Latest Snippet(s)
Positive
"• The practices’ uptake for breast and bowel cancer screening was in line the national average."
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."
Neutral
"We saw from the two records reviewed that the practice nurse had documented that the patientfamily were provided with a personalised asthma management plan."
2017-10-05 Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"If patients were admitted to hospital following their discharge they were contacted by a nurse at the practice to discuss with them if their admission could have been avoided."
Positive
"Monthly meetings with the district nurse community matron and social services had improved management of these patients."
Positive
"The practice nurse confirmed that secondary care blood results could be viewed by a particular web link with the hospital."
Positive
"Medicine safety and devise alerts were received into the practice via email directly to the GPs lead practice nurse and medical secretary."
Positive
"For example a lead nurse for infection prevention and control and a GP lead for significant events and complaints."
Neutral
"They held regular clinics with the community psychiatric nurse CPN and liaised with the secondary mental health service."
Neutral
"During our visit we: • Spoke with a range of staff including a GP partner the practice manager a practice nurse reception and administration staff and spoke with a member of the patient participation group."
Neutral
"• The practice nurse told us they actioned alerts applicable to the nursing team."
2015-08-20 Snippet(s)
Positive
"The lead nurse and practice manager were responsible for ensuring that patients on registers due to high health needs had received the reviews they required as part of their illness or condition."
Positive
"The practice nurse was aware of the need for parental consent and what action to follow if a parent was unavailable."
Neutral
"The practice nurse described to us how they sign posted patients to smoking cessation courses."
Neutral
"For example there was a lead nurse for infection control who ensured that audits completed involved all members of staff."
Latest Snippet(s)
Positive
"A practice manager secretaryInformation technology lead commissioning administrator senior receptionist and three receptionists provide management and administration support for the practice as well as a practice employed cleaner."
2017-10-05 Snippet(s)
Positive
"A practice manager secretaryInformation technology lead commissioning administrator senior receptionist and three receptionists provide management and administration support for the practice as well as a practice employed cleaner."
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
"• 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 in line with current best practice guidelines."
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
"• Patient monitoring of a specific highrisk medicine had taken place for most patients however monitoring results had not been seen by a clinician prior to repeat prescribing."
2017-10-05 Snippet(s)
Positive
"The practice responded immediately following the inspection and reviewed patients on a specific high risk medicine and informed the Care Quality Commission that appropriate monitoring had taken place."
Positive
"Management monitoring and improving outcomes for people The practice used the information collected for the Quality and Outcomes Framework QOF and performance against national screening programmes to monitor outcomes for patients."
Positive
"Monitoring risks to patients There were procedures for assessing monitoring and managing risks to patient and staff safety."
Positive
"There was no formal system in place or electronic alerts to prompt staff to ensure that appropriate monitoring had taken place prior to repeat prescribing."
Positive
"The GP confirmed they had not seen patients monitoring results prior to repeat prescribing or therefore been assured that patients had actually attended for monitoring in secondary care."
Positive
"• We reviewed patients on another high risk medicine used to treat serious mental ill health and found that appropriate regular monitoring took place."
Positive
"• Patient monitoring of a specific high risk medicine had taken place for most patients however monitoring results had not been seen by a clinician prior to repeat prescribing."
Positive
"• Implement a formal system to ensure that appropriate monitoring takes place for all patients in receipt of high risk medicines."
Positive
"For example; the monitoring of high risk medicines medicine safety and devise alerts staff training and refresher oversight recruitment and an inconsistent system applied to reporting recording learning and sharing of incidents and significant events."
Positive
"• There was no systematic process in place to ensure that all patients on a specific high risk medicine received regular monitoring in line with best practice."
Positive
"• A formal system to ensure that appropriate monitoring takes place for all patients in receipt of high risk medicines."
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 was no formal system to ensure that appropriate monitoring took place for all patients in receipt of a specific high risk medicine prior to prescribing repeat medicines."
Neutral
"There were cleaning schedules and monitoring systems in place."
Neutral
"Immediately following the inspection the monitoring blood results were reviewed by the GP for each patient on this medicine and they had all been in receipt of regular monitoring with one exception and that patient then received immediate monitoring."
