What is the Quality of Care at The Beaches Medical Centre

Neutral

"We have rated this practice as requires improvement overall and requires improvement for all population groups except for people experiencing poor mental health including people with dementia which we rated as inadequate."

Positive

"People experiencing poor mental health including people with dementia The practice is rated as inadequate for the care of people experiencing poor mental health including people with dementia."

Positive

"The practice regularly referred patients with dementia high level needs to the local Dementia Intensive Support Team."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the population group of people living in vulnerable circumstances."

Positive

"This included information so staff were aware of any relevant issues when patients attended appointments; for example children subject to child protection plans patients diagnosed with dementia or learning disabilities."

Positive

"Patients with learning disabilities and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Neutral

"For example diabetic appointment were available at any time when the nurse who specialised in diabetes was working rather than previously being at set times."

Neutral

"• A specialist diabetes team held a clinic at the practice every month to review patients with complex diabetes."

Positive

"• The practice had employed a clinical pharmacist to help with the demand of prescription requests and nurses with specialisms in diabetes and palliative care."

Positive

"The newly appointed diabetes nurse specialist had completed an audit regarding diabetic care before joining the practice and intended to implement changes at the practice."

Neutral

"For example they had employed a clinical pharmacist and diabetes specialist nurse."

Positive

"There was support and education provided to patients with conditions such as diabetes smoking cessation or obesity."

Positive

"The GPs told us they lead in specialist clinical areas such as heart disease diabetes and asthma."

Neutral

"We have rated this practice as requires improvement overall and requires improvement for all population groups except for people experiencing poor mental health including people with dementia which we rated as inadequate."

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

"They had held a coffee morning to promote the identification of carers and had planned a mental health and young people event in April."

Neutral

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

Neutral

"• A mental health counsellor was employed by the practice and held a clinic once a week at the practice."

Positive

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

Positive

"People experiencing poor mental health including people with dementia The practice is rated as inadequate for the care of people experiencing poor mental health including people with dementia."

Positive

"The population groups are: • older people • people with longterm conditions • families children and young people • working age people including those recently retired and students • people whose circumstances may make them vulnerable • people experiencing poor mental health including people living with dementia."

Positive

"• The practice had a ‘direct access line’ for carenursing homes ambulance control accident and emergency departments community teams mental health teams and social care teams to use."

Positive

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

Neutral

"• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs."

Neutral

"• The practice had information available for patients experiencing poor mental health about how they could access various support groups and voluntary organisations."

Positive

"There was a dedicated telephone number available for the care homes ambulance control accident and emergency service at the local hospital the community team mental health team and social care team to use which was answered quickly and ensured prompt access to a GP or care coordinator."

Positive

"• The practice employed a mental health counsellor to support patients who have mental health needs."

Positive

"Good ––– People experiencing poor mental health including people with dementia The practice is rated as good for the population group of people living in vulnerable circumstances."

Positive

"The practice worked in conjunction with the local mental health team and the community psychiatric nurses and provided a support worker for weekly clinics at the practice."

Positive

"The practice also provided a mental health counsellor and a carer support worker."

Positive

"For example diabetic eye screening service and local mental health support workers."

Positive

"Patients experiencing poor mental health received treatment care and support at the practice and in the community when they needed it."

Positive

"Patients with poor mental health were invited to attend an annual health review."

Positive

"The practice employed a mental health counsellor who held weekly clinics at the practice for patients who may be experiencing poor mental health."

Neutral

"The practice funded a mental health counsellor to improve access for patients who were experiencing poor mental health."

Neutral

"The practice ensured that patients with poor mental health were able to access the practice at a time that was suitable for them."

Neutral

"The practice employed a mental health counsellor who held weekly clinics at the practice for patients."

Neutral

"The practice held a register of its patients known to have poor mental health and had effective procedures for undertaking routine mental health assessments."

Neutral

"The practice worked in conjunction with the local mental health team and the community psychiatric nurses."

Positive

"We saw one example of outstanding practice: • A photo of the clinician undertaking the learning disability health review was sent to the patients’ home before the appointment to give patients and their staff time to prepare for the review."

Positive

"• Continue work to improve the uptake of health reviews for patients with a learning disability and also reviews for patients newly diagnosed with cancer."

Neutral

"• The practice had not implemented an effective system to enable people with a learning disability to receive a timely health review."

Positive

"They visited patients with a learning disability in their own home if necessary."

Positive

"• Annual health assessments for people with a learning disability were undertaken by the advanced nurse practitioner who had attended additional training to undertake this work."

