Latest Snippet(s)
Positive
"• The practice’s uptake for breast and bowel cancer screening was in line with CCG and national averages."
Latest Snippet(s)
Positive
"There are five advanced nurse practitioners ANP’s two practice nurses three career start practice nurses four healthcare assistants and a team of management and administrative staff."
2017-11-30 Snippet(s)
Positive
"These included health checks for new patients with the health care assistant nurse or GP if appropriate."
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 recorded the outcome of the assessment."
Positive
"Advanced nurse practitioners and healthcare assistants were recruited to complement the existing workforce."
Positive
"• The practice had appointed a lead nurse who was one of the advanced nurse practitioners who acted as clinical mentor to the nursing team."
Neutral
"The chair of the provider Sunderland GP Alliance was the safeguarding lead for the practice jointly with one of the advance nurse practitioners."
Neutral
"The lead practice nurse was the infection control lead."
Neutral
"The lead nurse had carried out hand hygiene training for staff."
Latest Snippet(s)
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."
Positive
"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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
"• The practice was proactive in monitoring the prevalence of long term conditions within the practice population including responding to a sudden deterioration of a condition identifying those with a long term condition those at risk of developing one and those who were currently undiagnosed."
Neutral
"• QOF monitoring was used to manage capacity and demand and forward plan staffing levels across the three sites to ensure enough appointments to offer patients for their long term condition recall and review."
2017-11-30 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework QOF."
Positive
"• Reviewed information from CQC intelligent monitoring systems."
Positive
"• There were procedures in place for monitoring and managing risks to patients 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
"• There were arrangements in place for planning and monitoring the number of administration staff."
Latest Snippet(s)
Positive
"There is car parking available in the nearby shopping centre and there are dedicated disabled parking bays on the ground floor of the building."
Positive
"Barmston Medical Centre is a purpose built premises there are patient facilities on the ground floor and there are disabled parking spaces in the patient car park with wheelchair and step free access."
Neutral
"There is onsite parking and disabled parking."
2017-11-30 Snippet(s)
Positive
"There is car parking available in the nearby shopping centre and there are dedicated disabled parking bays on the ground floor of the building."
Positive
"Barmston Medical Centre is a purpose built premises there are patient facilities on the ground floor and there are disabled parking spaces in the patient car park with wheelchair and step free access."
Neutral
"There is onsite parking and disabled parking."
Latest Snippet(s)
Neutral
"There is a lift to access the higher floors."
2017-11-30 Snippet(s)
Neutral
"There is a lift to access the higher floors."
Latest Snippet(s)
Positive
"• Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"The provider had also involved local schools in certain activities they designed flags for the NHS birthday and a selfcare tree which was presented in the waiting room of each site."
Latest Snippet(s)
Positive
"Barmston Medical Centre is a purpose built premises there are patient facilities on the ground floor and there are disabled parking spaces in the patient car park with wheelchair and step free access."
2017-11-30 Snippet(s)
Positive
"Barmston Medical Centre is a purpose built premises there are patient facilities on the ground floor and there are disabled parking spaces in the patient car park with wheelchair and step free access."
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."
Latest Snippet(s)
Positive
"We saw examples of where significant events had led to clinical audit and further preventative work."
Positive
"• There was a comprehensive programme of clinical audit in place including subjects triggered by significant events or complaints."
2017-11-30 Snippet(s)
Positive
"They also recognised further work was necessary in other areas for example they wanted to check the prevalence of some chronic diseases and also they recognised that diabetes care could be better and clinical audit of this was planned."
Neutral
"This had led to a clinical audit to identify any patients they needed to review."
Neutral
"The practice had a plan in place for clinical audit over the next year."
Latest Snippet(s)
Neutral
"This included one to one meetings appraisals coaching and mentoring clinical supervision and revalidation."
Latest Snippet(s)
Positive
"• There was an appointed ‘health and safety champion’ on the board of directors who had received additional training and guidance from the health and safety advisor."
2017-11-30 Snippet(s)
Positive
"Overview of safety systems and processes The practice could demonstrate its safe track record through having systems in place for safeguarding health and safety including infection control and staffing."
Positive
"The practice employed a health and safety contractor to ensure they complied with legal requirements and that staff were trained appropriately in health and safety and fire safety with fire warden training planned for the day following our inspection."
Positive
"There was a health and safety policy and risk assessment."
Neutral
"• The practice had an induction programme for newly appointed nonclinical members of staff which covered such topics such as fire safety health and safety and responsibilities of their job role."
Latest Snippet(s)
Positive
"• There was an effective system to manage infection prevention and control which included monthly quarterly and yearly audits and checks."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2017-11-30 Snippet(s)
Neutral
"The chair of the provider Sunderland GP Alliance was the safeguarding lead for the practice jointly with one of the advance nurse practitioners."
2017-11-30 Snippet(s)
Positive
"The practice maintained a palliative care register."
Positive
"This included asthma palliative care learning disability heart failure and hypertension."
Positive
"Patients on the practice palliative care register were also reviewed."
Positive
"Regular multidisciplinary team meetings MDT MDT meetings included palliative care and safeguarding meetings; with meetings with the wider external teams for example district nurses and health visitors."
2017-11-30 Snippet(s)
Neutral
"• Monitor the frequency of the cleaning of curtains in treatments rooms."