What is the Quality of Care at The Royal Crescent Surgery

Positive

"For example the practice had undertaken an audit of patients at risk of developing diabetes to ensure all patients at risk have been identified and ensure that they were referred for a structured educational programme."

Neutral

"• The percentage of patients on the diabetes register with a record of a foot examination and risk classification Are services effective?"

Positive

"For example; the practice had worked with the CCG social prescribing scheme to refer and offer support networks and information for those with wider social care needs and the practice had engaged with the hospital specialist diabetes services to be able to offer insulin initiation from the surgery."

Neutral

"For example diabetes updates and insulin initiation course for the nursing team."

Positive

"The practice was rated as requires improvement for providing safe services because: • The practice had not identified that one of the three vaccine fridges had been operating outside of the required temperature range and there was no evidence that appropriate actions had been taken to address this."

Positive

"However these had not been applied consistently to ensure vaccine fridges were monitored appropriately."

Positive

"For example a breach in the cold chain for vaccine held in one of the vaccine fridges had not been identified."

Positive

"For example online services such as repeat prescription requests advanced booking of appointments and Saturday flu vaccine clinics."

Neutral

"For example actions had not been taken when one of the three vaccine fridges operated outside of the required range."

Neutral

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

Neutral

"Actions had not been taken when there were signs that the vaccine fridge operated outside of the normal range."

Positive

"• The arrangements for managing medicines including emergency medicines and vaccine in the practice kept patients safe including obtaining prescribing recording handling storing and security."

Positive

"We saw one area of outstanding practice: The practice recognised the needs of patients with dementia and had developed a template providing a summary of the consultation for patients living with dementia."

Neutral

"• The practice recognised the needs of patients with dementia and had developed a template to provide a summary of consultation for patients living with dementia."

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

"For example recent action taken as a result of an audit into dementia resulted in adjusted care and treatment for four patients."

Neutral

"• The practice had run educational events for the staff these recently included dementia awareness and a mindfulness session for staff."

Neutral

"For example four patients received a review of their asthma after they were coded as excepted on their computer record."

Positive

"For example online services such as repeat prescription requests advanced booking of appointments and Saturday flu vaccine clinics."

Positive

"• Staff interviewed had a good understanding of how to support patients with mental health needs and those patients living with dementia."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated outstanding."

Positive

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

Positive

"• The practice had identified local social groups which would be of benefit for patients with mental health problems and signposted patients to these groups where appropriate."

Positive

"People experiencing poor mental health including people with dementia: This population group was rated good."

Neutral

"• The practice had identified other organisations that can provide support such as with mental health problems to young patients."

Neutral

"• The practice hosted a weekly mental health clinic led by a senior mental health nurse so patients could access this service locally."

Positive

"• Staff had a good understanding of how to support patients with mental health needs and dementia."

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

"• Patients who needed the support of the mental health crisis team could be seen at the surgery if required."

Neutral

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

Neutral

"• Performance for mental health related indicators were higher than the national averages."

Positive

"• The practice offered longer appointments for patients with a learning disability and those with complex needs."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different formats for those with a learning disability and they ensured a female sample taker was available."

Positive

"The practice also encouraged its patients to attend national screening programmes for bowel and breast cancer screening."

Positive

"• The practice offered longer appointments for patients with a learning disability and those with complex needs."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different formats for those with a learning disability and they ensured a female sample taker was available."