Latest Snippet(s)
Positive
"The practice also had access to beds in a GP led unit and local community hospital and these were used for palliative care patients and avoidance of admission to secondary care."
Positive
"• The practice held a register of patients living in vulnerable circumstances including palliative care patients and those with a learning disability."
Positive
"• Informal palliative care discussions took place but there was limited information on the patient record."
2015-06-11 Snippet(s)
Positive
"The practice had a good working relationship with the palliative care team."
Latest Snippet(s)
Positive
"At the time of our inspection the practice employed three male GP’s two full time and one part timea practice manager a nurse manager two nurses one health care support worker four administration staff eight dispensers receptionists and two cleaner s. The practice has a General Medical Services Contract GMS."
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
"They were also in the process of planning to start recruitment for a further practice nurse so that they could increase the number of practice nurse appointments."
Neutral
"A practice nurse was the lead nurse."
2015-06-11 Snippet(s)
Positive
"At the time of our inspection the practice employed four male GP’s two full time and two part timea nurse manager two nurses one health care support worker four administration staff a dispensary manager six dispensers receptionists and one cleaner."
Positive
"The nurse manager planned teenage immunisations during school holidays to avoid children having to attend during school hours."
Positive
"The nurse manager told us that they carried out an audit every three months and then reaudited after a month to ensure that actions had been completed."
Neutral
"The nurse manager and one of the practice nurses led on infection control and both had undertaken further training to enable them to provide advice on the practice infection control policy and carry out staff training."
Neutral
"We discussed this with the nurse manager who said they had highlighted this in the most recent audit and were looking in to securing the area."
Neutral
"The nurse manager explained how eligible patients were identified on a monthly basis and invitations to attend for a health check were sent out."
Neutral
"There was also a named nurse responsible for following up patients who did not attend screening The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."
Neutral
"The practice nurse told us about a local peer review system they took part in with neighbouring GP practices."
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
"• At this inspection we checked the system in place for the management of high risk medicines such as warfarin methotrexate and other disease modifying drugs which included regular monitoring in accordance with national guidance."
Positive
"A risk assessment had been undertaken and monitoring water temperatures every three months."
Positive
"• Ensure water temperature monitoring for legionella takes place on a monthly basis."
Positive
"The practice took immediate action and reviewed all the patient records and amended their systems to ensure blood monitoring was completed before medications were prescribed."
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."
Positive
"• There were procedures in place for monitoring and managing risks to patient and staff safety."
Neutral
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2015-06-11 Snippet(s)
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"The practice completed annual monitoring for patients with Diabetes Coronary Heart Disease CHD Atrial Fibrillation AF Chronic Kidney Disease CKD sand Cardiovascular Disease CVD."
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
"There was a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."
Positive
"We reviewed data from the CQC intelligent monitoring tool."
Positive
"We were told and we saw the evidence that the practice had been proactive in looking at the data provided by the CQC intelligent monitoring and had carried out audits for the areas of risk identified."
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."
Latest Snippet(s)
Positive
"• A bar code scanner was used to check the dispensing process which increased the accuracy and minimised the risk of dispensing errors."
Latest Snippet(s)
Neutral
"We inspected the following location where regulated activities are provided: Moulton Medical Centre High Street Moulton Spalding Lincs."
2015-06-11 Snippet(s)
Neutral
"We inspected the following location where regulated activities are provided: Moulton Medical Centre High Street Moulton Spalding Lincs."
Latest Snippet(s)
Neutral
"For example: • 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
"• A system for quality improvement including clinical audit was in place."
2015-06-11 Snippet(s)
Neutral
"The team was making use of clinical audit tools appraisal and informal staff discussions to assess the performance of clinical staff."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings clinical supervision and facilitation and support for revalidating GPs."
Latest Snippet(s)
Neutral
"We found that the current system in place needed to be reviewed to protect the health and safety of all the patients on these high risk medicines."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2015-06-11 Snippet(s)
Positive
"There was a lead GP responsible for health and safety along with a health and safety policy."
Latest Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"We were told that they were going to get protected time each month to carry out infection control audits spot checks of cleaning and training of staff."
2015-06-11 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept which included carpets and privacy curtains."
Neutral
"All cleaning materials and chemicals were stored securely."
Latest Snippet(s)
Neutral
"The team included a GP Specialist Advisor a CQC medicine management inspector and a practice manager specialist advisor."
Neutral
"Dispensary staff identified when a medicine review was due and we saw that they alerted the GP to reauthorise the prescription before the next issue."
2015-06-11 Snippet(s)
Positive
"The practice nurses had special interests in diabetes and respiratory medicine and supported the work of the GP’s which allowed the practice to focus on specific conditions."
Positive
"We checked the medicine refrigerator in the dispensary and found medicines were stored securely and were only accessible to authorised staff."
Positive
"We saw evidence to confirm 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."
2015-06-11 Snippet(s)
Neutral
"It had a car park and off road parking in the streets around the surgery if required."
2015-06-11 Snippet(s)
Positive
"A wheelchair ramp was available to improve access to the building if required."