Types of Facilities

Nurse

Latest Snippet(s)

Positive

"For those patients with the most complex needs the named GP worked with the practice nurse and relevant health and care professionals to deliver a multidisciplinary package of care."

2016-10-11 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 documented this appropriately."

Positive

"• The practice nurse provided a phlebotomy service for those patients unable to access this service through other local services."

Positive

"The adult safeguarding meeting was attended by the community matron community psychiatric nurse CPN social workers palliative care and other community nurses according to availability."

Neutral

"They were also trying to source a phlebotomy service to relieve the pressure on the practice nurse who had been doing this service for some patients."

Receptionist

Latest Snippet(s)

Neutral

"As a result the practice had: • Added an additional receptionist to alleviate the pressures of answering the telephones."

2016-10-11 Snippet(s)

Positive

"• Patients said it was difficult to access same day appointments due to the length of time to get through to a receptionist on the telephone and often no appointments were left."

Monitoring

Latest 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

"• The practice had improved exception reporting by monitoring their patient lists closely."

Positive

"They practice were dedicated to monitoring their patients views."

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."

2016-10-11 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

"• Ensure continued monitoring and improvement in relation to national GP patient survey results."

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 manager had a system in place for monitoring the staffing needs of the practice and used feedback from staff and patients as well has historic data on demand to ensure enough staff were on duty."

Parking

Latest Snippet(s)

Positive

"The practice is situated near to a busy road junction and has limited parking on site."

Neutral

"There is public parking a short walk away."

2016-10-11 Snippet(s)

Positive

"The practice is situated near to a busy road junction and has limited parking on site."

Neutral

"There is public parking a short walk away."

Clinical Audit

2016-10-11 Snippet(s)

Positive

"The areas where the provider must make improvement are: • Implement a quality improvement programme including clinical audit to ensure that the findings can be used to drive improvements in the quality of patient care."

Positive

"• There was a lack of clinical audit to drive improvements in the quality of care for patients with a long term condition."

Positive

"Areas for improvement Action the service MUST take to improve • Implement a quality improvement programme including clinical audit to ensure that the findings can be used to drive improvements in the quality of patient care."

Medicines

Latest Snippet(s)

Positive

"The practice had used national guidelines to adjust patient’s medicine to an alternative medicine which was recommended."

Positive

"We reviewed two audits the practice had carried out since the previous inspection: • We reviewed an audit relating to a medicine used to treat patients with chronic obstructive pulmonary disease COPD."

2016-10-11 Snippet(s)

Positive

"For example following a patient medicine safety alert relating to possible risk of long term use an antiinflammatory medicine was no longer issued as a repeat prescription."

Positive

"We reviewed safety records incident reports patient safety alerts and medicine alerts from the Medicines and Healthcare products Regulatory Agency and minutes of meetings where these were discussed."

Neutral

"A monthly data search was completed for all patients on a medicine requiring regular monitoring."

Neutral

"Prescriptions issued by the GP for a one issue medicine would be dispensed and then the GP would sign the prescriptions at the end of the surgery session."

Neutral

"We viewed the dispensing process from the point at which pharmacist received a prescription then dispensed the medicine checked it with a colleague and finally handed it to the patient."

Palliative

2016-10-11 Snippet(s)

Positive

"The adult safeguarding meeting was attended by the community matron community psychiatric nurse CPN social workers palliative care and other community nurses according to availability."

Activities

2016-10-11 Snippet(s)

Positive

"• There were limited quality improvement activities such as clinical audits taking place."

End of Life Care

2016-10-11 Snippet(s)

Neutral

"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition those requiring advice on their diet and alcohol cessation."

Health and Safety

2016-10-11 Snippet(s)

Neutral

"Core training for staff covered such topics as safeguarding infection prevention and control fire safety health and safety information governance and confidentiality."

Infection Prevention and Control

2016-10-11 Snippet(s)

Neutral

"Core training for staff covered such topics as safeguarding infection prevention and control fire safety health and safety information governance and confidentiality."