Latest Snippet(s)
Positive
"Staff would have to stand on a stool to reach this is an emergency situation."
Latest Snippet(s)
Positive
"The practice nurse was the infection control clinical lead 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."
2015-07-09 Snippet(s)
Positive
"Identified risks for example community nurse staffing levels and cover for on call shifts had been discussed at clinical meetings."
Positive
"Patients experiencing poor mental health could see a mental health nurse who held a monthly clinic at the practice."
Positive
"More time was allocated and reaudited four weeks later to evaluate the results which demonstrated further time was required for certain practice nurse activities."
Neutral
"Additional inspection team members were a CQC pharmacist nurse specialist advisor and practice manager specialist advisor."
Neutral
"For example there was a nurse with lead responsibilities for infection control and GPs had lead responsibilities for safeguarding and information governance."
Latest Snippet(s)
Neutral
"The practice management and administration team consist of a practice manager an accounts clerk a senior medical secretary one medical secretary a senior medical receptionist a reception manager a medical record summariser and five receptionists."
Neutral
"They had to go to the reception desk on the ground floor to see a receptionist about this."
Latest Snippet(s)
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
"• The practice supported some patients who had home monitoring through Telehealth a system where information about the patient’s condition is monitored remotely and the information sent to a clinician at the practice without the need for the patient to attend the practice."
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
"• Arrangements were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs."
2015-07-09 Snippet(s)
Positive
"We saw there was a system in place for the management of high risk medicines which may put patients at risk such as methotrexate for treatment of arthritis and warfarin used to thin blood which included regular monitoring in line with national guidance."
Positive
"Management monitoring and improving outcomes for people Staff across the practice had key roles in monitoring and improving outcomes for patients."
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
"Overall we found the monitoring testing and maintenance of equipment was regularly carried out based on a risk assessment."
Positive
"The practice supported patients experiencing poor mental health by regular monitoring of their treatment and support needs."
Positive
"Overall the monitoring of external contract work was consistent such as cleaning and waste disposal."
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 of staff and skill mix needed to meet patients’ needs."
Latest Snippet(s)
Neutral
"Staff used a bar code scanner to double check dispensed items matched what was prescribed."
Latest Snippet(s)
Positive
"• Some GP home visits for patients on end of life care were undertaken by two GPs to ensure they supported each other especially for complex cases."
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."
2015-07-09 Snippet(s)
Neutral
"The practice held monthly minuted multidisciplinary team meetings to discuss the needs of complex patients for example those with end of life care needs or children on the at risk register."
2015-07-09 Snippet(s)
Neutral
"The use of guidance prompted clinical audit and reviews of clinical guidelines for example the management of patients prescribed with antiepileptic medicines."
Latest Snippet(s)
Positive
"This included ongoing support onetoone meetings coaching and mentoring clinical supervision and facilitation and support for revalidating GPs."
Latest Snippet(s)
Positive
"There was a health and safety policy available and a poster in the corridor on the lower ground floor which identified local health and safety representatives."
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
2015-07-09 Snippet(s)
Positive
"Overall staff training records were generally well maintained and the records we looked at demonstrated that staff had attended mandatory training such as annual basic life support health and safety safeguarding and infection control updates."
Positive
"The practice also had a health and safety policy."
Latest Snippet(s)
Neutral
"This covered such topics as safeguarding infection prevention and control fire safety health and safety and confidentiality."
Latest Snippet(s)
Positive
"Dispensary staff identified when a medicine review was due and told us that they would alert the relevant GP to reauthorise the medicine before a prescription could be issued."
Neutral
"PSDs are written instructions from a qualified and registered prescriber for a medicine including the dose route and frequency or appliance to be supplied or administered to a named patient after the prescriber has assessed the patient on an individual basis."
2015-07-09 Snippet(s)
Positive
"Evidence from medicines audits indicated that these medicines were regularly reviewed to ensure patients were prescribed the appropriate medicine such as changes from warfarin to other blood thinning agents."
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."
Positive
"We saw evidence to confirm that after receiving an alert the GPs had reviewed the use of the medicine in question."
Positive
"Patients receiving the medicine were promptly identified and their medicine changed."
Positive
"They were then able to commence a new medicine regimen promptly if their medicines dosage required adjustment."
Neutral
"Following patient education regarding the benefits and risks of continuing with the medicine the audit was repeated."
2015-07-09 Snippet(s)
Positive
"It had a palliative care register and met and worked with other health care professionals monthly to discuss the care and support needs of patients and their families."
Positive
"These meetings were attended by district nurses health visitors and palliative care nurses."
2015-07-09 Snippet(s)
Positive
"The notes of the practice’s significant event meetings showed that staff had discussed a medical emergency concerning a patient who had a serious fall and the practice had learned from this appropriately."
2015-07-09 Snippet(s)
Neutral
"There was not a lift in the building however patients not able to access the first floor had consultations arranged in ground floor rooms."
2015-07-09 Snippet(s)
Positive
"We saw an example of how a patient had complained about wheelchair access."
2015-07-09 Snippet(s)
Positive
"Overall the monitoring of external contract work was consistent such as cleaning and waste disposal."
Neutral
"We saw there were cleaning schedules in place and cleaning records were kept."