During an assessment under our new approach
During the assessment we found that: Some of the system, processes and policies were not fully effective. For example, significant events, referral, safeguarding, prioritisation of urgent appointments. The practice could not fully demonstrate how they assured the competence of staff employed in advanced clinical practice, for example, nurses, new GPs, and pharmacists. There was a system for recording and acting on safety alerts. The practice had systems for the appropriate and safe use of medicines, including medicines optimisation.
Appropriate standards of cleanliness and hygiene were mostly met. Patients’ needs were mostly assessed, and care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
We found two breaches of good governance, because the systems to manage safety and safeguarding events were not fully effective. We found one breach of safe and effective staffing, because the practice could not fully demonstrate how they assured the competence of staff employed in advanced clinical practice, for example, nurses, new GPs, and pharmacists.