What is the Quality of Care at Shirley Medical Centre

Positive

"There was evidence from review of care records that patients with dementia learning disabilities and those with mental health disorders received suitable care with an annual review of their health and care plan The practice has systems in place to monitor and manage outcomes to help improve care."

Positive

"There was evidence from review of care that patients with dementia learning disabilities and those with mental health disorders received suitable care with an annual review of their health and care plan."

Positive

"We reviewed a sample of care records and found that people with long term conditions such as diabetes and those with learning disabilities dementia palliative care and mental health disorders received regular care plan and medicines reviews."

Neutral

"The provider had also recently embarked on providing additional services for patients suffering from dementia by offering early detection diagnosis and referrals to support patients and families."

Neutral

"We reviewed examples of care of patients with mental health disorders learning disabilities and dementia and noted that standard guidelines had been used to obtain Are services effective?"

Neutral

"The practice held information about those who needed extra care and resources such as those who were housebound people with dementia and other vulnerable patients."

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

"There was evidence from review of care records that patients with dementia learning disabilities and those with mental health disorders received suitable care with an annual review of their health and care plan The practice has systems in place to monitor and manage outcomes to help improve care."

Positive

"The primary GP was also the specialist lead for mental health within the local Clinical Commissioning Group CCG and had good network working relations with care providers such as pharmacies health visitors and district nurses an example of which was by sharing all practice related alerts with the CCG."

Positive

"Meetings with district nursing mental health teams and health visitors were in place to further support patient care and treatment."

Positive

"All the population groups including older people; people with long term conditions; mothers babies children and young people; the working age populations and those recently retired; people in vulnerable circumstances and people experiencing poor mental health received care that was effective caring responsive and wellled."

Positive

"There was evidence from review of care that patients with dementia learning disabilities and those with mental health disorders received suitable care with an annual review of their health and care plan."

Positive

"There were good links into mental health services through local and enhanced services and signposting to other related organisations."

Positive

"We reviewed a sample of care records and found that people with long term conditions such as diabetes and those with learning disabilities dementia palliative care and mental health disorders received regular care plan and medicines reviews."

Positive

"The lead GP provided services in mental health care and was a mental health lead within the Croydon Clinical Commissioning Group CCG."

Neutral

"The practice ensured patients with poor mental health received medication reviews and regular reviews of their care plans were undertaken."

Neutral

"We reviewed examples of care of patients with mental health disorders learning disabilities and dementia and noted that standard guidelines had been used to obtain Are services effective?"

Positive

"• The practice had not signed up to provide NHS health checks and learning disability health checks."

Positive

"• The practice had not signed up to provide NHS health checks and learning disability health checks."

Positive

"These included diabetes management asthma medication and reviews palliative care and district nursing services."

Positive

"There was a range of information available to patients on the practice website and in the waiting areas which included leaflets and posters providing information on the various services asthma clinics diabetes clinics flu vaccinations and smoking cessation."

Positive

"The practice also offered clinics for conditions such as asthma coronary heart disease diabetes hypertension cervical screening and were provided by practice nurses and or GPs."

Positive

"A cancer care review is a holistic conversation that assists an individual to raise any issues relating to their cancer or treatment that are impacting on their quality of life or wellbeing and has been demonstrated to improve outcomes for people living with and beyond cancer."

Positive

"• In one example the practice reviewed their performance in ensuring that patients with a new diagnosis of cancer should have a cancer care review within six months of diagnosis."

Positive

"There was learning also for GPs to have an improved awareness of the cancer care review guideline and the importance for continuous monitoring and reviews."

Positive

"The practice had multidisciplinary meetings every six to eight weeks with external professionals to discuss the care of patients including those receiving endoflife care new cancer diagnoses and also safeguarding issues significant events unplanned admissions and A&E attendances."

Positive

"The GP supported the patients through bereavement and cancer management."

Positive

"Enhanced services were also provided for newly diagnosed and ongoing cancer care for patients."

Positive

"Examples of clinical audits included medications usage reviews and uptake and cancer care was also audited for prevalence rates reviewed within this system."

Positive

"• Indicators of care for patients with diabetes were mixed."

Positive

"These included diabetes management asthma medication and reviews palliative care and district nursing services."

Positive

"We reviewed a sample of care records and found that people with long term conditions such as diabetes and those with learning disabilities dementia palliative care and mental health disorders received regular care plan and medicines reviews."

Positive

"There was a range of information available to patients on the practice website and in the waiting areas which included leaflets and posters providing information on the various services asthma clinics diabetes clinics flu vaccinations and smoking cessation."

Positive

"The practice also offered clinics for conditions such as asthma coronary heart disease diabetes hypertension cervical screening and were provided by practice nurses and or GPs."

Positive

"• The practice’s performance in caring for patients with most long term conditions was in line with average including Chronic Obstructive Pulmonary Disease hypertension and atrial fibrillation."

Positive

"The practice also offered clinics for conditions such as asthma coronary heart disease diabetes hypertension cervical screening and were provided by practice nurses and or GPs."

Positive

"In particular: · There were no medicines to treat croup left ventricular failure hypoglycaemia or any injectable pain relief and there was no risk assessment to explain why there were not these medicines."

Positive

"• There was a set of emergency medicines but it did not contain any medicines for croup for left ventricular failure or for hypoglycaemia or any injectable pain relief."

Positive

"Shortly after the inspection we were advised that a new system had been put in place for checking emergency medicines and supplies and that medicine for hypoglycaemia and pain relief had been ordered but not medicines for croup or for left ventricular failure."

Neutral

"• We saw evidence of some incidents that had resulted in improvements for example in one case a review of an unwell child had resulted in training for all staff on sepsis and the latest guidance being added to the walls of all consulting rooms."

Positive

"The practice also offered clinics for conditions such as asthma coronary heart disease diabetes hypertension cervical screening and were provided by practice nurses and or GPs."

Positive

"There was a range of information available to patients on the practice website and in the waiting areas which included leaflets and posters providing information on the various services asthma clinics diabetes clinics flu vaccinations and smoking cessation."

Positive

"Health checks and health reviews were available to patients blood pressure taking and monitoring services medication advice and patient support and advice were all on offer."