Neutral
"• No formal system was in place to ensure that appropriate monitoring took place for all patients in receipt of high risk medicines."
2015-08-20 Snippet(s)
Positive
"There was regular monitoring of safety to ensure that ways to improve were identified and implemented."
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
Positive
"The practice had a system in place for reporting recording and monitoring significant events incidents accidents and national patient safety alerts as well as comments and complaints received from patients."
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
"The practice premises are in a single storey building with good access for cars and with parking bays for patients with a physical disability."
2017-10-05 Snippet(s)
Positive
"The practice premises are in a single storey building with good access for cars and with parking bays for patients with a physical disability."
2015-08-20 Snippet(s)
Positive
"Facilities for patients with mobility difficulties included identified parking spaces; level access to the automatic front doors of the practice; adapted toilet facilities to meet the needs of patients with disabilities and a hearing loop for patients with a hearing impairment."
Neutral
"It also offers onsite parking wheelchair and stepfree access."
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."
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."
2017-10-05 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."
Positive
"Both the practice and community staff we spoke with gave specific examples of how end of life care was managed to ensure patients preferred place of death was achieved."
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
"For example: • Patients receiving end of life care carers those at risk of developing a longterm condition and those requiring advice on their diet smoking and alcohol cessation."
2015-08-20 Snippet(s)
Positive
"The practice offered proactive personalised care to meet the needs of the older people in its population and had a range of enhanced services for example in end of life care and hospital admission avoidance."
Neutral
"The practice held multidisciplinary team meetings every six weeks to discuss the needs of complex patients for example those with end of life care needs or children classed as at risk."
Latest Snippet(s)
Positive
"This was because the registered persons had not done all that was reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment."
2017-10-05 Snippet(s)
Positive
"• Documented health and safety assessments to demonstrate whether any specific risks related to the practice had been identified appropriate action taken and risk assessments put in place to mitigate the risk."
Positive
"• There was a health and safety policy available."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2015-08-20 Snippet(s)
Positive
"• Document health and safety assessments to demonstrate whether any specific risks related to the practice have been identified appropriate action taken and risk assessments put in place to mitigate the risk."
Positive
"The practice manager told us that visual health and safety assessments were carried out however these were not documented to demonstrate whether any specific risks related to the practice had been identified to demonstrate action taken or put in place."
Positive
"For example visual health and safety assessments carried out were not documented to demonstrate whether any specific risks related to the practice had been identified to demonstrate action taken or put in place."
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."
2017-10-05 Snippet(s)
Positive
"• The practice nurse was the infection prevention and control IPC clinical lead who liaised with the local infection prevention teams to keep up to date with best practice."
Positive
"For example; information governance fire safety and infection prevention and control IPC."
Positive
"For example a lead nurse for infection prevention and control and a GP lead for significant events and complaints."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"Featherstone Family Health Centre is an approved GP training practice for Registrars qualified doctors who undertake additional specialist training to gain experience and higher qualification in General Practice and family medicine and medical students."
Positive
"The practice did not hold two emergency medicines and one medicine used to assist in the event of an overdose of a medicine used in substance misuse."
Positive
"• There was no process or system in place to be assured that appropriate actions were taken in response to medicine safety and devise alerts."
Positive
"• The practice acted on and learned from external safety events as well as patient and medicine safety alerts."
Neutral
"• Patient monitoring of a specific highrisk medicine had taken place for most patients however monitoring results had not been seen by a clinician prior to repeat prescribing."
2017-10-05 Snippet(s)
Positive
"The practice responded immediately following the inspection and reviewed patients on a specific high risk medicine and informed the Care Quality Commission that appropriate monitoring had taken place."
Positive
"Featherstone Family Health Centre is an approved GP training practice for Registrars qualified doctors who undertake additional specialist training to gain experience and higher qualification in General Practice and family medicine and medical students."
Positive
"• The medical secretary saved medicine safety alerts she had received onto a spreadsheet in the practice shared electronic system."
