Latest Snippet(s)
Positive
"They had developed a list and proactively contacted eligible patients to promote the benefits of bowel cancer screening in order to increase patient uptake."
Positive
"• The practices’ uptake for breast and bowel cancer screening was below the national average."
Positive
"The practice had advertised the relevant information on their website and displayed on the notice boards in the waiting area encouraging patients to take part in the national cancer screening programme."
2017-11-23 Snippet(s)
Positive
"• The practice could not demonstrate that their current system to promote the benefits of breast and bowel cancer screening was always effective."
Positive
"The practice had invited an external consultant to train staff to adapt better tools to promote bowel cancer screening programme."
Positive
"The practice was aware of low cancer screening figures and had identified this as an area that required improvement and had put in place a range of measures to improve patient uptake and to catch up with patients that had previously been missed."
Latest Snippet(s)
Positive
"The practice employs a practice nurse a health care assistant and a clinical 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."
2018-03-13 Snippet(s)
Neutral
"The practice employs a practice nurse and a healthcare assistant."
2017-11-23 Snippet(s)
Positive
"However the practice was unable to demonstrate that a practice nurse and all nonclinical staff had completed training in safeguarding for vulnerable adults."
Positive
"• One of the GP partners and the practice nurse were the infection prevention and control IPC clinical leads who liaised with the local infection prevention teams 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
"The practice employs a practice nurse and a health care assistant."
Neutral
"During our visit we: • Spoke with a range of staff GP partners trainee GPs practice nurse practice manager administrative and reception staff and spoke with patients who used the service."
Neutral
"Names of lead members of staff were mentioned in an IPC procedure but the practice nurse joint IPC lead we spoke with was not aware about the lead role."
Neutral
"The practice was unable to demonstrate that a trainee GP and a practice nurse had received annual basic life support training."
Neutral
"• Two of the GP partners and a practice nurse had recently completed a diabetes insulin initiation course which would enable the practice to offer this service onsite."
2015-04-09 Snippet(s)
Positive
"We spoke with one patient who used the practice regularly who told us they received very good ongoing care and support from the nurse practitioner."
Positive
"The nurse practitioner had appropriate training the ongoing support of their GP colleagues and was confident they were acting within their competencies."
Positive
"The practice nurse and health care assistants had been trained to be chaperones and were clear about the purpose of chaperoning and how to carry this out."
Positive
"During our visit we spoke with a range of staff including four GP partners a sessional GP a GP trainee a practice nurse the practice manager a health care assistant and three administrative staff."
Positive
"The nurse practitioner led on reviewing the care of patients with diabetes and was undertaking further training on initiating insulin for eligible patients."
Positive
"There were designated leads for specific areas of risk for example there was a lead nurse for infection control and named clinical leads for safeguarding."
Positive
"The practice provided joint consultations and assessments with the community learning disabilities nurse to ensure that patients’ wider needs were addressed."
Positive
"The practice nurse administered vaccines using directions that had been produced in line with legal requirements and national guidance."
Positive
"The practice nurse was the lead for infection prevention and control with the support of one of the GP partners who had oversight of infection control monitoring and reviewed the infection control audits."
Positive
"The GP and practice nurse team had developed special clinical interests which were linked to the needs of the local population."
Positive
"For example the practice nurse was planning to attend a course to extend her knowledge of asthma the prevalence of which was high amongst children in the practice population."
Neutral
"The current practice staff team includes three GP partners two nurses one of whom is a nurse practitioner that is a practice nurse who has qualified to take on additional responsibilities and can prescribe medicines an interim practice manager and a team of reception and administrative staff."
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
"• The practice had arrangements for adults with newly diagnosed cardiovascular disease including the offer of highintensity statins for secondary prevention people with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."
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
"Specifically we found: • The practice was unable to demonstrate their monitoring of medicines reviews for patients with long term conditions was always effective."
2018-03-13 Snippet(s)
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
"We found: • The practice was unable to demonstrate their monitoring of medicines reviews for patients with long term conditions was always effective."
Neutral
"Specifically we found: • The practice was unable to demonstrate their monitoring of medicines reviews for patients with long term conditions was always effective."
2017-11-23 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"Monitoring risks to patients There were some procedures in place for assessing monitoring and managing risks to patient and staff safety however improvements were required."
