What is the Quality of Care at Prentis Medical Centre

Positive

"Inadequate ––– People experiencing poor mental health including people with dementia The provider was rated as inadequate for safe effective and well led resulting in the practice being rated as inadequate overall."

Positive

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

Positive

"For example after concerns were raised about a patient missing slow release medicine for a mental health condition the practice investigated the issue wrote a new protocol carried an audit and reviewed all relevant patients who were then added to a new monitoring system."

Positive

"For example after a significant event arose relating to monitoring of medicines for mental health conditions the practice reviewed its systems for monitoring other medicines and introduced tighter systems for some other medicines that are considered high risk."

Neutral

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

Positive

"Inadequate ––– People experiencing poor mental health including people with dementia The provider was rated as inadequate for safe effective and well led resulting in the practice being rated as inadequate overall."

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."

Neutral

"• Feedback forms completed by care homes and other healthcare providers demonstrated that the practice regularly worked with multidisciplinary teams in the case management of patients experiencing poor mental health including those with dementia."

Neutral

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

Neutral

"• The practice provided GP services to a number of care homes and facilities that catered to patients with learning disabilities or mental health concerns."

Positive

"Although the practice had a relatively large population of patients with a learning disability there were no easy read materials."

Positive

"We identified improvements needed to the practice’s learning disability annual review process to ensure that patients needs were fully assessed."

Neutral

"• As a result of our feedback the practice also reviewed the training for staff and decided that all clinical staff will have training in learning disability awareness and consent including the mental capacity act."

Positive

"In addition to formally documented audits the practice had systems for routine monitoring of the effectiveness of various aspects of care including of the ‘virtual clinics’ for diabetes respiratory conditions and mental health."

Positive

"The practice told us that they held ‘virtual clinics’ for patients with Chronic Obstructive Pulmonary Disease diabetes asthma hypertension and atrial fibrillation with the input of consultants from local hospitals."

Positive

"Although the practice had a relatively large population of patients with a learning disability there were no easy read materials."

Positive

"We identified improvements needed to the practice’s learning disability annual review process to ensure that patients needs were fully assessed."

Neutral

"• As a result of our feedback the practice also reviewed the training for staff and decided that all clinical staff will have training in learning disability awareness and consent including the mental capacity act."

Positive

"However when we asked staff what they would do in the event that vaccine fridge temperatures went outside of the optimum range and were assured by the answers provided that the practice had systems and processes in place to ensure legislation and guidelines were followed."

Neutral

"We identified during our last inspection that the temperature of the practice’s vaccine fridge had gone out of range on several occasions."

Positive

"One example was an audit of the treatment of urinary tract infections."

Positive

"The practice had undertaken a review of high risk medicines used to treat rheumatoid arthritis since our last inspection we saw evidence that all but three of these patients now had shared care agreements in place."

Positive

"The areas where the provider should make improvement are: • Monitor the high exception rates for those with chronic kidney disease and cancer to ensure that all exemptions are appropriate."

Positive

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

Positive

"For example they held a coffee morning to raise money for a national cancer charity and were currently in the process of making a film to explain the work undertaken by GPs and the impact this can have on waiting times."

Positive

"In addition to the breaches of regulation we found that: • The practice had higher exception reporting rates for patients with chronic kidney disease and cancer."

Positive

"The areas where the provider should make improvement are: • Monitor the high exception rates for those with chronic kidney disease and cancer to ensure that all exemptions are appropriate."

Positive

"The practice had undertaken a review of high risk medicines used to treat rheumatoid arthritis since our last inspection we saw evidence that all but three of these patients now had shared care agreements in place."

Positive

"The practice told us that they held ‘virtual clinics’ for patients with Chronic Obstructive Pulmonary Disease diabetes asthma hypertension and atrial fibrillation with the input of consultants from local hospitals."

Positive

"The practice told us that they held ‘virtual clinics’ for patients with Chronic Obstructive Pulmonary Disease diabetes asthma hypertension and atrial fibrillation with the input of consultants from local hospitals."

Positive

"For example we reviewed an incident related to consent and capacity issues around the administration of a flu vaccination in a care home."