Types of Facilities

Monitoring

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."

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."

2019-04-26 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."

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 shortfalls in the monitoring and storage of prescription stationery."

Neutral

"In particular: • There were shortfalls in the monitoring and storage of prescription stationery."

2017-01-11 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

"These measure monitoring of blood pressure heart disease indicators obesity smoking contraception and cervical smear uptake for all patients where applicable."

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."

Health and Safety

Latest Snippet(s)

Positive

"This was because of ineffective governance systems and shortfalls regarding fire safety health and safety staff training and safe use and storage of prescription stationery."

Positive

"We found that: • The practice had implemented systems which promoted health and safety including fire safety and infection prevention and control."

2019-04-26 Snippet(s)

Positive

"In particular: • There were no overarching health and safety risk assessments or systems to mitigate risk as far as practically possible within the practice."

Positive

"We rated the practice as requires improvement for providing safe services because: • There were no overarching health and safety risk assessments or systems to mitigate risk as far as practically possible within the practice."

Positive

"• Risk assessment related to health and safety in the practice were not fully effective and did not demonstrate that risk was mitigated when possible."

Positive

"In particular: • Risk assessment related to health and safety in the practice were not fully effective and did not demonstrate that risk was mitigated when possible."

2017-01-11 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."

Chairs

2017-01-11 Snippet(s)

Positive

"The PPG have been involved in many fundraising schemes to buy equipment and furniture for the surgery including an INR testing machine so that patients no longer have to travel to hospital and are currently raising funds for a new orthopaedic chair for the waiting room."

Palliative

2017-01-11 Snippet(s)

Positive

"• There were excellent palliative care arrangements including giving patients the personal contact numbers for GPs to enable contact whenever needed meaning that where possible patients could have end of life care at home with a GP available as per their wishes."

Cancer Screening Equipment

2017-01-11 Snippet(s)

Positive

"• The practice had higher uptake rates for breast bowel and cervical cancer screening compared to the national and local averages."

Nurse

2017-01-11 Snippet(s)

Positive

"The practice nurse was the infection control clinical lead who liaised with the local infection prevention teams and clinical commissioning group CCG to keep up to date with best practice."

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

"During our visit we: • Spoke with a range of staff including the two GP partners a foundation doctor a nurse a health care assistant and two reception staff and spoke with patients who used the service."

Positive

"The practice nurse was in the process of updating and implementing the policy together with new checklists audits including a second hand hygiene audit and training in order to improve infection control systems."

Receptionist

Activities

2017-01-11 Snippet(s)

Positive

"• Staff gave advice for self help and health promotion activities that patients could be involved in. • Patients told us that they were treated as individuals."

Wheelchair Access

2017-01-11 Snippet(s)

Neutral

"• Review the front door access for patients who are wheelchair users."

Neutral

"• There were disabled facilities including a lowered reception desk for wheelchair access to staff and braille on signs for the toilet and clinical rooms."

Neutral

"The practice did not have automatic entrance doors however there was a call bell at the front door if assistance was required but the bell was too high for patients who were wheelchair users."

End of Life Care

2017-01-11 Snippet(s)

Positive

"• There were excellent palliative care arrangements including giving patients the personal contact numbers for GPs to enable contact whenever needed meaning that where possible patients could have end of life care at home with a GP available as per their wishes."

Positive

"One GP partner provided training funded through the practice for all GP registrars in Dorset for end of life care and stated that there was constant assessment with the aim of continuous improvement with colleagues both in the practice and in the multi disciplinary teams."

Positive

"There was evidence that the GPs attend patients out of hours and routinely visited patients receiving end of life care normally weekly."

Clinical Supervision

2017-01-11 Snippet(s)

Positive

"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."

Infection Prevention and Control

2017-01-11 Snippet(s)

Neutral

"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."

Cleaning Service

2017-01-11 Snippet(s)

Positive

"At the time of the inspection there was not a documented checklist for the cleaning of the toys and the blood pressure cuff in the waiting room although this was implemented the day after our visit."

Neutral

"For example to review and document the legionella checks and cleaning routines."

Medicines

2017-01-11 Snippet(s)

Positive

"Information about patients’ outcomes was used to make improvements such as risk profiling and continual medicine management reviews for patients with mental illness."

Positive

"Particular attention is currently being given to responsible antibiotic usage and antiinflammatory medicine prescriptions."

Neutral

"For example continuing feedback regarding non steroidal antiinflammatory medicine prescription and the continuing effect on patients with regards to possible side effects."