What is the Quality of Care at Hawthorn Drive Surgery

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."

Positive

"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

"Inadequate ––– People experiencing poor mental health including people with dementia The practice is rated as inadequate for safe effective and well led services."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."

Positive

"However not all patients diagnosed with cancer had been reviewed."

Positive

"• Patients who had been diagnosed with cancer had not all been reviewed."

Positive

"We reviewed the records of four patients with a cancer diagnosis and none had been reviewed."

Positive

"This included information on alcohol and drug support domestic abuse bereavement cancer carers homelessness mental health and wellbeing parenting social activities and sexual health."

Positive

"We reviewed patients who had been referred on the two week cancer referral pathway and their referral had been followed up appropriately."

Positive

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

Positive

"This included information on alcohol and drug support domestic abuse bereavement cancer carers homelessness mental health and wellbeing parenting social activities and sexual health."

Positive

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

Positive

"However the practice’s performance on quality indicators for people with long term conditions for example diabetes and COPD was significantly lower than the CCG and England averages."

Positive

"People with longterm conditions: • The practice’s performance on quality indicators for people with long term conditions for example diabetes and COPD was significantly lower than the CCG and England averages."

Positive

"A Specialist Diabetes nurse attended one day a week to support patients with more complex diabetes needs."

Positive

"In particular: • The practice’s performance on quality indicators for people with long term conditions for example diabetes and COPD was significantly lower than the CCG and England averages."

Positive

"• The practice’s performance on quality indicators for people with long term conditions for example diabetes and Chronic Obstructive Pulmonary Disease COPD was significantly lower than the Clinical Commissioning Group CCG and England averages."

Neutral

"We reviewed the records of five patients who were coded as having diabetes and there was evidence in their medical record to confirm their diagnosis."

Neutral

"Seven patients were removed from the diabetes register as they had been entered incorrectly."

Positive

"Two patients with diabetes and three patients with chronic obstructive pulmonary disease were receiving appropriate treatment."

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 had a significantly higher than average exception rate for five of the seven Quality and Outcomes Framework QOF mental health indicators."

Positive

"The practice were aware and continued to work on this and had employed a mental health practitioner who shared responsibility to review this area."

Positive

"• The practice held joint mental health and pain management clinics which were run by the practice’s mental health practitioner and emergency care practitioner."

Neutral

"They also had a significantly higher than average exception rate for five of the seven QOF mental health indicators."

Neutral

"There is one • nurse practitioners an emergency care practitioner a pharmacist a mental health practitioner two nurses and two healthcare assistants."

Neutral

"We rated the practice as requires improvement for providing effective services overall and for people whose circumstances make them vulnerable people with long term conditions and people with mental health needs because: • There was no formalised process for the review of patients who had been diagnosed with cancer."

Neutral

"People experiencing poor mental health including people with dementia: • The practice’s performance on quality indicators for mental health was mixed with achievement for some of the mental health indicators being above the CCG and England average and some being below these averages."

Neutral

"However the exception reporting for five of the seven mental health QOF indicators was significantly higher than the CCG and England average."

Neutral

"• The practice had a significantly higher than average exception rate for five of the seven QOF mental health indicators."

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 with dementia."

Positive

"• The practice worked with other professionals in the case management of patients experiencing poor mental health including those with dementia."

Positive

"This included information on alcohol and drug support domestic abuse bereavement cancer carers homelessness mental health and wellbeing parenting social activities and sexual health."

Positive

"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."

Neutral

"• A mental health link worker held a weekly clinic at the practice."

Neutral

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

Positive

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

Positive

"Inadequate ––– People experiencing poor mental health including people with dementia The practice is rated as inadequate for safe effective and well led services."

Positive

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

Positive

"This included information on alcohol and drug support domestic abuse bereavement cancer carers homelessness mental health and wellbeing parenting social activities and sexual health."

Neutral

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

Positive

"The practice worked closely with a learning disability nurse to review patients on the learning disability register and had removed those who did not have a learning disability."

Positive

"• The practice worked closely with a learning disability nurse and annual health assessments for people with a learning disability were undertaken by the practice nurse."

Positive

"• The practice offered longer appointments for patients with a learning disability and for those who needed to use translation services."

Positive

"Annual health assessments for people with a learning disability were undertaken by the practice nurse."

Positive

"The GP lead for learning disability was informed if concerns were identified or the patient needed further review."

Positive

"• The practice had worked with a learning disability nurse and reviewed their patient register to ensure that patients were appropriately coded."

Positive

"• Ensure that annual health reviews are offered for those patients with a learning disability who have not yet received one and that coding for patients with a learning disability is accurate."

Positive

"For example those with a learning disability or translation needs."

Positive

"• Ensure that annual health reviews are offered for those patients with a learning disability who have not yet received one."

Positive

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

Positive

"The practice had other risk assessments in place to monitor the safety of the premises such as disability access control of substances hazardous to health infection control and Legionella Legionella is a term for a particular bacterium which can contaminate water systems in buildings."

Positive

"The practice worked closely with a learning disability nurse to review patients on the learning disability register and had removed those who did not have a learning disability."

Positive

"• The practice worked closely with a learning disability nurse and annual health assessments for people with a learning disability were undertaken by the practice nurse."

Positive

"• The practice offered longer appointments for patients with a learning disability and for those who needed to use translation services."

Positive

"Annual health assessments for people with a learning disability were undertaken by the practice nurse."

Positive

"The GP lead for learning disability was informed if concerns were identified or the patient needed further review."

Positive

"• The practice had worked with a learning disability nurse and reviewed their patient register to ensure that patients were appropriately coded."

Positive

"• Ensure that annual health reviews are offered for those patients with a learning disability who have not yet received one and that coding for patients with a learning disability is accurate."

Positive

"For example those with a learning disability or translation needs."

Positive

"• Ensure that annual health reviews are offered for those patients with a learning disability who have not yet received one."

Positive

"The practice explained that patients may have a higher blood pressure reading when they commenced treatment and then may not attend for review where a lower blood pressure reading may be recorded."

Neutral

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

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."

Positive

"For example one audit related to checking that appropriate coding was in place including treatment for patients with asthma and ensuring appropriate prescribing."

Positive

"They supported those staff to receive Hepatitis B vaccination and we saw records of this however not hepatitis B immunity."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."

Positive

"• Nationally reported data showed that outcomes for patients for conditions commonly found in older people including rheumatoid arthritis dementia and heart failure were above the local and national averages."