Latest Snippet(s)
Positive
"The wider clinical team consists of a primary care nurse an advanced nurse practitioner one treatment room nurse and two Health Care Assistants HCAs."
Neutral
"All Sparcells Surgery patient services including nurse treatment and GP consulting rooms are located on the ground floor."
Neutral
"The provider s corporate team includes a Medical Director a Director of Nursing a Director of Operations an infection control nurse and a range of corporate administrative staff."
Neutral
"These appointments are with a nurse or HCA."
2015-01-22 Snippet(s)
Positive
"• Establish an effective way to inform patients of why significant organisational changes in the practice have been made and how the changes may affect them such as recruiting the nurse practitioner and what care and treatment they could carry out."
Positive
"However they were now a nurse led practice and had a nurse practitioner who was able to see patients for a number of conditions for which they would normally see a GP such as minor illnesses or injuries."
Positive
"For example the nurse told us the differences between particular vaccines to ensure patients received the right vaccine appropriate to their needs."
Positive
"The practice has a full time nurse practitioner an advanced practice registered nurse who has completed an additional three years training to enable them to have an increased knowledge base clinical expertise and decision making skills."
Positive
"The practice has the equivalent of three fulltime nurses and health care assistants including the nurse practitioner."
Positive
"The practice had been through a number of major changes since Carfax health Enterprise had taken over such as refurbishing the practice building reviewing and updating all patient records to ensure they were accurate changing the electronic patient record system and developing the practice into a nurse led service."
Positive
"For example a nurse told us they had been encouraged to complete additional training in chronic pulmonary obstructive disease and contraception."
Neutral
"The practice had also actively offered nurse led smoking cessation clinics to these patients."
Neutral
"Where patients needed a home visit for an annual health check the nurse practitioner would organise home visits with them."
Neutral
"The nurse practitioner would triage calls received from patients requesting an appointment or home visit."
Neutral
"For example there was a lead nurse for infection control and one of the GPs was the lead for safeguarding."
Latest Snippet(s)
Positive
"Our judgement of the quality of care at this service is based 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."
2015-01-22 Snippet(s)
Positive
"Management monitoring and improving outcomes for patients Staff from across the practice had key roles in the monitoring and improvement of 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."
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
"This had included practice refurbishment review of patient records and an upgrade to the computer systems and systems for monitoring the service."
Latest Snippet(s)
Positive
"Background to Sparcells Surgery The provider Carfax Health Enterprise Community Interest Company delivers regulated activities from its location at Sparcells Surgery."
2015-01-22 Snippet(s)
Positive
"The reason for this was because they had a very low number of palliative care patients and there was quick access from the pharmacy if any were needed."
2015-01-22 Snippet(s)
Positive
"Also a receptionist had been supported with their personal development and subsequently promoted into an office managers position."
Neutral
"During our visit we spoke with a range of staff including clinical operations and nursing directors two GPs three members of the nursing team office manager receptionist a visiting midwife and spoke with six patients."
2015-01-22 Snippet(s)
Positive
"Minutes from the meetings held were always saved onto the shared staff internet for staff learning and review."
Positive
"There was a shared internet system where updates were kept and GPs and nursing staff could review current guidance."
2015-01-22 Snippet(s)
Positive
"There was plenty of space in the waiting area and corridors for wheelchair and prams which allowed for easy access to the treatment and consultation rooms."
Neutral
"Areas highlighted to the practice to review were an automatic door for wheelchair users and alternative larger or cushioned seating."
2015-01-22 Snippet(s)
Positive
"Our GP specialist advisor discussed audits with a GP at the practice and they agreed they needed to improve how they demonstrated improvements to patient care through clinical audit cycles."
Positive
"Other examples of clinical audit included audits to confirm the GPs who prescribed contraception were doing so in line with their registration and NICE guidance."
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
2015-01-22 Snippet(s)
Neutral
"The team was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
2015-01-22 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
2015-01-22 Snippet(s)
Neutral
"We saw there were cleaning schedules in place."
2015-01-22 Snippet(s)
Positive
"Their experience included working in primary and secondary care as well as private medicine with skills in strategy and planning project management human resources including training and development finance IT and communications management of change and governance."
Positive
"One emergency medicine was a month out of date when we checked it."
Positive
"A member of staff completed regular medicine reviews audits to ensure patients were receiving the right medicine for their condition."
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."
Neutral
"The practice had completed a number of clinical audits for example minor surgery contraception and medicine reviews audits."