What is the Quality of Care at Pembridge Villas Surgery

Positive

"The practice offered proactive personalised care to meet the needs of the older people in its population and had a range of enhanced services for example in dementia and end of life care."

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 carried out dementia reviews and some clinical staff had received additional training on how to care for people with mental health needs and dementia."

Positive

"We were told that patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Positive

"The practice recognised the needs of homeless patients by offering them an extended registration health check which included screening for mental health problems drug and alcohol issues and infectious diseases."

Positive

"Patientcarer support to cope emotionally with care and treatment Patients were offered referral to emotional support services such as an inhouse counselling clinic a community mental health service and a drug and alcohol addiction service."

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 those with multiple long term conditions mental health problems people from vulnerable groups those with end of life care needs or children on the at risk register."

Positive

"The practice carried out dementia reviews and some clinical staff had received additional training on how to care for people with mental health needs and dementia."

Positive

"Patients were offered referral to emotional support services such as an inhouse counselling clinic a community mental health service and a drug and alcohol addiction service."

Positive

"For example longer appointment times were available for patients with learning disabilities mental health conditions and multiple complex conditions."

Positive

"It was also good for providing services to the six population groups we inspect People whose circumstances may make them vulnerable; Older people; People with longterm conditions; Families children and young people; Working age people including those recently retired and students; and People experiencing poor mental health including dementia."

Positive

"Other members of the group included a patient from the local women’s shelter a pregnant patient a patient with a physical disability patients with longterm conditions a patient with mental health problems and a mother with two young children."

Positive

"Homeless patients were offered an extended registration health check with screening for blood borne viruses vaccinations and referral to other services such as mental health and drug and alcohol services if required."

Neutral

"Referral to other services such as mental health and drug and alcohol services were available if required."

Neutral

"Summary of findings The practice had some services to support and review patients with mental health problems such as multidisciplinary input and representation at the practice’s Patient Representative Group PRG."

Positive

"This may range from depression including post natal depression to severe mental illnesses such as schizophrenia."

Positive

"We were told that patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"There was also a representative for patients from a local learning disability home."

Positive

"Some staff had expertise in treating homeless patients and the practice offered a specialist service to a learning disability home and women’s refuge."

Positive

"The practice supported patients from a local learning disability home a women’s shelter and some staff had developed expertise in treating homeless patients."

Positive

"We also spoke with eight patients who used the service three members of the patient participation group and the manager of a local learning disability home."

Positive

"The practice had a good working relationship with other providers in the area including other GPs a learning disability home and a women’s shelter."

Positive

"All members were patients with the exception of one person who was the representative for five patients from a local learning disability home."

Neutral

"The practice supported patients from a local learning disability home and a women’s shelter."

Neutral

"The practice Patient Representative Group PRG included a care home manager who represented five patients from a local learning disability home."

Positive

"Dedicated clinics were offered to patients with chronic conditions such as asthma diabetes and heart disease."

Neutral

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

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed National Institute for Health and Care Excellence NICE guidance around treatment for these groups of patients."

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed the National Institute for Health and Care Excellence NICE guidance for the treatment for these groups of patients."

Neutral

"There were systems in place to support patients with long term medical conditions including diabetes coronary heart disease CHD and chronic kidney disease."

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed National Institute for Health and Care Excellence NICE guidance around treatment for these groups of patients."

Positive

"Management monitoring and improving outcomes for people The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes and coronary heart disease CHD and followed National Institute for Health and Care Excellence NICE guidance for these groups of patients."

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed the National Institute for Health and Care Excellence NICE guidance for the treatment for these groups of patients."

Neutral

"There were systems in place to support patients with long term medical conditions including diabetes coronary heart disease CHD and chronic kidney disease."

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed National Institute for Health and Care Excellence NICE guidance around treatment for these groups of patients."

Positive

"Longer appointment times were available for those who may need them including patients with complex conditions; antenatal and postnatal care; and annual reviews for patients with long term conditions such as diabetes and asthma."

Positive

"Dedicated clinics were offered to patients with chronic conditions such as asthma diabetes and heart disease."