Positive

"• The practice offered longer appointments for patients with a learning disability if this was requested."

Positive

"• Longer appointments were available for patients with a learning disability on request."

Positive

"• We rated working age people as requires improvement because the percentage of patients with a new diagnosis of cancer who had a review within six months was below the Clinical Commissioning Group CCG and national averages."

Positive

"These included information on cancer sepsis victim support flu and meningitis."

Positive

"• The practice took account of the needs and preferences of patients with lifelimiting conditions including patients with a condition other than cancer and patients living with dementia."

Positive

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

Positive

"The community cancer matron worked closely with patients who had been diagnosed with cancer to provide them with care and support as they required."

Positive

"This was a pilot scheme which enabled the community cancer matron to work closely with patients who had been diagnosed with cancer to provide them with care and support as they required."

Positive

"Patients were encouraged to participate in health promotion activities such as breast screening cancer testing and smoking cessation."

Positive

"Palliative care and treatment was offered to patients with cancer and other life limiting illnesses who were identified as approaching the end of their lives."

Positive

"There was a community cancer matron attached to the practice."

Positive

"We saw one example of outstanding practice: • A photo of the clinician undertaking the learning disability health review was sent to the patients’ home before the appointment to give patients and their staff time to prepare for the review."

Positive

"• Continue work to improve the uptake of health reviews for patients with a learning disability and also reviews for patients newly diagnosed with cancer."

Neutral

"• The practice had not implemented an effective system to enable people with a learning disability to receive a timely health review."

Positive

"They visited patients with a learning disability in their own home if necessary."

Positive

"• Annual health assessments for people with a learning disability were undertaken by the advanced nurse practitioner who had attended additional training to undertake this work."

Positive

"• The practice offered longer appointments for patients with a learning disability if this was requested."

Positive

"• Longer appointments were available for patients with a learning disability on request."

Neutral

"Outcomes for patients with rheumatoid arthritis were below the local and national averages."

Positive

"People with longterm conditions: • Nationally reported data showed that outcomes for patients with long term conditions including asthma chronic obstructive pulmonary disease COPD hypertension and atrial fibrillation were in line with the local and national averages."

Neutral

"• The practice held asthma clinics for children during the school holidays."

Positive

"People with longterm conditions: • Nationally reported data showed that outcomes for patients with long term conditions including asthma chronic obstructive pulmonary disease COPD hypertension and atrial fibrillation were in line with the local and national averages."

Neutral

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

Positive

"For example prescription errors and a recent failure of a vaccine fridge."

Positive

"This included a catch up Human Papilloma virus HPV vaccine programme for female patients who although they fit the national guidelines for vaccination may have missed the vaccine provided through the schools programme."

Neutral

"Outcomes for patients with rheumatoid arthritis were below the local and national averages."

Neutral

"In response to this some staff had received training in rheumatoid arthritis."

Positive

"These included information on cancer sepsis victim support flu and meningitis."

Positive

"The practice utilised healthcare assistants to complete monitoring such as blood pressure waist measurements and weight recording to assist the nurses in the management of long term conditions."

Positive

"We saw evidence of calibration of relevant equipment; for example weighing scales and blood pressure monitors."

Positive

"• The immunisation status for hepatitis B was not known for all clinical staff and risk assessments had not been completed where the status was unknown."

Positive

"We also found the immunisation status for hepatitis B was not known for all clinical staff and risk assessments for this had not been completed where the status was unknown."

Positive

"These included information on cancer sepsis victim support flu and meningitis."

Positive

"The practice was undertaking a clinical audit in the prescribing of anticoagulant medicines anticoagulants are medicines used to reduce the ability of the blood to clot for patients diagnosed with a deep vein thrombosis a thrombosis is the formation of a blood clot within a vein."

Neutral

"For example patterns of warfarin prescribing for patients diagnosed with a deep vein thrombosis DVT within the practice."

Positive

"Staff were prepared to assist patients with hearing and visual impairment or whose first language was not English in filling in any forms or accessing healthcare if necessary."

Positive

"We saw that the practice had completed clinical audits in the use of antibiotics in the diagnosis of urinary tract infections and the appropriateness of patients referred to the Ear Nose and Throat departments of local hospitals."

Neutral

"The practice had also completed a review of case notes for patients with urinary tract infections which showed they were on appropriate treatment with regular reviews."

Positive

"Staff were prepared to assist patients with hearing and visual impairment or whose first language was not English in filling in any forms or accessing healthcare if necessary."