Positive
"The practice was an approved GP training practice for Registrars qualified doctors who undertake additional specialist training to gain experience and higher qualification in General Practice and family medicine and medical students."
Positive
"• Introduce a process or system to be assured that appropriate actions are taken in response to medicine safety and devise alerts."
Positive
"During the inspection the practice manager signed up for the appropriate medicine safety and devise alerts."
Positive
"• A process or system to be assured that appropriate actions were taken in response to medicine safety and devise alerts."
Positive
"• There was no formal process or system to be assured that appropriate actions were taken in response to medicine safety and devise alerts."
Positive
"• Medicine dosage instructions for a particular high risk medicine did not follow current prescribing guidelines."
Positive
"The dosage instructions recorded for each of the records reviewed for a specific high risk medicine we found lacked detailed information."
Positive
"• We reviewed patients on another high risk medicine used to treat serious mental ill health and found that appropriate regular monitoring took place."
Positive
"• There was no process or system in place to be assured that appropriate actions were taken in response to medicine safety and devise alerts."
Positive
"• Patient monitoring of a specific high risk medicine had taken place for most patients however monitoring results had not been seen by a clinician prior to repeat prescribing."
Positive
"The practice responded immediately following the inspection and reviewed patients on a specific high risk medicine to ensure these were revised and patients had appropriate dosage instructions."
Positive
"For example; the monitoring of high risk medicines medicine safety and devise alerts staff training and refresher oversight recruitment and an inconsistent system applied to reporting recording learning and sharing of incidents and significant events."
Positive
"An example was given of a recent diabetic medicine device alert."
Positive
"• There was no systematic process in place to ensure that all patients on a specific high risk medicine received regular monitoring in line with best practice."
Positive
"Clinical exception rates allow practices not to be penalised where for example patients do not attend for a review or where a medicine cannot be prescribed due to side effects."
Neutral
"For example in one case reviewed the prescription noted the medicine dose in number of tablets and in another the medicine dose in number of milligrams."
Neutral
"• There was no formal system to ensure that appropriate monitoring took place for all patients in receipt of a specific high risk medicine prior to prescribing repeat medicines."
Neutral
"Immediately following the inspection the monitoring blood results were reviewed by the GP for each patient on this medicine and they had all been in receipt of regular monitoring with one exception and that patient then received immediate monitoring."
2015-08-20 Snippet(s)
Positive
"The practice also worked closely with the local clinical commissioning group CCG prescribing advisor who supported the practice in the effective review and management of medicine prescribing."
Positive
"The medicine management policy also described the action to take if vaccines had not been stored within the appropriate temperature range."
Positive
"Medicines management We checked the medicines stored in the medicine refrigerators and found they were stored securely and were only accessible to authorised staff."
Positive
"This included devices such as weighing scales blood pressure measuring devices and medicine refrigerators."
Positive
"We were shown evidence to confirm that following the receipt of an alert the GPs had reviewed the use of the medicine in question."
Neutral
"Where the GPs continued to prescribe the medicine they outlined the reason why this decision had been made."
2017-10-05 Snippet(s)
Positive
"• Once diagnosed the majority of patients had a dementia or mental health care plan in place and patients were encouraged to contact their primary care worker to enable a consistent care plan approach."
2017-10-05 Snippet(s)
Neutral
"There were cleaning schedules and monitoring systems in place."
2015-08-20 Snippet(s)
Neutral
"We saw there was a cleaning schedule in place and records were available to monitor that cleaning had been carried out daily and in line with the cleaning schedule."
Neutral
"For example we were told that the cleaning staff flushed the taps by running them on a regular basis and took the temperature of the water however this information was not recorded."
2015-08-20 Snippet(s)
Positive
"This included working with other health and social care professionals maintaining a palliative care register of patients and alerts within the clinical computer system to make clinical staff aware of their additional needs."
Positive
"The meetings were attended by district nurses social workers community matrons and palliative care nurses."
2015-08-20 Snippet(s)
Neutral
"It also offers onsite parking wheelchair and stepfree access."
2015-08-20 Snippet(s)
Positive
"The practice provided care and support to several house bound elderly patients."