Neutral

"For example patients with diabetes were having regular health checks with the GPs and nurses."

Neutral

"They also checked all routine health checks were completed for longterm conditions such as diabetes and that the latest prescribing guidance was being used."

Neutral

"Structured annual reviews were also undertaken for people with long term conditions such as diabetes COPD and asthma."

Positive

"Management monitoring and improving outcomes for people The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes and coronary heart disease CHD and followed National Institute for Health and Care Excellence NICE guidance for these groups of patients."

Positive

"The practice held clinics for patients with long term conditions such as chronic obstructive pulmonary disease COPD diabetes chronic kidney disease CKD and coronary heart disease CHD and followed the National Institute for Health and Care Excellence NICE guidance for the treatment for these groups of patients."

Neutral

"There were systems in place to support patients with long term medical conditions including diabetes coronary heart disease CHD and chronic kidney disease."

Neutral

"Examples of long term conditions are diabetes dementia CVD musculoskeletal conditions and COPD this list is not exhaustive."

Neutral

"A poster informing patients of when to fast for blood tests for conditions such as diabetes and CKD was on display in the waiting room."

Positive

"For example in antibiotic prescribing GP referred outpatient attendances and emergency admissions."

Positive

"The practice was actively encouraging patients to be involved in shaping the service delivered at the practice."

Positive

"We were told that patients with a learning disability and those with dementia were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"There was also a representative for patients from a local learning disability home."

Positive

"Some staff had expertise in treating homeless patients and the practice offered a specialist service to a learning disability home and women’s refuge."

Positive

"Other members of the group included a patient from the local women’s shelter a pregnant patient a patient with a physical disability patients with longterm conditions a patient with mental health problems and a mother with two young children."

Positive

"The practice supported patients from a local learning disability home a women’s shelter and some staff had developed expertise in treating homeless patients."

Positive

"We also spoke with eight patients who used the service three members of the patient participation group and the manager of a local learning disability home."

Positive

"The practice had a good working relationship with other providers in the area including other GPs a learning disability home and a women’s shelter."

Positive

"All members were patients with the exception of one person who was the representative for five patients from a local learning disability home."

Neutral

"The practice supported patients from a local learning disability home and a women’s shelter."

Neutral

"The practice Patient Representative Group PRG included a care home manager who represented five patients from a local learning disability home."

Positive

"The practice offered a full range of immunisations for children travel vaccines and flu vaccinations in line with current national guidance."

Positive

"Last year’s performance for flu vaccinations was above the national averages where comparative data was available."

Positive

"The practice’s computer system alerted GPs if a patient was a carer and carers were offered health checks and the flu vaccination."

Neutral

"The practice’s computer system alerted GPs if a patient was a carer and carers were offered health checks the flu vaccination and referred to various support services."

Positive

"Discussions had also taken place with local surgeries during the pandemic flu outbreak."

Positive

"There were some arrangements in place to respond to the needs of different population groups including seasonal flu clinics for older patients immunisation clinics for babies and health clinics to review people with long term conditions."

Positive

"Seasonal flu clinics were conducted with appointments prioritised for older patients."

Neutral

"Older people The practice had some services to support and review older patients such as the seasonal flu clinic and home visits."

Neutral

"Summary of findings The practice had some services to support and review older patients such as the seasonal flu clinic and home visits."

Positive

"The practice had started planning for the ‘outofhospital services’ whereby additional services including ambulatory blood pressure monitoring phlebotomy care planning and spirometry were offered to patients within the GP practice environment."

Neutral

"A blood pressure pod was available in the waiting room and patients were encouraged to take their blood pressure before seeing the doctor."

Positive

"Staff told us that specific clinical equipment such as aurascopes stethoscopes and blood pressure cuffs were cleaned by clinical staff."

Positive

"During this appointment the patient’s height weight blood pressure and urine test were checked."

Positive

"There was a blood pressure machine in the waiting room."

Positive

"Patients were encouraged to take their blood pressure before seeing the doctor and instructions on how to use the machine and print results were provided."