Latest Snippet(s)
Positive
"• The practice carried out palliative care and end of life treatment during out of hours to give patients continuity of care."
Positive
"• The practice offered its own out of hours services for palliative care patients."
2015-07-02 Snippet(s)
Positive
"Details of all patients who received palliative care were passed to the out of hours practice each weekend to ensure care would continue when the practice was closed."
Positive
"Patients who required palliative care palliative care is an holistic approach to care for patients with incurable illnesses and their families were regularly reviewed."
Positive
"This included the local Myton Hospice for patients who received palliative care."
Positive
"Every two months a palliative care meeting was held."
Positive
"These meetings included the lead GP for palliative care district nurses the community matron and staff from the local Myton Hospice."
Latest Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with local and national averages."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
2015-07-02 Snippet(s)
Positive
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor for a nurse or appropriately trained person to administer a medicine to groups of patients without individual prescriptions."
Positive
"One GP partner was a member of the CCG board and a practice nurse was associate medical director of Community Services at South Warwickshire Foundation Trust SWFT."
Positive
"The practice nurse had arranged to do these at patients’ homes if their health prevented them from attending the clinics at the practice."
Positive
"The practice nurse was aware of the need for parental consent and what action to follow if a parent was unavailable."
Positive
"One GP partner was also a member of the CCG board and a practice nurse was associate medical director of Community Services at South Warwickshire Foundation Trust SWFT."
Neutral
"A practice nurse was trained in contraceptive implant insertion and removal."
Neutral
"Health Promotion & Prevention All new patients were offered a consultation with the practice nurse when they first registered with the practice."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
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."
Neutral
"• Although prescription stationery was stored safely we found that there was no monitoring of blank prescription stationery."
Neutral
"The practice told us that they would introduce a monitoring system for blank prescription stationery with immediate effect."
2015-07-02 Snippet(s)
Positive
"Our key findings were as follows: • The practice had comprehensive systems for monitoring and maintaining the safety of patients and the care and treatment they provided to their patients."
Positive
"There was also a system in place for the management of high risk medicines which included regular monitoring in line with national guidance."
Positive
"Management monitoring and improving outcomes for people There was a system in place at the practice for completing clinical audit cycles."
Positive
"Some of this monitoring including the NSAID clinical audit was carried out as part of the Quality and Outcomes Framework QOF."
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 found other monitoring the practice had carried out included patients with chronic conditions for example diabetes."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"• Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Neutral
"This ensured that end of life care was delivered in a coordinated way which took into account the needs of different patients including those who may be vulnerable because of their circumstances."
2015-07-02 Snippet(s)
Neutral
"During these meetings any concerns were discussed for example the needs of complex patients those with end of life care needs or children on the at risk register."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
Latest Snippet(s)
Positive
"• There was an effective system to manage infection prevention and control IPC across both sites."
Latest Snippet(s)
Positive
"• The practice provided daily medical care at the Nicol Unit primarily for elderly care located within Warwick Hospital."
Positive
"• The practice cared for patients living in nursing homes and within the Nicol Unit primarily for elderly care located within Warwick Hospital."
Neutral
"The area has a high elderly population and most patients speak English as their first language including a large Polish community served by the practice."
2015-07-02 Snippet(s)
Positive
"The practice cared for patients within two local care homes and within the Nicol Unit primarily for elderly care located within Warwick Hospital."
Positive
"The practice cared for patients within the Nicol Unit primarily for elderly care located within Warwick Hospital."
Neutral
"The area has a high elderly population and most patients speak English as their first language including a large Polish community served by the practice."
Latest Snippet(s)
Positive
"The practice had carried out audits to include a full cycle audit about a medicine used in women of childbearing age due to the risk of developmental disorders."
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Positive
"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
Positive
"• Dispensary staff identified when a medicine review was due and told us that they would alert the relevant GP to reauthorise the medicine before a prescription could be issued."
Neutral
"All the medicines we checked were in date; however a medicine to treat inflammation was not available."
Neutral
"• The practice had shared an alert about a medicine used in women to treat fibroids."
2015-07-02 Snippet(s)
Positive
"One such example concerned a medicine for diabetes."
Positive
"A PGD is a written instruction from a qualified and registered prescriber such as a doctor for a nurse or appropriately trained person to administer a medicine to groups of patients without individual prescriptions."
Positive
"Medicines management During our inspection we checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
2015-07-02 Snippet(s)
Positive
"The practice was fully wheelchair accessible."
2015-07-02 Snippet(s)
Positive
"Management monitoring and improving outcomes for people There was a system in place at the practice for completing clinical audit cycles."
Positive
"Some of this monitoring including the NSAID clinical audit was carried out as part of the Quality and Outcomes Framework QOF."
Positive
"The results of significant event analyses and clinical audit cycles were used to monitor performance and contribute to staff learning."
Neutral
"We saw examples of completed clinical audit cycles such as steroid prescribing."
2015-07-02 Snippet(s)
Positive
"We were also shown records that demonstrated information gained from other sources such as clinical audits and health and safety audits was assessed with patient safety in mind."
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative who had received appropriate training for the role."
Positive
"The practice also had a health and safety policy."
2015-07-02 Snippet(s)
Neutral
"Cleaning schedules were in place and cleaning records kept."
2015-07-02 Snippet(s)
Neutral
"This included referrals for drug and alcohol dependency and for the NHS counselling service."