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."
2016-10-11 Snippet(s)
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
"Patients were required to sign prescriptions upon collection of controlled drugs and other prescribed medications."
Latest Snippet(s)
Positive
"Our key findings across all areas we inspected were as follows: • The practice had improved their clinical performance in respect of QOF."
2016-10-11 Snippet(s)
Positive
"• Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."
Positive
"Patients said they felt the practice offered an excellent service and staff were helpful caring and treated them with dignity and respect."
Positive
"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"• Curtains or screens were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Latest Snippet(s)
Positive
"Governance arrangements Since the previous inspection the practice had addressed and strengthened their governance within the practice to ensure that the quality of patient care was a priority."
Neutral
"• There was an overarching governance framework."
2016-10-11 Snippet(s)
Positive
"• Ensure robust systems are implemented to ensure good governance and consider contingency arrangements to ensure appropriate staffing levels at all times."
Positive
"Governance arrangements The practice had an overarching governance framework which supported the implementation of their strategy including arrangements to monitor and improve quality and identify risk."
Positive
"However we found that the governance at the practice required strengthening in relation to some of the evidence found on the day of the inspection."
Neutral
"• There was an overarching governance framework."
Neutral
"The partners held regular governance meetings and the governance framework was underpinned by relevant policies and procedures."
Neutral
"Core training for staff covered such topics as safeguarding infection prevention and control fire safety health and safety information governance and confidentiality."
Latest Snippet(s)
Positive
"Previously we found they had a lack of quality improvement processes in place due to limited staffing; since the previous inspection the practice had employed an extra member of clinical staff who was driven to help improve the quality of care."
2016-10-11 Snippet(s)
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."
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 little evidence of quality improvement audits."
Positive
"• There were limited quality improvement activities such as clinical audits taking place."
Latest Snippet(s)
Positive
"• They had employed a new GP to help improve the quality of care and monitor patient reviews."
Positive
"This report describes our judgement of the quality of care at this service."
2016-10-11 Snippet(s)
Positive
"This report describes our judgement of the quality of care at this service."
Positive
"• There was a lack of clinical audit to drive improvements in the quality of care for patients with a long term condition."
2016-10-11 Snippet(s)
Positive
"They also told us they were satisfied with the care provided by the practice and said their dignity and privacy was respected."
Positive
"• Curtains or screens were provided in consulting rooms to maintain patients’ privacy and dignity during examinations investigations and treatments."
Neutral
"For example there were issues with privacy around the reception desk so the practice put a tape line and requested patients stand behind it whilst waiting their turn."
2016-10-11 Snippet(s)
Positive
"• We saw evidence that any lessons learned were shared with appropriate staff during meetings and as a result action was taken to improve safety in the practice."
Positive
"We saw evidence that lessons were shared and action was taken to improve safety in the practice."
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
"Our key findings across all the areas we inspected were as follows: • Staff were aware of their responsibilities regarding safety and reporting and recording of significant events."
Positive
"• Staff were aware of their responsibilities regarding safety and reporting and recording of significant events."
Positive
"• When there were unintended or unexpected safety incidents patients received reasonable support information a verbal or written apology."
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."
Positive
"• There were established systems and processes in place to ensure patient safety and enable staff to identify and take appropriate action to safeguard patients from abuse."
Neutral
"Core training for staff covered such topics as safeguarding infection prevention and control fire safety health and safety information governance and confidentiality."
2016-10-11 Snippet(s)
Positive
"The practice manager was the infection control lead with clinical support from the practice nurse."
Positive
"There were also risk assessments in place for infection control and Legionella testing."
Neutral
"There was an infection control protocol in place and staff had received up to date training."
2016-10-11 Snippet(s)
Positive
"• Information about how to complaint was available for patients both online and in the practice building itself."
Positive
"For example there was a complaint relating to telephone access to appointments and the availability of same day appointment slot."
2016-10-11 Snippet(s)
Positive
"Good Governance How the regulation was not being met: The provider did not have an effective quality assurance and auditing system in place to assess and improve the quality of service provision."
Positive
"This included ensuring that accurate QOF exception reporting was in place improving the quality assurance processes and ensuring patients with long term conditions received regular reviews of their care and treatment The practice was actively trying to recruit staff and ensure sufficient staffing numbers and skill mix."
2016-10-11 Snippet(s)
Positive
"Good Governance How the regulation was not being met: The provider did not have an effective quality assurance and auditing system in place to assess and improve the quality of service provision."
Neutral
"Complaints investigations and documentation showed that improvements were made to the quality of service provision as a result."