Latest Snippet(s)
Positive
"The practice team includes two advanced nurse practitioners a practice pharmacist and junior practice pharmacist an advanced paramedic two practice nurses who provide nurse led clinic’s for longterm condition of use of both the main and the branch locations and a healthcare assistant."
2020-02-06 Snippet(s)
Positive
"• Three practice nurses two advanced nurse practitioners and a healthcare assistant."
2019-07-12 Snippet(s)
Positive
"• Three practice nurses two advanced nurse practitioners and a healthcare assistant."
2018-07-24 Snippet(s)
Positive
"However • There was no evidence to demonstrate that a practice nurse had received safeguarding training for children or vulnerable adults."
Positive
"• Two practice nurses two advanced nurse prescribers a locum advanced nurse practitioner and a healthcare assistant."
Positive
"• Minutes from nurse meetings showed there were no longterm condition protocols in place for nurses to follow and two practice nurses had limited training in longterm condition management."
Positive
"• A protocol for the role of the advanced nurse practitioner ANP had been developed."
Positive
"Performance of advanced nurse practitioners could be demonstrated through audit of their consultations prescribing and referral decisions."
2015-02-05 Snippet(s)
Positive
"We found from our discussions with the GPs and nurse that staff completed thorough assessments of patients’ needs in line with NICE guidelines and these were reviewed when appropriate."
Positive
"One of the GPs took the lead role and supported the practice nurse with the care of patients with long term conditions and chronic disease management."
Positive
"The practice nurse told us they discussed promoting a healthy lifestyle with patients when they carried out reviews for patients with long term conditions."
Positive
"However reception staff fulfilled this role when the practice nurse was not available."
Positive
"However the practice nurse did not have a DBS check or risk assessment in place."
Positive
"The practice nurse told us if they had any concerns about a person’s capacity to make Are services effective?"
Positive
"The practice nurse told us they could request to request training that was relevant to the needs of the practice population and the practice supported this."
Positive
"The practice manager told us that clinics were not held when the practice nurse was on leave."
Neutral
"New mothers and babies were offered an integrated eight week check at which they saw the GP practice nurse and health visitor."
Neutral
"During our inspection we spoke with two GPs one practice nurse the practice manager and three reception administration staff."
Neutral
"The practice nurse acted as a chaperone for the doctors when on duty."
Neutral
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor enabling a nurse to administer a medicine to groups of patients without individual prescriptions."
Neutral
"All staff had undertaken infection control training and the practice nurse was the infection control lead."
Neutral
"The practice nurse told us they needed to start recording when infection control issues were discussed at practice meetings."
Neutral
"The practice manager assured us that a DBS check would be requested for the practice nurse following our inspection."
Neutral
"However the practice nurse told us they had not had an appraisal for over two years."
Neutral
"The practice nurse had defined duties they were expected to perform and was able to demonstrate they were trained to fulfil these duties."
Neutral
"The practice nurse told us that appointment days and times for patients with long term conditions were flexible to accommodate patients preferences."
Neutral
"The practice nurse was always present acting as a chaperone for all GP appointments for these patients."
Neutral
"For example the practice nurse was the lead nurse for infection control and one of the GP partners was the lead for safeguarding."
Neutral
"The GPs and practice nurse told us they discussed clinical issues on a regular basis but these meetings were informal and minutes were not recorded to enable reference to over time."
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."
2020-02-06 Snippet(s)
Positive
"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."
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."
2019-07-12 Snippet(s)
Positive
"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."
Positive
"• There had been an improvement in attaining the recruitment documents required and a system of monitoring that professional registrations were in date had been implemented."
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 systems in place for monitoring uncollected prescriptions and tracking prescription stationery throughout the practice."
2018-07-24 Snippet(s)
Positive
"The practice contacted the patients on the day of our inspection to ensure they received appropriate monitoring and safe care."
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes and FLO."
Positive
"• The practice’s system for monitoring uncollected prescriptions was not effective."
Positive
"• Arrangements were in place for planning and monitoring the number and mix of staff needed to meet patients’ needs including planning for holidays sickness busy periods and epidemics."
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
"For example the practice used Florence Simple Telehealth FLO service a text messaging service that sends patients reminders and health advise to support them in monitoring and managing their longterm conditions."
2015-02-05 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcome Framework QOF and performance against national screening programmes to monitor outcomes for patients."
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 saw that this was lower than the CCG average and demonstrated that the practice was proactive in monitoring the prescribing of medicines."
Positive
"The practice had a system in place for reporting recording and monitoring significant events over time."
