Latest Snippet(s)
Positive
"The practice nurse had a particular interest in elderly and palliative care and has had additional training as a cancer champion and leads of the Gold Standard Framework GSF meetings and visited patients in their own home."
2015-07-30 Snippet(s)
Positive
"Areas for improvement Action the service SHOULD take to improve • Record multidisciplinary meetings to demonstrate monitoring arrangements and support for palliative care patients and identified vulnerable patients."
Positive
"Staff worked with multidisciplinary partners however the practice should record these meetings to demonstrate monitoring arrangements and support for palliative care patients."
Positive
"The practice liaised with other healthcare professionals such as the Community Matron and with the multidisciplinary health care team to discuss patients on their palliative care register."
Positive
"The provider should: • Record multidisciplinary meetings to demonstrate monitoring arrangements and support for palliative care patients and identified vulnerable patients."
Latest Snippet(s)
Positive
"The practice nurse had a particular interest in elderly and palliative care and has had additional training as a cancer champion and leads of the Gold Standard Framework GSF meetings and visited patients in their own home."
Positive
"For example this may be the nurse prescriber a health care assistant or the pharmacist."
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Neutral
"The practice nurse followed up on DNA’s."
Neutral
"Working age people including those recently retired and students: • The needs of this population group had been identified and the practice were able to facilitate appointments at an out of hours practice for evening and weekend appointments with a nurse or GP for people who required this service."
2015-07-30 Snippet(s)
Positive
"The practice nurse told us that through these groups they had the opportunity to develop their own skills and identify areas for improvement."
Positive
"The practice nurse told us about a local peer review system they took part in with neighbouring GP practice nurses called ‘Practice makes perfect.’"
Positive
"The nurse practitioners attended local practice nurse forums and attended a variety of external training events such as: Paediatric Asthma; COPD Management; Yellow Fever Update Training and Contraception and GUM Update."
Positive
"The nurse practitioner took responsibility for the stock controls and fridge temperatures."
Neutral
"The nurse practitioner had overall responsibility for ensuring emergency medicines were in date and carried out recorded checks."
Neutral
"The nurse practitioner was the designated clinical lead for infection control."
Latest Snippet(s)
Positive
"For example following one complaint the letter sent to patients from the medicines management team has been amended and the website details were updated to show details of the medicines management coordinator as well as the receptionist details."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their own health for example through social prescribing schemes."
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 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."
Neutral
"• We noted there was not a formal system for monitoring uncollected prescriptions."
2015-07-30 Snippet(s)
Positive
"Areas for improvement Action the service SHOULD take to improve • Record multidisciplinary meetings to demonstrate monitoring arrangements and support for palliative care patients and identified vulnerable patients."
Positive
"Staff worked with multidisciplinary partners however the practice should record these meetings to demonstrate monitoring arrangements and support for palliative care patients."
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"The provider should: • Record multidisciplinary meetings to demonstrate monitoring arrangements and support for palliative care patients and identified vulnerable patients."
Positive
"The practice had monitoring systems in place to check on the progress of any referral."
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
"This monitoring is undertaken in conjunction with the practice and the PART team."
Neutral
"Staff told us about the arrangements for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"The GP and practice nurse also accommodated home visits for those who had difficulties getting to the practice due to limited local public transport availability."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding reporting any issues of concern and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
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."
2015-07-30 Snippet(s)
Positive
"The practice planned and liaised with the out of hours provider for Warrington regarding any special needs for a patient; for example forms were sent regarding end of life care arrangements for patients who may require assistance during the weekend."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding reporting any issues of concern and infection prevention and control • Practice leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Latest Snippet(s)
Neutral
"We saw completed cleaning schedules and a six monthly cleaning audit was undertaken."
2015-07-30 Snippet(s)
Positive
"Cleaning schedules showed effective management of the cleaning programme throughout the practice."
Latest Snippet(s)
Positive
"The practice nurse had a particular interest in elderly and palliative care and has had additional training as a cancer champion and leads of the Gold Standard Framework GSF meetings and visited patients in their own home."
2015-07-30 Snippet(s)
Neutral
"The practice did not have a high population of elderly patients in comparison to national data within England."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Positive
"Exception reporting is the removal of patients from QOF calculations where for example the patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
2015-07-30 Snippet(s)
Neutral
"Medicines management There were systems in place for medicine management."
2015-07-30 Snippet(s)
Positive
"There were emergency processes in place for patients with long term conditions and clinical staff had access to emergency drugs suitable to their specific medical emergency such as unstable diabetes."
2015-07-30 Snippet(s)
Positive
"They discussed forthcoming plans to canvas patient’s comments and opinions about car parking facilities and felt supported by the practice in this approach."
2015-07-30 Snippet(s)
Positive
"Following each clinical audit changes to treatment or care were made where needed and the audit repeated to ensure outcomes for patients had improved."
2015-07-30 Snippet(s)
Positive
"Health and safety information was displayed for staff to see and there were two identified health and safety representative."
Positive
"The practice also had a health and safety policy."