What is the Quality of Care at Albion Medical Practice

Positive

"The scheme included weekly ward rounds to designated care homes including one care home for people older people with complex care needs and advanced dementia and home visits to those housebound."

Neutral

"The practice offers direct enhanced services that include meningitis provision the childhood vaccination and immunisation scheme facilitating timely diagnosis and support for people with dementia influenza and pneumococcal immunisations learning disabilities minor surgery and rotavirus and shingles immunisation."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"The practice had reviewed its population and identified patients with a diagnosis of dementia and checked that they were receiving the appropriate care and treatment they required."

Positive

"Patients with a learning disability complex needs and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Neutral

"The practice offers direct enhanced services that include meningitis provision the childhood vaccination and immunisation scheme facilitating timely diagnosis and support for people with dementia influenza and pneumococcal immunisations learning disabilities minor surgery and rotavirus and shingles immunisation."

Positive

"People experiencing poor mental health including people with dementia: • Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia."

Positive

"• The practice specifically considered the physical health needs of patients with poor mental health and those living with dementia."

Positive

"This included vulnerable people people with learning or mental health disabilities and the unemployed."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the care of people experiencing poor mental health including people with dementia."

Positive

"Both the patient and the parents carers received ongoing support and management and the patient’s physical and mental health and wellbeing were Are services caring?"

Positive

"People experiencing poor mental health had received an annual physical health check."

Positive

"The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health including those with dementia."

Positive

"Clinics include minor surgery medical examinations family planning child health services substance and alcohol misuse young people and mental health services."

Positive

"Clinics included minor surgery medical examinations family planning child health services substance and alcohol misuse young people’s and mental health services."

Neutral

"The practice told patients experiencing poor mental health about how to access various support groups and voluntary organisations."

Positive

"People experiencing poor mental health Patients with mental health problems were able to access a doctor when required in a timely manner and there was information about depression and mental illnesses available on the practice website and in the patient waiting areas."

Positive

"Summary of findings Patients with mental health problems were able to access a doctor when required in a timely manner and there was information about depression and mental illnesses available on the practice website and in the patient waiting areas."

Positive

"The service for people with poor mental health was well led."

Positive

"Reception administration and nursing staff we spoke with were clear about their level of authority and knew how when and to whom any concerns about patients with mental health issues should be escalated."

Positive

"Administration staff spoken with did not have trained knowledge of the Mental Capacity Act but would escalate any concerns if they were in doubt about a patient’s mental health or capacity to make a decision."

Positive

"Our findings Overall we found that people experiencing poor mental health were safe."

Neutral

"We asked staff to describe how they would deal with a person displaying mental health issues either over the telephone or during consultation."

Positive

"Concerns about a patient with learning disabilities prompted referrals to a dietician and the adult learning disability team."

Positive

"Patients with a learning disability complex needs and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"Patients with medical conditions such as high blood pressure heart problems asthma and diabetes were encouraged to attend the practice annually to ensure the treatment they were receiving was effective."

Positive

"The GPs told us they led in specialist clinical areas such as orthopaedics diabetes heart disease and asthma and the practice nurses supported this work which allowed the practice to focus on specific conditions."

Positive

"We saw evaluations of medicines for people with heart problems or asthma and we saw where treatment had been changed if required following these evaluations so that the best outcome for the patients could be achieved."

Positive

"There were clinics to monitor patient chronic disease management such as diabetes asthma COPD and hypertension."

Positive

"We spoke with three patients who told us their doctor had liaised with other services on their behalf and had signposted them in relation to bereavement cancer and depression to ensure they received the support they required to manage their difficulties."

Positive

"Three GPs and two nurses had also gained additional qualifications in diabetes care and the practice was able to initiate insulin for patients enabling them to receive care and treatment in house where appropriate."

Positive

"• The practice were aware their patient demographic meant patients were at greater risk of long term health conditions such as diabetes and hypertension."

Positive

"They had also undertaken other guidance relating to their specific roles such as alcohol training diabetes in adults and children vaccinations and Gold Standards Framework GSF."

Positive

"Patients with medical conditions such as high blood pressure heart problems asthma and diabetes were encouraged to attend the practice annually to ensure the treatment they were receiving was effective."

Positive

"The GPs told us they led in specialist clinical areas such as orthopaedics diabetes heart disease and asthma and the practice nurses supported this work which allowed the practice to focus on specific conditions."

Positive

"There were clinics to monitor patient chronic disease management such as diabetes asthma COPD and hypertension."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Positive

"Examples included a hypertension audit to identify patients at risk and where appropriate initiate treatment and an audit of antibiotic prescribing to ensure appropriate antibiotics were only being prescribed in line with guidance."

Positive

"Examples included a hypertension audit to identify patients at risk and where appropriate initiate treatment and an audit of antibiotic prescribing to ensure appropriate antibiotics were only being prescribed in line with guidance."

Neutral

"We looked at data from the local Clinical Commissioning Group CCG of the practice’s performance for antibiotic hypnotics and nonsteroidal antiinflammatory prescribing which were comparable to similar practices."

Neutral

"One of those checked that patients receiving an antibiotic were prescribed one of choice according to the current Tameside and Glossop CCG local antibiotic prescribing guidelines."

Positive

"The practice kept up to date with changes in medicines through NHS mail and a mobile phone application was used to ensure the most up to date and effective antibiotic was prescribed in relation to any particular infection."

Positive

"Concerns about a patient with learning disabilities prompted referrals to a dietician and the adult learning disability team."

Positive

"Patients with a learning disability complex needs and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."

Positive

"Patients with medical conditions such as high blood pressure heart problems asthma and diabetes were encouraged to attend the practice annually to ensure the treatment they were receiving was effective."

Positive

"We saw evidence of calibration of relevant equipment such as spirometers blood pressure measuring devices and fridges."

Neutral

"• The practice had systems to inform eligible patients to have the meningitis vaccine for example before attending university for the first time."

Positive

"During this inspection we found that the practice had introduced a robust policy for vaccine storage and handling."

Neutral

"“Cold chain” refers to the process used to maintain optimal conditions during the transport storage and handling of vaccines starting at the manufacturer and ending with the administration of the vaccine to the client."

Positive

"These included those for the treatment of cardiac arrest anaphylaxis and hypoglycaemia Processes were also in place to check whether emergency medicines were within their expiry date and suitable for use."

Positive

"People experiencing poor mental health Patients with mental health problems were able to access a doctor when required in a timely manner and there was information about depression and mental illnesses available on the practice website and in the patient waiting areas."

Positive

"This may range from depression including post natal depression to severe mental illnesses such as schizophrenia."

Positive

"Summary of findings Patients with mental health problems were able to access a doctor when required in a timely manner and there was information about depression and mental illnesses available on the practice website and in the patient waiting areas."

Positive

"The practice encouraged its patients to complete a depression questionnaire which was available online and could be transferred straight to the GP before the patient’s next visit."

Positive

"We spoke with three patients who told us their doctor had liaised with other services on their behalf and had signposted them in relation to bereavement cancer and depression to ensure they received the support they required to manage their difficulties."

Positive

"There was information about depression and mental illnesses available on the practice website and in the patient waiting areas and we were told these could be made available in different languages if and when required."

Positive

"We found that improvements were required to ensure that all staff received and understood information that was disseminated and patient safety was not compromised because communication had broken down."