Positive
"However monitoring of specific areas required improvement such as management of blank prescriptions management of legionella recruitment checks and medicines reviews for patients with long term conditions."
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 unable to demonstrate their monitoring of medicines reviews for patients with long term conditions was always effective."
Neutral
"There were cleaning schedules and monitoring systems in place."
Neutral
"In particular: The practice was unable to demonstrate their monitoring of medicines reviews for patients with long term conditions was always effective."
2015-04-09 Snippet(s)
Positive
"The doctors we spoke with were aware of the importance of monitoring patients on medicines such as warfarin ensuring the patient’s “yellow book” was up to date and the changes to the prescribing policy."
Positive
"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring significant events incidents and accidents."
Positive
"There was a system in place for the management of high risk medicines which included regular monitoring and auditing to check these were prescribed in line with national guidance."
Positive
"Management monitoring and improving outcomes for people The practice was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff and the practice as a whole."
Positive
"The practice nurse was the lead for infection prevention and control with the support of one of the GP partners who had oversight of infection control monitoring and reviewed the infection control audits."
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
"Staff told us about the arrangements for planning and monitoring the number and mix of staff required to meet patients’ needs."
Latest Snippet(s)
Neutral
"The practice is located in converted premises with car parking for patients and staff."
2018-03-13 Snippet(s)
Neutral
"Background to Forty Willows Surgery Forty Willows Surgery is situated in Wembley in North West London within converted premises with car parking for patients and staff."
2017-11-23 Snippet(s)
Neutral
"Background to Forty Willows Surgery Forty Willows Surgery is situated in in Wembley in North West London within converted premises with car parking for patients and staff."
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 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."
2017-11-23 Snippet(s)
Positive
"The practice service is registered with the Care Quality Commission CQC to provide the regulated activities of diagnostic and screening procedures; treatment of disease disorder and injury; family planning services; surgical procedures; and maternity and midwifery services."
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."
2017-11-23 Snippet(s)
Positive
"There were early and ongoing conversations with these patients about their end of life care as part of their wider treatment and care planning."
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."
Neutral
"• These included patients receiving end of life care carers those at risk of developing a longterm condition and those wishing to stop smoking."
2015-04-09 Snippet(s)
Positive
"The practice held multidisciplinary team meetings for example to discuss the needs of complex patients 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."
2017-11-23 Snippet(s)
Positive
"• The practice informed us they had provided ongoing support to trainee GPs and salaried GPs during onetoone meetings appraisals coaching mentoring clinical supervision and facilitation and support for the revalidation of doctors."
2015-04-09 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff and the practice as a whole."
Latest Snippet(s)
Neutral
"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure the safety of the premises and patients."
2018-03-13 Snippet(s)
Positive
"• The practice had carried out health and safety related risk assessments and checks and remedial actions had been undertaken to ensure safety of the premises and patients."
Positive
"There was a health and safety policy available with a poster in the premises."
Neutral
"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure safety of the premises and patients."
Neutral
"• Staff had undertaken fire safety and health and safety training."
Neutral
"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure the safety of the premises and patients."
2017-11-23 Snippet(s)
Positive
"• The practice had not carried out all related health and safety risk assessments required to monitor safety of the premises such as control of substances hazardous to health COSHH asbestos survey fire safety and electrical installation condition report."
Positive
"For example we found risks relating to management of legionella health and safety related risk assessments safeguarding vulnerable adults and children training basic life support training and management of blank prescription forms for use in printers which had not been monitored appropriately."
Positive
"• The practice had not ensured that all relevant health and safety related risk assessments were carried out in a timely manner."
Positive
"• A health and safety policy was not dated and did not carry any information that identified it as pertaining to the practice."
Positive
"There was a health and safety poster displayed in the communal area."
Neutral
"• The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes in place to ensure safety of the premises and patients."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Neutral
"The practice was unable to demonstrate that they had adequate health and safety related risk assessments and processes were in place to ensure safety of the premises and patients."
2015-04-09 Snippet(s)
Positive
"The practice had a health and safety lead and policy."
