Latest Snippet(s)
Neutral
"Members of the management team provided evidence of a range of multidisciplinary meetings with district nurses palliative care nurses and the practice clinical team to monitor vulnerable patients."
2017-04-06 Snippet(s)
Neutral
"• All vulnerable patients were discussed at multidisciplinary team meetings at which social workers palliative care nurses community matrons and district nurses were in attendance."
Latest Snippet(s)
Positive
"The uptake of national screening programmes for bowel and breast cancer screening were higher than the CCG and national averages."
Latest Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"• The practice had actively encouraged staff development and the practice nurse had completed an advanced nurse prescriber course at the university."
Positive
"During our visit we: • Spoke with a range of staff including the GPs practice nurse health care assistant practice manager personal assistant reception and administration staff and spoke with patients who used the service."
Neutral
"The GP and nurse had lead roles in key areas."
2017-04-06 Snippet(s)
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
"The lead nurse in infection control had gained a certificate in infection prevention and control and had access to the CCG respiratory nurse lead for updates and advice."
Neutral
"The team included a GP specialist adviser and a practice nurse specialist adviser."
Neutral
"• There was a bimonthly diabetes clinic held at the practice by a diabetic specialist nurse which enabled people to have a review and access treatment locally."
Neutral
"• The community psychiatric nurse service ran clinics at the practice so that patients could be reviewed and receive their medicines closer to home."
Latest Snippet(s)
Positive
"• The practice had recruited a clinical pharmacist to support the GPs in monitoring prescribing to ensure prescribing was in line with best practice guidelines for safe prescribing and the effective auditing of medicines."
Positive
"• Following our previous inspection the practice had recruited a clinical pharmacist to support the GPs in monitoring prescribing and effective auditing of medicines."
Positive
"• Since the previous inspection the practice had introduced a programme of clinical audits which demonstrated quality improvement and the monitoring patient outcomes."
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
"• The practice had implemented clearly defined and embedded systems and processes to minimise risks to patient safety and had an effective process in place for monitoring and actioning safety alerts."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"There were cleaning schedules and monitoring systems in place and staff had access to appropriate hand washing facilities and personal cleaning equipment."
Positive
"For example managing and learning from incidents cascading information received and actions taken following receipt of safety alerts processes for managing medicines which required closer monitoring was not effective."
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 arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2017-04-06 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
"We asked the practice to provide us with further evidence of safe care and treatment in relation to monitoring of medicines."
Positive
"Since the inspection the provider has sent documentation which confirmed that although a patient search had not been instigated appropriate monitoring of these patients had taken place."
Positive
"During the inspection they did not demonstrate that appropriate monitoring had taken place prior to a repeat prescription being issued."
Positive
"• Follow good practice guidelines for the monitoring and review of high risk medication."
Positive
"• There were procedures in place for monitoring and managing risks to patient and staff safety."
Positive
"There was no evidence of quality monitoring following clinical audit."
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
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"• We saw evidence to confirm that staff had received the appropriate checks with the disclosure and barring service DBS."
Neutral
"• At this inspection we found that recruitment procedures had been reviewed and all staff had received a disclosure and barring service DBS check."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs and nurses."
2017-04-06 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
Latest Snippet(s)
Positive
"• There was a health and safety policy available and regular risk assessments were carried out by NHS Property Services."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-04-06 Snippet(s)
Positive
"There was a health and safety policy available with a poster in the reception office which identified local health and safety representatives."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2017-04-06 Snippet(s)
Positive
"The lead nurse in infection control had gained a certificate in infection prevention and control and had access to the CCG respiratory nurse lead for updates and advice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"There were cleaning schedules and monitoring systems in place and staff had access to appropriate hand washing facilities and personal cleaning equipment."
Latest Snippet(s)
Positive
"Patients on the medicine were reviewed by the GP and offered advice and support to ensure compliance with recommended guidelines."
Positive
"For example searches had been carried out in response to an MHRA alert regarding a medicine used to treat epilepsy and bipolar disorder and to prevent migraine headaches and the links to pregnant women."
2017-04-06 Snippet(s)
Positive
"There is good car parking on site for patients."
2017-04-06 Snippet(s)
Positive
"• The building had a lift to the first floor to ensure full access for all patients.. • The practice held joint baby and maternal postnatal checks at six weeks after the birth of the baby."
2017-04-06 Snippet(s)
Neutral
"A GMS contract ensures practices provide essential services for people who are sick as well as for example chronic disease management and end of life care and is a nationally agreed contract."
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 were signposted to the relevant service."