Positive
"The practice had a system in place for reporting recording and monitoring significant events."
Positive
"We saw evidence of calibration of relevant equipment; for example weighing scales and blood pressure monitoring equipment."
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."
Neutral
"The practice was monitoring the risk of unplanned admissions and had developed individual care plans for patients."
Latest Snippet(s)
Neutral
"Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance most GP appointments were telephone consultations."
2018-07-24 Snippet(s)
Positive
"• There was a system to manage infection prevention and control however assessment of staff immunity to potential healthcare acquired infections had not been completed for all staff."
2020-02-06 Snippet(s)
Positive
"The practice has good transport links and there is a pharmacy located nearby."
2020-02-06 Snippet(s)
Positive
"• Up to date fire drill logs and health and safety checks were available at the main practice."
2019-07-12 Snippet(s)
Positive
"• Up to date fire drill logs and health and safety checks were not readily available at the main practice."
Positive
"• Liaise with the landlord of the main practice premises to provide reassurance that fire drills are logged and health and safety checks are carried out and documented."
2018-07-24 Snippet(s)
Positive
"Assessments of some of the risks to the health and safety of service users of receiving care or treatment were not being carried out."
Positive
"The registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."
2015-02-05 Snippet(s)
Positive
"The practice also had a health and safety policy."
2019-07-12 Snippet(s)
Positive
"• Not all female patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."
Positive
"• Not all patients of child bearing age prescribed a medicine used for the treatment of epilepsy and bipolar disorder had a pregnancy prevention plan in place."
Neutral
"• Patients prescribed a medicine used in the treatment of depression had been monitored in line with national guidance."
2018-07-24 Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Positive
"People with longterm conditions: • Patients with a longterm condition received an annual review to check their health and medicine needs were being appropriately met."
Neutral
"However patients prescribed the highrisk medicine lithium had not been monitored in line with national guidance."
Neutral
"However on the day of our inspection we identified two patients on a highrisk medicine who had not been monitored in line with current guidance."
2015-02-05 Snippet(s)
Positive
"The medicine management policy also described the action to take if vaccines had not been stored within the appropriate temperature range."
Positive
"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Positive
"We were told that after receiving an alert the GPs reviewed the use of the medicine in question and where they continued to prescribe it outlined the reason why they decided this was necessary."
Neutral
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor enabling a nurse to administer a medicine to groups of patients without individual prescriptions."
2018-07-24 Snippet(s)
Positive
"The practice held three monthly palliative care professionals’ meetings to support patients near the end of their life."
Positive
"For example the ILCT andor the palliative care team."
2015-02-05 Snippet(s)
Positive
"It had a palliative care register and had regular multidisciplinary meetings to discuss the care and support needs of patients and their families."
Positive
"Patients nearing the end of their life had their care and support reviewed at bimonthly multidisciplinary meetings which included practice staff district and palliative care nurses."
Positive
"These meetings were attended by district nurses palliative care nurses the GPs practice nurses and health care assistants."
Positive
"We saw that multidisciplinary meetings between GPs palliative care nurses and district nurses were held every eight weeks to review care plans for patients near the end of their life."
Positive
"A number of other services were also located in the same building as the practice for example community nursing staff including district nurses health visitors and palliative care nurses."
Positive
"The practice held multidisciplinary team meetings to discuss patients on the palliative care register."
Positive
"The practice had eight patients on their palliative care register."
2018-07-24 Snippet(s)
Positive
"• The practices’ uptake for breast and bowel cancer screening was in line the national average."
2018-07-24 Snippet(s)
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended however some of these polices needed updating to reflect current guidance."
2018-07-24 Snippet(s)
Neutral
"• The practice ensured that end of life care was delivered in a coordinated way which took account of the needs of different patients including those who may be vulnerable because of their circumstances."
2018-07-24 Snippet(s)
Positive
"This included an induction process appraisal clinical supervision and support for revalidation."
2015-02-05 Snippet(s)
Positive
"The chair person for the PPG confirmed that they had a very good working relationship with the practice and that the GPs and practice managers were open and honest and listened to what they said."
2015-02-05 Snippet(s)
Neutral
"We observed this in waiting room when the receptionist referred to the patient by their first name without having to ask who they were."
2015-02-05 Snippet(s)
Positive
"Facilities for patients with mobility difficulties included disabled parking spaces; electronic entrance doors to the practice; disabled toilets and a hearing loop for patients with a hearing impairment."
2015-02-05 Snippet(s)
Neutral
"There was a lift to the first floor."
2015-02-05 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."