Types of Facilities

Nurse

Latest Snippet(s)

Positive

"The practice also has one advanced nurse practitioner two practice nurses and one health care assistant."

2015-08-20 Snippet(s)

Positive

"We discussed with the practice manager GP and nurse how NICE guidance was received into the practice."

Positive

"Opportunistic health checks were carried out for patients seeing the nurse or health care assistant for other reasons."

Neutral

"The nurse running the immunisation clinic called parents personally if a child did not attend."

Receptionist

2015-08-20 Snippet(s)

Positive

"All new patients who registered at the practice were asked to complete a registration form and if one of the ‘illness’ boxes was been ticked or if the patient was on medication the receptionist asked them if they wish to see a GP there and then."

Monitoring

Latest 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."

2015-08-20 Snippet(s)

Positive

"Management monitoring and improving outcomes for people Information about people’s care and treatment and their outcomes was routinely collected and monitored and this information used to improve care."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."

Positive

"Staff across the practice had key roles in monitoring and improving outcomes for patients."

Positive

"Information about safety was recorded and addressed but monitoring of learning was poor."

Positive

"The administration team recalled patients with long term conditions and also those on medicines that required special monitoring to ensure that they had all the relevant blood tests."

Positive

"One example seen was the requirement for patients to have regular blood test monitoring who were prescribed Denosumab a medicine used to prevent bone fractures."

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

"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."

Bar/Cafe

Sit in Service

Medicines

Latest Snippet(s)

Positive

"If the GPs used a medicine or item from the emergency bag they generally told the HCA or left the bag in their treatment room."

Neutral

"If the medicine was due to expire within the next month then it was reordered a month in advance so that the new supply was received before the “old” medicine went out of date."

Neutral

"This differed from the previous policy of ordering “in” the month that the medicine expired."

2015-08-20 Snippet(s)

Positive

"Areas of concern included recruitment checks infection control and emergency medicine management."

Positive

"The GPs told us they lead in specialist clinical areas such as diabetes minor surgery sports medicine sexual health and child health surveillance and the practice nurses supported this work which allowed the practice to focus on specific conditions."

Positive

"One example seen was the requirement for patients to have regular blood test monitoring who were prescribed Denosumab a medicine used to prevent bone fractures."

Positive

"Medicines management We checked medicines stored in treatment rooms and two medicine refrigerators and found they were stored securely and were only accessible to authorised staff."

Positive

"We saw evidence that after receiving an alert the GPs had reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."

X-RAY

2015-08-20 Snippet(s)

Neutral

"Blood results xray results letters from the local hospital including discharge summaries out of hour’s OOH providers and other services were received both electronically and by post."

Wheelchair Access

2015-08-20 Snippet(s)

Positive

"The consulting rooms were accessible for patients with mobility difficulties and there was a wheelchair accessible toilet and baby changing facilities."

Infection Prevention and Control

2015-08-20 Snippet(s)

Positive

"Action the provider SHOULD take to improve: • Identify manage and monitor effective infection prevention and control systems; • Carry out staff appraisals in a timely manner; and • Review practice policies to ensure they are up to date."

Positive

"Action the service SHOULD take to improve • Identify manage and monitor effective infection prevention and control systems; • Carry out staff appraisals in a timely manner; and • Review practice policies to ensure they are up to date."

Cleaning Service

2015-08-20 Snippet(s)

Neutral

"We saw there were cleaning schedules in place and cleaning records were kept."