Latest Snippet(s)
Positive
"• The practice provided flexible access for these patients including specialist nurse telephone calls which meant patients were not restricted to clinics held on certain days."
Positive
"The wellbeing advisor was based at the practice and supported the nurse during long term condition reviews."
Positive
"• The lead nurse had undertaken training in the Somerset House of Care system a collaborative approach to addressing the needs of people with long term conditions."
Positive
"Support was also provided to the school nurse when required."
Neutral
"The practice had a long term conditions clinic for patients with complex needs which included a named nurse and a wellbeing advisor."
2015-04-09 Snippet(s)
Positive
"In addition there is a nurse manager a senior practice nurse three practice nurses a phlebotomist and two health care assistants."
Positive
"This included eight GPs and a registrar GP the nurse manager two practice nurses a health care assistant the practice manager and their deputy the reception manager and six administrativereception staff."
Positive
"It was practice policy to offer a health check with the health care assistant or practice nurse to all new patients who registered with the practice."
Positive
"There was a process to offer telephone reminders for patients who did not attend for cervical smears with a named nurse responsible for following up patients who did not attend screening."
Positive
"The nurse manager had lead responsibility for infection control."
Positive
"For example there was a lead nurse for infection control and senior partners had lead responsibility for safeguarding vulnerable patients."
Neutral
"The team included a GP a practice manager a practice nurse and an expert by experience."
Neutral
"We saw evidence that the nurse manager had carried out audits this year and that any improvements identified for action were completed on time."
Neutral
"We heard about how the practice used an ‘internal locum’ system to cover GP and nurse absences."
Neutral
"Records we looked at confirmed that it was checked regularly by the nurse manager."
Neutral
"We saw an example of this where the practice used an ‘internal locum’ system to cover GP and nurse absences and the mitigating actions that had been put in place to manage this."
Neutral
"The practices nurse manager told us about a local peer review system they took part in with neighbouring GP practices."
Neutral
"These meetings involved GP partners the nurse manager reception manager and practice manager."
Latest Snippet(s)
Positive
"We saw improvements in care for patients as a result of ongoing monitoring clinical audit and quality improvement work provision of additional services such as a dermatology clinic when the local service closed engagement with community projects and local pilot schemes."
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
Positive
"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention people with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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 in response to 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."
2015-04-09 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
"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
"• Constant monitoring of the appointment system provided additional appointments if needed and inhouse locums were booked where demand exceeded planned appointments."
Positive
"We saw evidence of calibration of relevant equipment; for example weighing scales blood pressure monitoring equipment weight monitoring scales and the fridge thermometer."
Positive
"Constant monitoring of the appointment system provided additional appointments if needed and inhouse locums were booked where demand exceeded planned appointments."
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
"Patients with diagnosed diabetes received regular monitoring and had access to an annual foot check and could be referred to a local chiropody service."
Neutral
"The main system had been connected to a flow monitoring system to manage the flow and distribution of calls."
Latest Snippet(s)
Positive
"For example talks about women’s health and attendance twice weekly by practice nurses at the Talking Café a multiagency information cafe providing free advice and support to the public."
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."
2015-04-09 Snippet(s)
Positive
"These patients were encouraged to participate in health promotion activities such as breast screening cytology and inhouse smoking cessation clinics."
Positive
"All patients were encouraged to participate in health promotion activities such as breast screening cytology and inhouse smoking cessation clinics."
Latest Snippet(s)
Positive
"The practice provided end of life care for all the patients whose care had been transferred from hospital to a local nursing home."
Neutral
"• The practice 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."
2015-04-09 Snippet(s)
Positive
"For example those with end of life care needs patients with a learning disability or children on the at risk register."
Latest Snippet(s)
Positive
"We saw improvements in care for patients as a result of ongoing monitoring clinical audit and quality improvement work provision of additional services such as a dermatology clinic when the local service closed engagement with community projects and local pilot schemes."
2015-04-09 Snippet(s)
Neutral
"The GPs and nurses made use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings competency templates for all roles appraisals coaching and mentoring clinical supervision and support for revalidation."
2015-04-09 Snippet(s)
Neutral
"The GPs and nurses made use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff."
Latest Snippet(s)
Positive
"• The systems for managing and storing medicine including vaccines medical gases emergency medicines and equipment minimised risks."
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Neutral
"• Prescription clerks liaised with pharmacies regarding medicine blister packs to provide a same day service."
2015-04-09 Snippet(s)
Positive
"These values were clearly displayed on the practices website and in the practice and included working together being treated with courtesy and respect being treated by a suitably qualified person promoting good health through advice and preventative medicine and being seen promptly."
Positive
"We saw a good skill mix among the GPs with seven having additional diplomas in sexual and reproductive medicine three with diplomas in family planning and two with diplomas in dermatology."
Positive
"The registrar had extensive experience in hospital medicine and was spending a year with the practice to gain experience in family medicine."
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 saw evidence from meeting minutes that after an alert was received the GPs had reviewed the use of the medicine in question and where they continued to prescribe it they outlined the reason why this was necessary."
2015-04-09 Snippet(s)
Positive
"These meetings were attended by district nurses social workers palliative care nurses and decisions about care planning were documented in a shared care record."
Positive
"The practice had a palliative care register and had regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families."
Positive
"For example in the reduction of hospital admissions the palliative care register and multidisciplinary care meetings."
Neutral
"Patients on the palliative care register were included in the practices most vulnerable patients list."
2015-04-09 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there was an identified health and safety representative."
Positive
"The practice also had a health and safety policy."
2015-04-09 Snippet(s)
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."
2015-04-09 Snippet(s)
Positive
"We saw evidence that elderly patients with a diagnosis of dementia had advance care planning in place as well as referrals to speech and language therapists and psychological Are services effective?"
Positive
"The practice had a system in place which ensured patients including the elderly families children and young people and vulnerable patients had reviews where they were diagnosed with comorbidities two or more diseases existing at the same time in the body or took multiple medicines."