What is the Quality of Care at The Porch Surgery

Positive

"The practice provides a number of services and clinics for its patients including childhood immunisations family planning and minor surgery; and a range of health lifestyle management and advice services including asthma management diabetes heart disease and high blood pressure management."

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 provides a number of services and clinics for its patients including childhood immunisations family planning and minor surgery; and a range of health lifestyle management and advice services including asthma management diabetes heart disease and high blood pressure management."

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

"A measure of deprivation in the local area recorded a score of nine on a scale of one to ten."

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 provides a number of services and clinics for its patients including childhood immunisations family planning and minor surgery; and a range of health lifestyle management and advice services including asthma management diabetes heart disease and high blood pressure management."

Positive

"• The practice invested in a monitor for patients to record their own blood pressure and a blood pressure monitor was located in a room next to the reception area."

Positive

"For example the practice did not follow the correct protocol for one patient’s blood pressure results meaning that their operation could have been delayed."

Positive

"The practice receptionists were reminded of the blood pressure range that should prompt an alert to a GP."

Positive

"• The percentage of patients with high blood pressure having regular blood pressure tests was comparable with local and national averages."

Positive

"GPs and their personal assistants were also reminded of the need to record the blood pressure reading onto a patient’s record."

Positive

"For example patients indicated that the practice’s blood pressure booth was not wheelchair friendly."

Positive

"Specifically the practice did not monitor the temperature of their vaccine fridges in line with recommended guidancethe practice did not take appropriate action when the temperature of the vaccine fridges went above the recommended limit in line with their policy or national guidance."

Positive

"• The practice did not monitor the temperature of their vaccine fridges in line with recommended guidance."

Positive

"When the temperature of the vaccine fridges went above the recommended limit the practice did not take action in line with their policy or national guidance."

Neutral

"However this was not always effective as the practice had failed to recognise that processes outlined in their policies for PAT testing and vaccine storage were not always adhered to."

Positive

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

Positive

"• The practice held GP led dedicated monthly mental health and dementia clinics."

Positive

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

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

"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 practices’ uptake for breast and bowel cancer screening was in line the national average."

Positive

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

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 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

"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

"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

"• The practice held GP led dedicated monthly mental health and dementia clinics."

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

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

Positive

"• Performance for mental health related indicators was either better than or comparable with local and national averages."

Positive

"• The practice hosted a talking therapy service for patients who have suffered bereavement were carers or were experiencing mental health issues."

Neutral

"• The practice hosted a talking therapy service for patients who had experienced a bereavement were carers or were experiencing mental health issues."

Neutral

"• The practice hosted a talking therapy service for patients who have experienced a bereavement were carers or were experiencing mental health issues."

Neutral

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

Positive

"The practice demonstrated how they encouraged uptake of the screening programme by using a system of alerts for those patients with an identified learning disability by using information in different languages and by ensuring whenever possible that a female sample taker was available."

Neutral

"• The practice system alerted staff to patients with a learning disability who would benefit from flexibility around length and times of appointments."

Positive

"The practice demonstrated how they encouraged uptake of the screening programme by using a system of alerts for those patients with an identified learning disability by using information in different languages and by ensuring whenever possible that a female sample taker was available."

Neutral

"• The practice system alerted staff to patients with a learning disability who would benefit from flexibility around length and times of appointments."