What is the Quality of Care at Harbourside Family Practice

Positive

"Specifically:The practice vaccine fridges consistently recorded maximum temperatures in excess of the safe storage temperature."

Positive

"• Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."

Positive

"• Practice reception staff received training in dementia awareness and signposted patients to appropriate services."

Positive

"When dementia was suspected there was an appropriate referral for diagnosis."

Neutral

"• The practice offered annual health checks for dementia patients throughout the year."

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 dementia and end of life care."

Positive

"Staff are registered as "dementia friends" and support staff to undertake training to be dementia champions."

Positive

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

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"Patients receiving palliative care those with cancer diagnosis and patients likely to require unplanned admissions to hospital had an individualised clinical note added to the GP out of hours provider’s record managements system to share information and patient choicepreferences for treatment with other service providers."

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"• The practice was able to demonstrate how they identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension."

Positive

"This included health checks a diabetic passport which helped them take an active role in their treatment with insulin and a virtual diabetes clinic with specialist nurses to optimise treatment."

Positive

"The GPs told us they had lead responsibility for specialist clinical areas such as hypertension contraception NICE guidance diabetes heart disease and asthma."

Neutral

"New patients’ health concerns were identified and arrangements made to add them into any long term health monitoring processes such as the diabetes asthma or heart conditions clinics or reviews."

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 as appropriate."

Positive

"The GPs told us they had lead responsibility for specialist clinical areas such as hypertension contraception NICE guidance diabetes heart disease and asthma."

Positive

"A practice health care assistant HCA developed and ran a clinic to support stroke prevention through improved screening for atrial fibrillation and raised blood pressure."

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 as appropriate."

Positive

"The practice had reviewed its antibiotic prescribing and taken action to support good antimicrobial stewardship in line with local and national guidance."

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 as appropriate."

Positive

"We saw evidence of calibration of relevant equipment; for example weighing scales spirometers blood pressure measuring devices and the fridge thermometer."

Positive

"People experiencing poor mental health including people with dementia: • The practice assessed and monitored the physical health of people with mental illness severe mental illness and personality disorder by providing access to health checks interventions for physical activity obesity diabetes heart disease cancer and access to ‘stop smoking’ services."

Positive

"• Patients were offered a range of services to help them improve and manage their mental health issues."

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

"Harbourside Family Practice is a research practice and offers patients the opportunity to be part of trials that address common health issues concerning for example mental health and skin conditions."

Positive

"In addition it was good for providing services for working age patients those whose circumstances made them vulnerable and people experiencing poor mental health including those living with dementia."

Positive

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

Positive

"Staff had received training on how to care for people with mental health needs and dementia."

Neutral

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

Neutral

"We were told how access to appointments was flexible to patients who were carers or had difficulty attending the practice because of their mental health needs."

Positive

"It had carried out annual health checks for people with a learning disability and offered longer appointments for people with a learning disability."

Positive

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

Positive

"For example the practice kept a register of all patients with a learning disability all of whom were offered an annual physical health check."

Positive

"Patients diagnosed with long term conditions were supported through a range of clinics held for specific conditions such as asthma chronic obstructive pulmonary disease COPD and heart failure."

Neutral

"New patients’ health concerns were identified and arrangements made to add them into any long term health monitoring processes such as the diabetes asthma or heart conditions clinics or reviews."

Positive

"It had carried out annual health checks for people with a learning disability and offered longer appointments for people with a learning disability."

Positive

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

Positive

"For example the practice kept a register of all patients with a learning disability all of whom were offered an annual physical health check."

Positive

"The practice offered a full range of immunisations for children travel vaccines and flu vaccines."

Neutral

"We were told that flu vaccination clinics had been held at weekends to encourage children and families to receive the vaccination."