Latest Snippet(s)
Positive
"Minutes we viewed showed a comprehensive agenda including discussion of safeguarding concerns palliative care patients discussion of carers assessment and falls assessments new cancer diagnosis discussed deaths and learning from incidents."
2017-10-25 Snippet(s)
Positive
"• The practice identified at an early stagepatients who may need palliative care as they were approaching the end of life."
Positive
"For instancethe out of hours provider were provided with details of all palliative care patients so that they could be assisted as quickly as possible."
Latest Snippet(s)
Positive
"• The practices’ uptake for breast and bowel cancer screening was in line with the national average."
Latest Snippet(s)
Positive
"• The elderly care nurse offered continuity of care and was able to build relationships with patients and their carers and consequently be more responsive to their needs and provide holistic care."
Positive
"People experiencing poor mental health including people with dementia: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia. . • The elderly care nurse reviewed patients with dementia."
Positive
"• The practice employed an elderly care nurse who was able to provide holistic support to patients and their carers."
Positive
"• The elderly care nurse provided us with evidence to show how their role benefited patients and ensured patients attended appointments with the appropriate clinician."
Positive
"The practice told us the elderly care nurse completed the dementia reviews and it was through their commitment to the role this had been achieved."
Positive
"The practice employs seven GPs one physician’s associate two practice nurses one advanced nurse practitioner an elderly care nurse two healthcare assistants and a Diabetes specialist nurse who also works at other practices within the wider organisation and one full time pharmacist."
Positive
"Older people: • The practice employed an elderly care nurse who followed up on older patients discharged from hospital."
Positive
"The nurse also ensured that their care plans and prescriptions were updated to reflect any extra or changed needs."
Positive
"• The healthcare assistant and Diabetes specialist nurse had also been involved in a three month trial of an electronic device that encouraged patients to take charge of monitoring their health."
Positive
"• The elderly care nurse liaised with the GP to arrange urgent follow up appointments when it was necessary."
Neutral
"The team included a GP specialist adviser and a practice nurse specialist adviser."
Neutral
"• The nurse liaised with external agencies to arrange social activities and home adaptations for patients as needed."
Neutral
"• Patients with Diabetes had access to a Diabetes specialist nurse who was employed by the practice and a consultant specialist in Diabetes held a clinic at the practice once a month to review patients."
2017-10-25 Snippet(s)
Positive
"At the time of the inspection three Modality Partners and four salaried GPs were being supported by an Interim Practice Manager and other support staff including two advanced nurse practitioners two practice nurses one diabetic specialist nurse two healthcare assistant and a receptionadministrative team."
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
"• Patient Group Directions had been adopted by the practice to allow the nurse to administer medicines in line with legislation."
Neutral
"While there had been some improvements in the results for nurse consultations and helpfulness of reception staff since the previous national patient survey those relating to GP consultations had declined."
Neutral
"For instance the practice nurse was the lead for infection control and the senior GP was the safeguarding lead."
Latest Snippet(s)
Positive
"We found that the arrangements for monitoring actions taken by the practice to improve patient satisfaction needed improving."
Positive
"• Patient feedback relating to the appointment system and telephone access remained mixed however we saw the practice had taken action since our last inspection to try and improve patient experience and they were monitoring patient feedback."
Positive
"• The provider should consider monitoring patients referred to social prescribing schemes in order to evaluate effectiveness."
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
"• We saw the practice manager had an effective system for monitoring staff training."
Positive
"• The healthcare assistant and Diabetes specialist nurse had also been involved in a three month trial of an electronic device that encouraged patients to take charge of monitoring their health."
Positive
"They were working towards long term conditions clinic as opposed to specific disease monitoring clinics."
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
"All of these patients were added to the practice’s monitoring programme."
2017-10-25 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: • There was a health and safety policy available."
Positive
"They also provide cervical screening immunisations and blood pressure monitoring services."
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 cleaning schedules and monitoring systems in place."
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
"• The provider had established proper policies procedures and activities to ensure safety."
Neutral
"• The nurse liaised with external agencies to arrange social activities and home adaptations for patients as needed."
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."
2017-10-25 Snippet(s)
Positive
"• The practice also regularly met as part of a multidisciplinary team to discuss and review the care of those with end of life care needs."
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."
Positive
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation were kept under review with additional support being provided as and when required."
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 onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2017-10-25 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
"• The elderly care nurse offered continuity of care and was able to build relationships with patients and their carers and consequently be more responsive to their needs and provide holistic care."
Positive
"Patients also had access to a specialist elderly care doctor once a month Timely access to care and treatment Patients were able to access care and treatment from the practice within an acceptable timescale for their needs."
Positive
"People experiencing poor mental health including people with dementia: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia. . • The elderly care nurse reviewed patients with dementia."
Positive
"• The practice employed an elderly care nurse who was able to provide holistic support to patients and their carers."
Positive
"• The elderly care nurse provided us with evidence to show how their role benefited patients and ensured patients attended appointments with the appropriate clinician."
Positive
"The practice told us the elderly care nurse completed the dementia reviews and it was through their commitment to the role this had been achieved."
Positive
"The practice employs seven GPs one physician’s associate two practice nurses one advanced nurse practitioner an elderly care nurse two healthcare assistants and a Diabetes specialist nurse who also works at other practices within the wider organisation and one full time pharmacist."
Positive
"Older people: • The practice employed an elderly care nurse who followed up on older patients discharged from hospital."
Positive
"• The elderly care nurse liaised with the GP to arrange urgent follow up appointments when it was necessary."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2017-10-25 Snippet(s)
Positive
"There is a parking area at the practice which has step free and suitable access for wheelchair users."
2017-10-25 Snippet(s)
Positive
"There is a parking area at the practice which has step free and suitable access for wheelchair users."
2017-10-25 Snippet(s)
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety: • 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."
2017-10-25 Snippet(s)
Positive
"The infection prevention and control IPC clinical lead 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."
2017-10-25 Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."