Latest Snippet(s)
Positive
"The provider should improve how they review and maintain practice held disease registers such as for patients who are homeless and continue with a programme to develop cervical cancer screening uptake."
2019-05-13 Snippet(s)
Positive
"• Review cervical cancer screening uptake."
2018-10-18 Snippet(s)
Positive
"• Review cervical cancer screening uptake."
Positive
"• The practice’s uptake for breast and bowel cancer screening was above the national average."
Latest Snippet(s)
Positive
"There are three advanced nurse practitioners ANP three practice nurses and five health care assistants."
2019-05-13 Snippet(s)
Positive
"There are three advanced nurse practitioners ANP three practice nurses and three health care assistants."
2018-10-18 Snippet(s)
Positive
"However we noted a lack of practice nurse appointments during the inspection week due to sickness and annual leave."
Positive
"The practice had worked with the secondary care respiratory nurse specialist to offer a ‘hot clinic’ where appropriate for these patients."
Positive
"There are two advanced nurse practitioners ANP three practice nurses and three health care assistants."
Positive
"The practice had vacancies for an advanced nurse practitioner an emergency care practitioner a health coach prescribing clerk and two administrators."
Positive
"However at the time of the inspection practice nurse cover was limited due to absences."
Positive
"This meant staff could obtain an urgent opinion from a specialist nurse without referral to an outpatient appointment."
Neutral
"The team included a GP specialist adviser and a practice nurse specialist adviser."
Latest Snippet(s)
Positive
"Improvements were needed in the monitoring systems for the quality of care outcomes QOF and clinical management of longterm conditions including mental health."
Positive
"We based our judgement of the quality of care at this service is on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."
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 health coach staff team worked well and led on patient communication community support and monitoring of the most vulnerable patients."
2019-05-13 Snippet(s)
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."
2018-10-18 Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes and the national ‘My diabetes my way’ programme."
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."
2018-10-18 Snippet(s)
Positive
"• Evidence of clinical audit was limited."
Latest Snippet(s)
Positive
"In particular we found: • Care and treatment was provided in a safe way to patients with regards to infection prevention and control including the necessary information was available regarding staff immunisation status in line with Public Health England PHE guidance."
2019-05-13 Snippet(s)
Positive
"These were: Safe The areas where the provider must improve were: • Ensure care and treatment was provided in a safe way to patients with regards to infection prevention and control including the necessary information is available regarding staff immunisation status in line with Public Health England PHE guidance."
2018-10-18 Snippet(s)
Positive
"There was a potential for the safety of patients and staff to be compromised because of gaps in training actions from external fire safety assessments and oversight of infection prevention and control had not been fully implemented."
Positive
"Areas across both locations included infection prevention and control measures and completion of the provider’s mandatory training by staff."
Positive
"However we were not assured that these were operating as intended in respect of infection prevention and control measures and fire safety particularly at the branch surgery and clinical reviews for patients with long term conditions or those experiencing poor mental health."
Neutral
"• The system to manage infection prevention and control IPC had gaps."
2018-10-18 Snippet(s)
Neutral
"• Health coaches provided regular ‘health walks’ and monthly flexercise arm chair exercise class."
2018-10-18 Snippet(s)
Positive
"The GP and emergency care practitioner also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
2018-10-18 Snippet(s)
Positive
"The GP and emergency care practitioner also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
2018-10-18 Snippet(s)
Positive
"The provider had established a portfolio of new and updated policies procedures and activities to ensure safety."
2018-10-18 Snippet(s)
Positive
"Although we saw gaps in clinical supervision with no formal process in place for clinicians."
Neutral
"At the time of the inspection there was not a formal clinical supervision process for clinical staff."
2018-10-18 Snippet(s)
Positive
"There was limited recorded evidence of processes or a record to identify a cleaning programme for reusable clinical equipment."
2018-10-18 Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."