Latest Snippet(s)
Positive
"The practice had a palliative care register which was discussed at the bimonthly palliative care meeting in order to manage the care treatment and support of these patients."
Positive
"The practice maintained a palliative care register and end of life care plans were in place for those patients they were appropriate for."
Positive
"There were bimonthly palliative care meetings as well as monthly integrated care meetings and safeguarding meetings."
2016-10-25 Snippet(s)
Positive
"• The practice maintained a palliative care register and offered immunisations for shingles and pneumonia to older people."
Latest Snippet(s)
Positive
"Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and recorded the outcome of the assessment."
Positive
"These included health checks for new patients with the practice nurse or the GP if appropriate."
Positive
"There were appointments available earlier with the practice nurse or advanced nurse practitioner depending upon the patients needs."
Neutral
"Their organisational lead nurse worked at the practice weekly."
2016-10-25 Snippet(s)
Positive
"The advanced nurse practitioner was the infection control lead; they liaised with the local infection prevention teams to keep up to date with best practice."
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 recorded the outcome of the assessment."
Positive
"The practice employs a practice manager an enhanced services lead an advanced nurse practitioner a practice nurse two healthcare assistants and three parttime pharmacists as well as nine staff who undertake reception and administrative duties."
Neutral
"• The practice had two locations open to patients Monday to Friday with additional nurse consultations available each Saturday morning at one location."
Neutral
"A recently appointed nurse had needed to complete some additional training before they were able to complete all the clinical reviews undertaken at the practice."
Neutral
"Nursing staff told us they were able to attend a local nurse forum."
Latest Snippet(s)
Positive
"Monitoring risks to patients At our previous inspection we saw that risks to patients were not always assessed or well managed at this follow up inspection we saw that improvements had been made: • There were procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."
Positive
"• Reviewed information from CQC intelligent monitoring systems."
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."
2016-10-25 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
"• Reviewed information from the CQC intelligent monitoring systems."
Positive
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ need however these were not always effective."
Positive
"We found that: • There were procedures in place for monitoring and managing risks to patient and staff safety."
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."
Latest Snippet(s)
Positive
"An onsite car park is available which includes dedicated disabled parking bays."
2016-10-25 Snippet(s)
Positive
"An onsite car park is available which includes dedicated disabled parking bays."
Latest Snippet(s)
Positive
"The practice maintained a palliative care register and end of life care plans were in place for those patients they were appropriate for."
2016-10-25 Snippet(s)
Neutral
"• This included 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."
Latest Snippet(s)
Positive
"There was limited evidence that clinical audit was driving improvement in performance to improve patient outcomes."
Positive
"• Outcomes for patients who use services had improved and there was a programme of clinical audit in place."
Positive
"The practice had a system of clinical audit in place to improve outcomes for patients."
Neutral
"There was a programme of clinical audit in place."
2016-10-25 Snippet(s)
Positive
"However there was limited evidence that clinical audit was driving improvement in performance to improve patient outcomes."
Positive
"However clinical audit was limited."
Neutral
"• Review their arrangements for clinical audit at the practice."
Latest Snippet(s)
Positive
"There was a health and safety policy available with a poster which identified local health and safety representatives and a health and safety risk assessment."
2016-10-25 Snippet(s)
Positive
"There was a health and safety policy available with a poster which identified local health and safety representatives."
Positive
"However although a recent health and safety assessment had been completed of the practice practice staff were unable to provide us with a copy of this or tell us what actions had been taken as a result during the inspection."
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2016-10-25 Snippet(s)
Neutral
"It covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."