Latest Snippet(s)
Positive
"The GP team are supported by a practice manager an office manager an IT manager practice manager’s assistant a reception coordinator six practice nurses including a nurse clinician prescriber two health care assistants a phlebotomist and additional administration staff."
Positive
"• The practice provided additional care and support for the vulnerable homeless population of Torquay through the provision of three GP and one nurse clinic a week at the local homeless centre."
2016-02-18 Snippet(s)
Positive
"Where a patient’s mental capacity to consent to care or treatment was unclear the GP or nurse assessed the patient’s capacity and where appropriate recorded the outcome of the assessment."
Positive
"The team were supported by a practice director six practice nurses including three nurse prescribers two health care assistants one phlebotomist and additional administration staff."
Positive
"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"• The practice provided a specialist nurse service comprising a nurse who visited patients at home supported by an administrative member of staff."
Positive
"• The practice offered a specialist nurse service which aimed to complement and support the services provided by the practice and community teams including the matron."
Positive
"The specialist nurse service provided care for patients with long term illnesses who may otherwise have found it difficult to access services at the practice."
Neutral
"For example the practice provided a weekly baby and young family clinic attended by a GP nurse health visitor midwife and nursery nurse."
Neutral
"The team included a GP specialist adviser a practice nurse specialist adviser and an Expert by Experience."
2014-10-16 Snippet(s)
Positive
"The practice nurse we spoke with told us how they always referred patients back to the GPs where medical conditions changed and collaboratively they agreed the best course of action to involve and support the patient."
Positive
"A new practice initiative had been a nurse clinic at the Leonard Stocks centre provided by Shekinah mission a Plymouth based service for homeless addicted socially excluded andor otherwise vulnerable adults."
Positive
"The practice nurse had a lead responsibility for ensuring effective infection control."
Positive
"Feedback from the centre indicates this approach was very beneficial for patients as the nurse built closer more proactive relationships with the staff at the centre and they were now promoting the opportunity for the residents and the homeless to have a general health screen."
Positive
"We talked with all staff employed in the practice who worked on the day of our inspection this included four GPs and a locum GP a practice nurse a phlebotomist health care assistant the practice manager and six administrative staff."
Positive
"Where need had been identified for patients living in a residential home the practice had been instrumental in arranging for the tissue viability nurse to train staff at the home in order to provide the care required."
Positive
"The nurse kept a record of the test results in the patients record book to monitor progress and to identify variations in the patients condition."
Positive
"Similarly a nurse was supported to become a nurse practitioner."
Positive
"When patients were called for appointments the GP or nurse came out to collect the patient and welcomed them by name."
Positive
"They worked effectively as a team with the lead nurse ensured they undertook all necessary training to keep their knowledge uptodate."
Positive
"The services provided by the practice include: antenatal asthma monitoring cardiovascular disease screening diabetes monitoring family planning child health clinics child development checks specialist nurse service and health visiting."
Positive
"The practice nurse had responsibility for infection control and ensured adherence to practice policy across the staff team."
Positive
"For example where a nurse was responsible for checking emergency medicine expiry dates this check was carried out where fridge temperatures required monitoring to ensure travel vaccinations remained useable these were recorded in a vaccinations log."
Positive
"Our findings The practice’s nursing team consisted of a lead nurse nurse clinician specialist nurse for four hours each week and respiratory nurse specialist for conditions such as asthma and chronic obstructive pulmonary disease COPD."
Neutral
"The practice provided an additional specialist nurse service which was unique to the Torbay area."
Neutral
"During our visit we spoke with a range of staff including four GPs the locum GP the practice nurse the practice manager reception staff the administrative team and spoke with patients who used the practice."
Neutral
"The practice had a chaperoning policy available to all patients which ensured all vulnerable patients had the opportunity to see a GP or nurse accompanied by a skilled and knowledgeable chaperone."
Neutral
"Additionally one of the administrative team was given time and access to train to become a nurse within the practice."
Neutral
"Additionally one of the administrative team was given time and access to resources to train to become a nurse within the practice and a nurse to become a nurse practitioner."
Neutral
"The nurse would inform the GP and they would discuss the relevance of change before advising the patient of the change."
Neutral
"Additionally one of the administrative team was given time and access to train to become a nurse within the practice and a nurse to become a nurse practitioner."
Neutral
"The practice provides an additional specialist nurse service."
Neutral
"The practice nurse held a clinic at Leonard Stocks on Thursdays whilst the GPs held clinics on the other days."
Latest 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
"• Review the process for monitoring the use of shared care high risk medicine to ensure these patients received monthly health checks."
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."
2016-02-18 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."
Positive
"• There were procedures in place for monitoring and managing risks to patient and staff safety."
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."
2014-10-16 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The patients we spoke with who had long term conditions told us their conditions were well managed routinely monitored and had found their health conditions had stabilised leading to improved heath."
