What is the Quality of Care at Lea Vale Medical Practice

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

"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

"Similar mechanisms of identifying ‘at risk’ groups were used for patients with dementia housebound and those receiving end of life care."

Positive

"There was a lead nurse for patients with mental health issues including dementia and learning disabilities."

Positive

"It was also good for providing services for 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 people with dementia ."

Positive

"We noted that the nurse was aware of how more vulnerable patients such as those who were homeless or had recently moved to England were susceptible to mental health problems due to their individual circumstances."

Positive

"For some specific situations where capacity to make decisions was an issue for a patient the practice nurse who had specialist training in mental health assessed patients’ ability to consent."

Positive

"For patients with mental health needs the practice worked with local services to ensure that those patients were referred for the most appropriate treatment."

Positive

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

Positive

"Staff had received training on how to care for people with mental health needs and dementia."

Positive

"The practice offered its own services for patients with mental health needs such as talking therapies; counselling and other interventions within the NHS programme Improving Access to Psychological therapies IAPT."

Positive

"There was a lead nurse for patients with mental health issues including dementia and learning disabilities."

Positive

"It was also good for providing services for 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 people with dementia ."

Neutral

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

Neutral

"There was a lead nurse in the practice for patients with mental health needs including dementia."

Neutral

"These patients were monitored for signs of anxiety and signposted or referred to appropriate mental health services."

Positive

"It offered longer appointments for people with a learning disability and home visits to local care homes in which the residents had a learning disability."

Positive

"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

"The GPs told us they led in specialist clinical areas such as diabetes heart disease and asthma and the practice nurses supported this work which allowed the practice to focus on specific conditions and provide a greater number of appointments for patients with those conditions."

Positive

"Appointments were available outside of school hours including an asthma clinic during school holidays and the premises were suitable for children and babies."

Positive

"The management of long term conditions such as asthma and diabetes was also being reviewed for the effectiveness of the treatments prescribed over time."

Positive

"Those with extended roles which were linked with the GP specialist roles in treating patients with longterm conditions such as asthma COPD diabetes and coronary heart disease were also able to demonstrate that they had appropriate training to fulfil these roles."

Positive

"Recent guidance had warned that these should not be prescribed for patients who did not have cancer or another terminal condition."

Positive

"Those with extended roles which were linked with the GP specialist roles in treating patients with longterm conditions such as asthma COPD diabetes and coronary heart disease were also able to demonstrate that they had appropriate training to fulfil these roles."

Positive

"The GPs told us they led in specialist clinical areas such as diabetes heart disease and asthma and the practice nurses supported this work which allowed the practice to focus on specific conditions and provide a greater number of appointments for patients with those conditions."

Positive

"The management of long term conditions such as asthma and diabetes was also being reviewed for the effectiveness of the treatments prescribed over time."

Positive

"For example diabetes prevalence within the Eastern European population in the area covered by the practice was identified as needing to be addressed through better monitoring of patients’ blood sugar levels and other health and lifestyle factors."

Positive

"The practice had also done various pieces of work to address the different expectations of the Polish community in regarding to management of their health needs including gynaecological checks diabetes and childhood illnesses."

Positive

"Those with extended roles which were linked with the GP specialist roles in treating patients with longterm conditions such as asthma COPD diabetes and coronary heart disease were also able to demonstrate that they had appropriate training to fulfil these roles."

Neutral

"In addition an ongoing audit into the management of diabetes in Polish patients was underway at the practice as difference in how this condition was managed in Polish and British patients had been identified."

Neutral

"There was specific work carried out around diabetes in the Eastern European population of which there was a high number in the area served by Lea Vale Medical practice."

Neutral

"As a result of these checks some patients had been diagnosed with diabetes and hypertension and provided with treatment and advice to manage their conditions."

Neutral

"Examples of clinical audits included uncontrolled hypertension and the childhood immunisations."

Neutral

"As a result of these checks some patients had been diagnosed with diabetes and hypertension and provided with treatment and advice to manage their conditions."

Positive

"It offered longer appointments for people with a learning disability and home visits to local care homes in which the residents had a learning disability."

Positive

"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

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

Positive

"Walk in flu clinics were advertised on the practice website and flu vaccinations further promoted by a prominent display in the waiting room."

Positive

"Patients for whom contracting the flu virus presented a higher than average risk were identified and care plans set up to ensure they received the vaccination."

Positive

"Other ongoing audits included the number of referrals of patients with gynaecological conditions to hospital and the care of children with suspected urinary tract infections."