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 proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
2017-11-23 Snippet(s)
Positive
"• One of the GP partners and the practice nurse were the infection prevention and control IPC clinical leads who liaised with the local infection prevention teams to keep up to date with best practice."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2015-04-09 Snippet(s)
Positive
"The practice nurse was the lead for infection prevention and control with the support of one of the GP partners who had oversight of infection control monitoring and reviewed the infection control audits."
Latest Snippet(s)
Positive
"The practice informed us that medicine reviews data was not reliable because they had identified a coding issue and staff were not ticking the correct box when completing the medicine reviews."
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."
Neutral
"The practice had reviewed patients’ records and invited patients for medicine reviews."
Neutral
"The practice reviewed their protocol and invited patients for medicine reviews."
2018-03-13 Snippet(s)
Positive
"• The practice had reviewed and improved the systems in place to effectively monitor medicine reviews for patients with long term conditions."
Positive
"The practice informed us that medicine reviews data was not reliable because they had identified a coding issue and staff were not ticking the correct box when completing the medicine reviews."
Neutral
"The practice had reviewed patients’ records and invited patients for medicine reviews."
Neutral
"The practice had recruited a new clinical pharmacist to carry out medicine reviews for patients with long term conditions."
2017-11-23 Snippet(s)
Positive
"• Regular medicine audits were carried out to ensure the practice was prescribing in line with best practice guidelines for safe prescribing."
Positive
"However a system to recall patients for a structured annual review had not been effective and the practice had not undertaken medicine reviews routinely for patients with long term conditions."
Positive
"The practice was aware of shortfall in medicine reviews understood the challenges in engaging with their practice population and recognised that they were required to improve the outcomes for patients with long term conditions."
Neutral
"The practice had not undertaken medicine reviews routinely for patients with long term conditions."
Neutral
"The practice informed us that they had recruited a new clinical pharmacist to take the lead role in carrying out medicine reviews for patients with long term conditions."
Neutral
"The practice reviewed their protocol and invited patients for medicine reviews."
2015-04-09 Snippet(s)
Positive
"For example an incident had occurred when a patient who was taking an anticoagulant medicine was prescribed another medicine and suffered adverse effects."
Positive
"Medicines management We checked medicines stored in the treatment rooms and medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
2018-03-13 Snippet(s)
Positive
"• Carry out control of substances hazardous to health COSHH risk assessments for the cleaning products stock in the premises."
Positive
"However on the day of inspection COSHH risk assessments were not available for the cleaning products."
Positive
"We saw the evidence that the practice had communicated with the external cleaner responsible for cleaning the premises to provide relevant COSHH risk assessments."
2017-11-23 Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."
2015-04-09 Snippet(s)
Neutral
"The practice contracted with a cleaning company with set cleaning schedules and records of monthly weekly and daily tasks."
Neutral
"Cleaning was carried out in line with current national guidance for example in relation to cleaning materials and equipment."
2017-11-23 Snippet(s)
Positive
"• The practice identified at an early stage older patients who may need palliative care as they were approaching the end of life."
2015-04-09 Snippet(s)
Positive
"The practice had a palliative care register and held regular internal as well as multidisciplinary meetings to discuss the care and support needs of patients and their families towards the end of life or who had particularly complex health conditions."
Positive
"Staff communicated and worked with other services when appropriate and the practice held multidisciplinary meetings and case reviews for patients with complex and palliative care needs."
Positive
"Community nurses and health visitors were invited to alternate meetings for case reviews in relation to care planning palliative care and safeguarding."
Positive
"These meetings were attended by district nurses palliative care nurses and a geriatrician and decisions were documented in patients’ individual care plans."
2017-11-23 Snippet(s)
Positive
"For example we reviewed a significant event analysis following a prescribing incident caused due to an incorrect dosage entered into the practice’s computer system when information was transferred from the hospital discharge summary."
2015-04-09 Snippet(s)
Positive
"Seeking and acting on feedback from patients public and staff The practice gathered feedback from patients through national patient survey results its own annual patient survey reviews on the internet comment cards and complaints."
2015-04-09 Snippet(s)
Positive
"Management monitoring and improving outcomes for people The practice was making use of clinical audit tools clinical supervision and staff meetings to assess the performance of clinical staff and the practice as a whole."
2015-04-09 Snippet(s)
Positive
"We saw examples of staff members identifying clinical training needs for example on wound management which were supported."