Latest Snippet(s)
Neutral
"The paediatric pulse oximeters were kept securely and the GP was required to request it from the receptionist when needed."
2018-10-31 Snippet(s)
Neutral
"The provider informed us they had a paediatric pulse oximeter available at all sites which was kept securely and the GP was required to request it from the receptionist when needed."
Latest Snippet(s)
Positive
"• They had implemented a monitoring system to assure that all selfemployed GPs clinical equipment was checked and calibrated to ensure it was safe to use and was in good working order."
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon out of hours primary care centre OOH PCC and the Harrow OOH PCC."
Positive
"• The service had carried out two disease specific audits to ensure effective monitoring of antimicrobial prescribing."
Positive
"• Carry out disease specific audits to ensure effective monitoring of antimicrobial prescribing."
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."
2018-10-31 Snippet(s)
Positive
"• The service had a medical lead who was responsible for monitoring of NQRs and audits supported by an audit team centrally."
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"The areas where the provider should make improvements are: • Carry out disease specific audits to ensure effective monitoring of antimicrobial prescribing."
Positive
"The provider had an effective monitoring system to manage the medicines cassettes supplied and managed by the external pharmacy supplier."
Positive
"The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"However on the day of the inspection the provider was unable to demonstrate that they had an effective monitoring system to ensure that risk assessments had been carried out and regular checks had been undertaken by the hosts who were responsible for managing the premises."
Positive
"• There were procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"Performance was shared with staff and the local CCG as part of contract monitoring arrangements."
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
"• There were arrangements for planning and monitoring the number and mix of staff needed."
Neutral
"For example the service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to assess fire safety and legionella risks at the Hillingdon OOH PCC and the Harrow OOH PCC."
2014-06-20 Snippet(s)
Positive
"The quality of treatment and services is audited internally by monthly quality assurance meetings monthly quality reports to the board and a robust monitoring programme."
Positive
"Our findings Improvement All staff were involved in monitoring within the organisation and there was a willingness at all levels to respond to change to improve and enhance the service."
Positive
"Following further monitoring it was decided not to use this doctor any longer at the service as the doctor’s unpleasant attitude towards patients had not changed and patients continued to complain about the doctor."
Positive
"There was stringent monitoring of all clinician’s work which ensured that poor performance was dealt with quickly."
Positive
"There was monitoring of all clinician’s practice which ensured that poor performance was dealt with quickly."
Positive
"They also had monitoring arrangements for significant events analysis SEA."
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
"We saw the arrangements in place for monitoring clinicians when assessing presenting symptoms giving a diagnosis and developing treatment plans."
2018-10-31 Snippet(s)
Neutral
"For example the provider was monthly auditing patients contacts by completing clinical audit minimum one case for every clinician and call listening audit minimum one case for every clinician."
2014-06-20 Snippet(s)
Positive
"Clinical audit & professional development We found there was a robust clinical audit and feedback system in place to ensure clinicians were delivering safe and appropriate care to patients."
Positive
"We found the clinical audit system meant patients continued to receive quality assured care."
Neutral
"Harmoni have developed their own clinical audit template based on the Royal Collage of General Practitioners consultation assessment tool."
Latest Snippet(s)
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon out of hours primary care centre OOH PCC and the Harrow OOH PCC."
Positive
"The service had implemented monthly health and safety checks."
Neutral
"• A risk assessment had been carried out to assess the suitability of the premises at the Harrow OOH PCC and monthly health and safety checks were implemented to ensure continuous monitoring."
Neutral
"The service had carried out health and safety risk assessments and implemented regular safety checks carried out by a dedicated risk and audit manager to ensure fire safety."
2018-10-31 Snippet(s)
Positive
"• The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Positive
"The service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to maintain fire safety and legionella at the Hillingdon OOH PCC and the Harrow OOH PCC."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Neutral
"For example the service was unable to demonstrate that they had an effective monitoring system to assure themselves that appropriate health and safety checks had been undertaken regularly to assess fire safety and legionella risks at the Hillingdon OOH PCC and the Harrow OOH PCC."
2018-10-31 Snippet(s)
Positive
"There was a system in place to identify frequent callers and patients with particular needs for example palliative care patients and protocols were in place to provide the appropriate support."
Positive
"• There were safeguarding systems in place for both children and adults at risk of harm or abuse as well as palliative care care for the terminally ill and their families patients who accessed the out of hours to the service."
Positive
"For example the service prioritised palliative care calls to ensure they received timely care and treatment."
Positive
"Information relating to the needs of patients receiving palliative care was shared promptly between the patient’s registered GP and the service."
Positive
"The clinical staff could give a direct telephone number to the carers of palliative care patients."
Neutral
"Information provided from local GP practices was entered onto the system and these records could be accessed and updated by clinicians and staff emergency department staff district nurses palliative care nurses and other health professionals about patients with the consent of the individual concerned."
2014-06-20 Snippet(s)
Positive
"In addition it looks at ‘policy of the month’ on this occasion it was the palliative care policy specifically symptom control and management guidance."
2018-10-31 Snippet(s)
Neutral
"The team included two GP specialist advisors a pharmacist specialist advisor a nurse specialist advisor and a practice manager specialist advisor."
2018-10-31 Snippet(s)
Positive
"There were arrangements and systems in place to support staff to respond to people with specific health care needs such as end of life care and those who had mental health needs."
2018-10-31 Snippet(s)
Positive
"This included onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
2018-10-31 Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2014-06-20 Snippet(s)
Neutral
"There was a cleaning schedule in place and staff told us they could ask the hospital cleaning team at any time for any extra cleaning."