What is the Quality of Care at Sutherland Lodge Surgery

Positive

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

Positive

"• The practice worked with the local memory assessment service to coordinate the care of their dementia patients."

Positive

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

Positive

"• Some staff had received training on how to care for people with mental health needs but specific training on dementia care had not been provided."

Positive

"• The practices population is in the fourth decile for deprivation which is on a scale of one to ten."

Positive

"The practices population is in the fourth decile for deprivation which is on a scale of one to ten."

Positive

"• The practices population is in the fourth decile for deprivation which is on a scale of one to ten."

Positive

"• The practices population is in the fourth decile for deprivation which is on a scale of one to ten."

Positive

"We saw one area of outstanding practice: The practice had gained funding from the provider to create ‘positivity packs’ which were designed to help vulnerable patients such as those with mental health conditions and the homeless."

Positive

"• The process for the review of patients experiencing poor mental health was still not effective."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated requires improvement for effective because: • The practices performance on quality indicators for mental health was below local and national averages."

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 provider did not have an effective system to carry out health check for patients with long term condition experiencing poor mental health and for patients with learning disabilities."

Neutral

"– Requires improvement for patients with longterm conditions those experiencing poor mental health and those who were vulnerable Are services caring?"

Neutral

"Clinical staff had carried out mental health training."

Positive

"• System to highlight vulnerable patients on records such as children on child protection plans looked after children patients diagnosed with mental health had not been highlighted as vulnerable on the practice system."

Positive

"• Some staff had received training on how to care for people with mental health needs but specific training on dementia care had not been provided."

Positive

"• The practice had a shortage of routine appointments and therefore could not guarantee that patients suffering with a mental health need were able to make an appropriate appointment."

Positive

"This included children on child protection plans patients diagnosed with mental health issues who were vulnerable or patients with mobility issues."

Positive

"• The practice did not consider the physical health needs of patients with poor mental health and those living with dementia."

Positive

"People experiencing poor mental health including people with dementia: The practice is rated as inadequate for providing safe effective and well led services; this affects all six population groups."

Neutral

"For example the percentage of patients with schizophrenia bipolar affective disorder and other Are services effective?"

Neutral

"For example the percentage of patients with schizophrenia bipolar affective disorder and other Are services effective?"

Neutral

"People whose circumstances make them vulnerable: This population group was rated requires improvement for effective because: • The practice had not completed health checks for the majority of their patients on the learning disability register."

Positive

"• Not all patients with a learning disability had received an annual health check."

Neutral

"• We identified one patient with a learning disability who had received an annual review on the phone with their care worker and not the patient."

Neutral

"For example specific INR monitoring clinics COPD asthma and diabetes clinics."

Neutral

"For one long term conditions indicator linked to asthma the practice performance was lower than the CCG and national average."

Positive

"The practice had supported patients with poor mental health: • 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’s uptake for breast and bowel cancer screening was below local and the national averages."

Positive

"The practice had supported patients with poor mental health: • 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

"For example we found women who had been diagnosed with gestational diabetes had not been followed up as per NICE guidance."

Neutral

"For example specific INR monitoring clinics COPD asthma and diabetes clinics."

Positive

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

Neutral

"The practice told us this had been because tasks had not been sent when receiving and filling the incoming correspondence."

Neutral

"People whose circumstances make them vulnerable: This population group was rated requires improvement for effective because: • The practice had not completed health checks for the majority of their patients on the learning disability register."

Positive

"• Not all patients with a learning disability had received an annual health check."

Neutral

"• We identified one patient with a learning disability who had received an annual review on the phone with their care worker and not the patient."

Positive

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

Positive

"• Flu and shingles vaccinations were offered to older people."