is a process or cycle of events that help to ensure that patients receive appropriate care and treatment."
2015-07-09 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."
2015-07-09 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."
2015-07-09 Snippet(s)
Positive
"Information documented included details of the patient’s mental and physical health lifestyle in relation to their family life environment diet smoking and alcohol and drugs dependency if appropriate."