Latest Snippet(s)
Positive
"• Until additional infection control training was available there was regular support and mentorship from the lead infection control nurse from Oxfordshire Clinical Commissioning Group."
Positive
"• The practice nurse was the infection control lead; until additional infection control training was available there was regular support and mentorship from the lead infection control nurse from Oxfordshire Clinical Commissioning Group."
2016-09-09 Snippet(s)
Neutral
"• The practice reserved GP and nurse appointments each day for patients who used the community transport service."
Neutral
"• The practice referred patients to in house psychological therapists counsellors and an addictions specialist nurse who were not directly employed by the practice."
Neutral
"The team included a GP specialist adviser and a practice nurse specialist adviser."
Neutral
"During our visit we: • Spoke with two GP partners one salaried GP one trainee GP one practice nurse one phlebotomist the practice manager one receptionist and one administrator."
Neutral
"The practice nurse was the infection control clinical lead and had recently taken up this role."
Latest Snippet(s)
Positive
"• We saw evidence that there was an effective monitoring system in place to ensure all staff had undertaken training relevant to their role."
Positive
"• The practice had implemented a monitoring system to manage risks associated with cleanliness and infection control within the practice."
Positive
"Monitoring risks to patients Procedures had improved and the practice was 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."
2016-09-09 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
"• There were not always robust 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
"However the practice manager told us that they did not know whether the necessary training had been undertaken by all staff acting as chaperones and there was not a system for monitoring this."
Neutral
"Records showed that not all staff had received infection control training and there was no clear process for monitoring who had undertaken required training."
Neutral
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Neutral
"Staff did not follow policies and procedures about managing medicine in line with current legislation and guidance for monitoring and tracking blank prescriptions."
Latest Snippet(s)
Positive
"• This system and staff files including certificates indicated all staff had completed training relevant to their role including infection control safeguarding adult safeguarding children basic life support health and safety and fire safety."
Positive
"This system and staff files including certificates indicated all staff had completed training relevant to their role including infection control safeguarding adult safeguarding children basic life support health and safety and fire safety."
Positive
"We reviewed information given to us by the practice and also reviewed processes and documents relevant to the management of the practice including health and safety arrangements chaperone arrangements and training records."
2016-09-09 Snippet(s)
Positive
"However they had not received training to ensure that their knowledge of health and safety was comprehensive and up to date."
Positive
"However not all staff had received appropriate training in health and safety chaperoning and infection control."
Positive
"Risks relating to health and safety had not been appropriately assessed and mitigated in relation to legionella electrical safety checks and gas safety checks."
Positive
"How the regulation was not being met Not all staff had received relevant and up to date training in health and safety chaperoning infection control and basic life support."
Positive
"The practice manager told us that they would seek guidance from the Health and Safety Executive where needed but that they did not routinely receive health and safety updates."
Positive
"There was a health and safety protocol available which contained information for staff."
Positive
"The practice manager was the health and safety lead at the practice."
Positive
"• Staff were not always aware of their own roles and responsibilities relating to health and safety and building maintenance."
2016-09-09 Snippet(s)
Positive
"For example the practice had introduced a new system to ensure that changes to medicine prescriptions were communicated clearly to all relevant parties including the pharmacy patient and carers."
Neutral
"For example recent action taken following audit included adding a pop up box on the computer reminding GPs to prescribe medicine to reduce the side effects of long term steroid medicine."
Neutral
"Staff did not follow policies and procedures about managing medicine in line with current legislation and guidance for monitoring and tracking blank prescriptions."
2016-09-09 Snippet(s)
Positive
"• The practice formally reviewed all deaths and separated these into expected and unexpected deaths at their monthly palliative care unplanned admission meeting."
Positive
"These meetings were attended by district nurses GPs practice nurses and palliative care nurses."
2016-09-09 Snippet(s)
Neutral
"During our visit we: • Spoke with two GP partners one salaried GP one trainee GP one practice nurse one phlebotomist the practice manager one receptionist and one administrator."
2016-09-09 Snippet(s)
Positive
"• The practice made specific appointment slots available for patients who used the community transport service due to having a number of patients who did not live locally • The practice had a system for enabling patients with no fixed address to register."
Neutral
"• The practice reserved GP and nurse appointments each day for patients who used the community transport service."
2016-09-09 Snippet(s)
Positive
"For example patients receiving end of life care carers patients with learning disabilities patients with mental health difficulties those at risk of developing a longterm condition."
2016-09-09 Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
2016-09-09 Snippet(s)
Positive
"However the audit tool did not assess against all relevant areas for infection control such as whether furniture coverings and methods of cleaning these were appropriate."
Positive
"However patient chairs were made of fabric and some were stained and there was no established deep cleaning schedule available."
Neutral
"• Replace the kit for cleaning body fluids for one that is in date and introduce a system to monitor the expiry date."
Neutral
"We saw that the practice had discussed deep cleaning requirements with the cleaning company."
Neutral
"One box of blank prescriptions was not stored securely and could be accessed by cleaning staff."
Neutral
"The kit for cleaning up body fluid spillages was out of date."