Positive
"This type of monitoring supported effective outcomes for patients using the practice."
Positive
"All the medicines seen were in date and fit for use however temperature monitoring in the treatment room where medicines were stored was not routinely undertaken and could lead to medicines becoming less effective if not stored correctly."
Positive
"The services provided by the practice include: antenatal asthma monitoring cardiovascular disease screening diabetes monitoring family planning child health clinics child development checks specialist nurse service and health visiting."
Positive
"For example where a nurse was responsible for checking emergency medicine expiry dates this check was carried out where fridge temperatures required monitoring to ensure travel vaccinations remained useable these were recorded in a vaccinations log."
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 saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."
Neutral
"Patients and GPs told us about referrals to consultants treatments provided in hospitals and how their own GP followed these appointments with ongoing treatment plans or routine monitoring depending on patient needs and the outcome of the treatment provided."
Latest Snippet(s)
Positive
"• Review the process for monitoring the use of shared care high risk medicine to ensure these patients received monthly health checks."
2016-02-18 Snippet(s)
Positive
"The audits included inadequate smear audits significant event audits medicine audits such as warfarin diabetes audits blood pressure audits and unplanned admissions to hospital audits."
2014-10-16 Snippet(s)
Positive
"For example where a nurse was responsible for checking emergency medicine expiry dates this check was carried out where fridge temperatures required monitoring to ensure travel vaccinations remained useable these were recorded in a vaccinations log."
Positive
"International normalised ratio INR services a blood test for people taking anti coagulation medicine aortic aneurysm and retinal screening services are provided to the working population along with other population groups."
Neutral
"We saw similar monitoring and management programs for people with diabetes iron deficiency heart conditions prostate cancer arthritis and nearpatient testing medical testing at or near the site of patient care for patients on certain medicine types."
2016-02-18 Snippet(s)
Positive
"We spoke with health visitors palliative care nurses and the community matron who told us the practice provided coordinated care and shared information when appropriate."
2014-10-16 Snippet(s)
Positive
"For patients requiring end of life care and support a palliative care meeting was held every month with the lead GP."
Positive
"The palliative register was updated as appropriate and the care needs of patients were reviewed."
Positive
"Leadership and culture The practice had eight partners each of who had lead roles in areas such as palliative care dermatology clinical governance mental health and safeguarding vulnerable patients."
2014-10-16 Snippet(s)
Positive
"Where patients were unsure of the policy they told us they felt that if they complained to the doctor or receptionist their complaint would be listened to and acted on."
Positive
"For example we heard about training arranged by the practice which enabled a receptionist to become a health care assistant."
2016-02-18 Snippet(s)
Neutral
"The practice had considered the needs of wheelchair users and had level access on the ground floor to all treatment rooms."
2014-10-16 Snippet(s)
Positive
"For example where a patient’s wheelchair had become stuck in a doorway we saw the incident had been investigated to find out how the problem occurred."
2016-02-18 Snippet(s)
Positive
"This included ongoing support during sessions onetoone meetings appraisals coaching and mentoring clinical supervision and facilitation and support for the revalidation of doctors."
2014-10-16 Snippet(s)
Neutral
"Nursing staff received clinical supervision from the GP partners with the GPs meeting informally to discuss clinical issues and diagnosis."
2016-02-18 Snippet(s)
Positive
"There was a health and safety policy available on the shared computer system."
Positive
"There was a lead health and safety member of staff for each of the two sites."
Neutral
"• The practice had an induction programme for newly appointed nonclinical members of staff that covered such topics as safeguarding fire safety health and safety and confidentiality."
2014-10-16 Snippet(s)
Positive
"The plan showed they had completed many areas based on their role such as telephone answering patient care and safety health and safety and fire procedure familiarisation."
Positive
"Risks assessments included the environment patient safety infection control ensuring vulnerable patients were protected the management of medicines staff recruitment record keeping health and safety and managing emergency situations."
2014-10-16 Snippet(s)
Neutral
"The staff we spoke with told us the practice had a culture of routinely auditing activities the records and logs we saw confirmed these statements."
2014-10-16 Snippet(s)
Positive
"For patients requiring end of life care and support a palliative care meeting was held every month with the lead GP."
2014-10-16 Snippet(s)
Positive
"Leadership and culture The practice had eight partners each of who had lead roles in areas such as palliative care dermatology clinical governance mental health and safeguarding vulnerable patients."
2014-10-16 Snippet(s)
Positive
"Where equipment could be used again we saw equipment was stored appropriately until it was collected for cleaning by a specialist cleaning contractor."
Positive
"All cleaning materials and chemicals were securely stored and Control of Substances Hazardous to Health CoSHH information was available to ensure their safe use."
Neutral
"There was a schedule of cleaning requirements."
Neutral
"The practice employed a cleaning service for the five days of the week the practice was open."