Latest Snippet(s)
Positive
"• One of the clinicians the advanced nurse practitioner carried out home visits for all patients who were house bound or who lived in nursing and care homes."
Positive
"The advanced nurse practitioner also supported older patients who were housebound or lived in carenursing homes and visited them on a regular basis."
Positive
"The practice team consists of five GPs two advanced nurse practitioners two practice nurses one healthcare assistant a management team reception and administration staff."
Positive
"• Appointments were available each day with a variety of clinicians such as GPs and advanced nurse practitioners."
Positive
"The practice had employed more staff including an advanced nurse practitioner and practice nurses to offer more variety of clinical appointments."
2015-03-05 Snippet(s)
Positive
"Ninety three percent of respondents said the last nurse they saw or spoke to was good at involving them in decisions about their care."
Positive
"The practice nurse had undergone training suitable for this role and also attended meetings with the local infection prevention and control team to keep up to date with any new guidance."
Positive
"For example there was a ‘Sharps protocol’ and the practice nurse we spoke with was aware of what to do if they received an injury from a needle."
Positive
"We looked at recruitment documentation for the most recently appointed practice nurse and health care assistant and found all necessary checks had been carried out including checking annually professional registration status for nurses."
Positive
"In addition the infection control lead nurse with the Practice Manager carried out regular six monthly infection control audits to ensure the practice was working within national guidance."
Neutral
"The practice nurse referred the patient to the GP or other clinic within the practice when necessary."
Latest Snippet(s)
Positive
"We saw an area of outstanding practice: The practice had introduced innovative IT systems including artificial intelligence systems for communication task management monitoring of care and treatment processes and monitoring effectiveness of care delivery through reports and audits."
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 was monitoring this and acting to improve access and had made more appointments available with a variety of clinicians."
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."
2015-03-05 Snippet(s)
Positive
"The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework QOF and the National Patient Survey."
Positive
"Management monitoring and improving outcomes for people The practice participated in the Quality and Outcomes Framework system QOF."
Positive
"Monitoring safety and responding to risk There were procedures in place for monitoring and managing risks to patient safety."
Positive
"Leadership openness and transparency The practice had a clear leadership structure which had named members of staff in lead roles for oversight of the performance and monitoring of the practices."
Positive
"For example blood pressure monitoring equipment was annually calibrated."
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."
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 considered the needs of different patients including those who may be vulnerable because of their circumstances."
Latest Snippet(s)
Neutral
"This included one to one meetings appraisals mentoring clinical supervision and revalidation."
Latest Snippet(s)
Neutral
"• There were systems in place to mitigate safety risks including health and safety infection control and dealing with safeguarding."
2015-03-05 Snippet(s)
Positive
"Effective staffing The practice had a comprehensive induction programme for newly appointed members of staff that covered such topics as fire safety health and safety and confidentiality."
Positive
"There was a health and safety policy available for all staff and the Practice Manager carried out routine maintenance checks for the building and had a maintenance programme in place with a list of things to do to improve the facilities within the premises."
Neutral
"All new employees working in the building were given induction information for the building which covered health and safety and fire safety."
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."
2015-03-05 Snippet(s)
Positive
"The practice nurse had undergone training suitable for this role and also attended meetings with the local infection prevention and control team to keep up to date with any new guidance."
Latest Snippet(s)
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
2015-03-05 Snippet(s)
Neutral
"For example patients on the ‘at risk’ register learning disabilities and palliative care register."
2015-03-05 Snippet(s)
Neutral
"The building had disabled facilities including access by a ramp and a lift to the first floor."
2015-03-05 Snippet(s)
Positive
"Information about how to make a complaint was available on the practice’s website and the Practice Manager told us that information was also available on the television screen in the waiting room."
2015-03-05 Snippet(s)
Positive
"Governance arrangements The lead GP was responsible for clinical governance and there was an overarching clinical governance policy in place designed to ‘improve the service to patients and ensure their safety and wellbeing’."
Positive
"For example there was one lead GP who was responsible for clinical governance and another for the services they were contracted to provide."
2015-03-05 Snippet(s)
Positive
"We saw there were cleaning checklists available on the back of treatment room doors and there were systems in place to ensure all clinical equipment was cleaned."