What is the Quality of Care at Mitcheldean Surgery

Neutral

"• The practice hosted an autism group for the local area."

Positive

"• The practice held GP led dedicated monthly dementia clinics."

Positive

"The practice offered proactive personalised care to meet the needs of the older patients in its population and was responsive to the needs of patients who were living with dementia or were receiving 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 patients experiencing poor mental health including patients with dementia."

Positive

"We heard presentations had been used for flu vaccines dementia following an audit completed and cervical screening programme."

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."

Neutral

"They were also above average in the percentage of patients with dementia and nursing home allocation."

Positive

"We saw one area of outstanding practice including: • The practice was proactive in understanding the need of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"Feedback from learning disability homes within the local area was very positive about the practice ‘can do’ attitude especially in seeing patients at home promptly."

Positive

"We saw one area of outstanding practice: • The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"Outstanding practice The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"The practice had worked hard to ensure patients with a learning disability felt welcomed in the practice and worked with them to improve how the practice run their services to better meet their needs."

Positive

"The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"The practice had patients registered in four nursing homes two residential homes for older people and eight learning disability residential homes."

Positive

"The learning disability homes were visited by a GP as when they were needed."

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

"We heard when we spoke to learning disability homes that they had chosen this practice from recommendations from others."

Neutral

"Prior to the inspection we also spoke with four senior staff members from two nursing homes a residential home and two learning disability homes where there were residents who were registered at Mitcheldean Surgery to gain their experience of the service provided."

Positive

"• The practice nurse had undertaken a diploma in diabetes care and attended regular educational updates."

Neutral

"For example nurses had received additional training in diabetes and regular updates."

Positive

"They were now introducing new injectable treatments and insulin’s for diabetes and reducing other medicines taken in line with recommendations in current NICE guidelines."

Neutral

"One of the GPs told us they lead in diabetes management following the additional training."

Neutral

"For example there had been external speakers to discuss dermatology and atrial fibrillation specialists nurses for Chronic Obstructive Pulmonary Disorder COPD and diabetes along with representatives from local support groups in the area."

Positive

"We saw one area of outstanding practice including: • The practice was proactive in understanding the need of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"Feedback from learning disability homes within the local area was very positive about the practice ‘can do’ attitude especially in seeing patients at home promptly."

Positive

"We saw one area of outstanding practice: • The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"Outstanding practice The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"The practice had worked hard to ensure patients with a learning disability felt welcomed in the practice and worked with them to improve how the practice run their services to better meet their needs."

Positive

"The practice was proactive in understanding the needs of patients with a learning disability and delivered their care in a way that met their needs and promoted equality."

Positive

"The practice had patients registered in four nursing homes two residential homes for older people and eight learning disability residential homes."

Positive

"The learning disability homes were visited by a GP as when they were needed."

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

"We heard when we spoke to learning disability homes that they had chosen this practice from recommendations from others."

Neutral

"Prior to the inspection we also spoke with four senior staff members from two nursing homes a residential home and two learning disability homes where there were residents who were registered at Mitcheldean Surgery to gain their experience of the service provided."

Neutral

"The health care assistant administered flu vaccines on specific occasions and used Patient Specific Directions PSDs that had been produced by the prescriber."

Positive

"We heard presentations had been used for flu vaccines dementia following an audit completed and cervical screening programme."

Positive

"We saw fire extinguishers blood pressure monitors electrocardiogram ECG and weighing scales had been recently tested and the weighing scales were due to be checked in the week we inspected."

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

"Additional services are provided from the practice premises including NHS ultrasound service pain clinic primary mental health clinics speech and language therapy and midwifery and health visitors’ sessions."

Positive

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

Positive

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

Positive

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

Positive

"Additional services are provided from the practice premises including NHS ultrasound service pain clinic primary mental health clinics speech and language therapy and midwifery and health visitors’ sessions."

Positive

"For example a patients relative told us they suffered with a mental health problem and when their relative rang staff were always aware of how to meet their needs and if they needed additional support."

Neutral

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

Positive

"For example when an out of date vaccine was administered the practice investigated and informed the patient of the error."

Positive

"One action was to give staff protected time for stock checking and a template to complete prior to administration of a vaccine was introduced."

Neutral

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

Positive

"We found at the last inspection there was not a manual thermometer available in case there was a thermometer failure with the installed thermometer for the vaccine refrigerators."

Neutral

"We noted the vaccine refrigerator was not routinely locked."

Neutral

"For example Public Health England had updated when children should receive a meningitis C vaccine and now the protocol reflected this change."

Positive

"We were told all suspected cancer referrals were reviewed to provide an overview of the referral process."