Latest Snippet(s)
Positive
"• The clinical staff at the practice met every three months with the community nurses palliative care team and the community matron to discuss patients identified with palliative care needs and those identified as frail or vulnerable."
Positive
"• The practice worked with the palliative care team and community nursing teams to support patients People experiencing poor mental health including people with dementia: • The practice cohosted a weekly mental health clinic with the community mental health nurse."
2015-03-19 Snippet(s)
Positive
"The meetings were attended by both GPs practice nurse practice secretary palliative care nurses community matron and district nurses.. We saw minutes from these meetings."
Latest Snippet(s)
Positive
"Although the practice did not have a designated member of staff who acted as a carers’ champion the practice nurse was aware of the various services in the local community to support carers and bereaved patients."
Positive
"The practice nurse and administration staff spoke highly of the support provided by the partners."
Positive
"The GPs proactively supported the practice nurse to complete mentor training so the practice could apply to become a placement for student nurses from a local university."
Neutral
"The practice nurse had trained to become a mentor for student nurses and the practice was awaiting accreditation to become a placement for student nurses."
Neutral
"Opportunistic screening now took place when the GPs or practice nurse saw patients."
Neutral
"The practice nurse had clinical pathways to follow when reviewing patients."
Neutral
"The practice nurse told us about the services in the local community that they signposted patients to."
Neutral
"The practice nurse was mindful about exploring whether patients were also carers during consultations."
Neutral
"The practice maintained a register of patients who were housebound and the GPs and practice nurse also accommodated home visits for these patients."
Neutral
"• Opportunistic screening for dementia took place when the GPs or practice nurse saw patients."
2015-03-19 Snippet(s)
Positive
"The practice nurse would visit housebound patients to undertake their reviews so that they would not be missed."
Positive
"The nurse told us that they were responsible for cleaning their own room and maintained records of equipment cleaned including the cleaning of the privacy curtains around the examination couches."
Positive
"The meetings were attended by both GPs practice nurse practice secretary palliative care nurses community matron and district nurses.. We saw minutes from these meetings."
Positive
"The practice nurse offered basic smoking cessation support to patients but would usually referred patients to another provider for this service."
Positive
"Feedback regarding the practice nurse was particularly positive."
Positive
"One GP had specialist training in paediatrics including child health and the practice nurse had training to enable them to safely administer childhood immunisations."
Positive
"One GP told us that they met with the practice nurse for clinical meetings where they would raise awareness and discuss any relevant safety alerts."
Positive
"The practice nurse told us that they checked the emergency medicines and we found that they were in date and fit for use."
Positive
"For example the practice nurse was given protected time to undertake home visits to administer the flu vaccination for patients who could not get into the practice."
Neutral
"The practice nurse was given protected time to visit housebound patients to review their health conditions and ensure they received their flu vaccinations."
Neutral
"During our visit we spoke with a range of staff including both GP partners the practice nurse and three reception staff."
Neutral
"The practice nurse confirmed that this was the case."
Neutral
"Both the nurse and reception staff acted as a chaperone and understood their responsibilities when acting as a chaperone."
Neutral
"The practice nurse was the lead for infection control at the practice and had undertaken training in this area enabling them to provide advice to other members of staff."
Neutral
"Minutes at practice meetings confirmed administrative staff had received refresher training from the nurse in using the automated external defibrillator after this had been requested."
Neutral
"For example the practice nurse had received training in the administration of vaccines cervical cytology and wound management."
Neutral
"If there were any concerns arising from the health check the practice nurse told us that they would notify the GP."
Neutral
"The practice nurse explained how they had followed up a patient who had not turned up for their immunisation."
Latest Snippet(s)
Positive
"• Staff encouraged and supported patients to be involved in monitoring and managing their health."
Positive
"• We found a number of issues relating to monitoring of prescriptions emergency medicines and oxygen."
Positive
"However we saw that the practice had what appeared to be mercury blood pressure monitoring equipment."
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 for planning and monitoring the number and mix of staff needed."
Neutral
"A monitoring system was put in place during the inspection."
2015-03-19 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice routinely collected information about patient care and outcomes."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
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 from examples shown that patients on high risk medications who required monitoring through regular blood tests were appropriately managed."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established 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."
2015-03-19 Snippet(s)
Positive
"The practice held multidisciplinary team meetings every three months to discuss the needs of patients with complex needs and those with end of life care needs."
Latest Snippet(s)
Positive
"This included an induction process onetoone meetings appraisals coaching and mentoring clinical supervision and support for revalidation."
Latest Snippet(s)
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding and infection prevention and control • Practice leaders had established policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"• There was an effective system to manage infection prevention and control IPC."
Latest Snippet(s)
Positive
"We saw that the practice had obtained copies of these and they told us they were satisfied with the standard of cleaning provided."
2015-03-19 Snippet(s)
Positive
"Routine checks of the environment should be undertaken to ensure the cleaning is to an appropriate standard consistently and any concerns could be promptly dealt with."
Positive
"• The practice should maintain a copy of cleaning schedules carried out by its cleaning provider so that it is clear what cleaning tasks have they been carried out."
Positive
"The nurse told us that they were responsible for cleaning their own room and maintained records of equipment cleaned including the cleaning of the privacy curtains around the examination couches."
Neutral
"No specific cleaning logs were maintained by the practice as to what cleaning was carried out by this provider or any spot checks to ensure the standard of cleaning was maintained."
Neutral
"The practice told us that the cleaning provider did their own monthly audit but did not have a copy of this."
Latest Snippet(s)
Positive
"The practice had undertaken seven medicine related clinical audits linked to National Institute for Health and Care Excellence NICE best practice guidelines."
Positive
"The practice had an effective system in place to ensure that repeat prescriptions were not issued when a medicine review was overdue."
Positive
"The audit results demonstrated an increase the number of patients prescribed appropriate medicine year on year."
Positive
"The practice 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 patients decline or do not respond to invitations to attend a review of their condition or when a medicine is not appropriate."
Neutral
"The practice coordinated medicine reviews with the annual review of long term conditions."
Neutral
"• The practice coordinated medicine reviews with the annual review of long term conditions."
2015-03-19 Snippet(s)
Neutral
"There were designated parking spaces for people with limited mobility and accessible toilet facilities."
2015-03-19 Snippet(s)
Neutral
"The practice had a system in place for completing clinical audit cycles."
2015-03-19 Snippet(s)
Positive
"The practice also had a health and safety policy which staff were able to access."