What is the Quality of Care at Morland House Surgery

Positive

"The practice offered proactive personalised care to meet the needs of the older patients 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."

Neutral

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

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

Positive

"• The practice worked with local mental health services to ensure patients were well supported."

Positive

"The practice worked with local mental health services to ensure patients were well supported."

Positive

"The practice appointment system offered an accessible service for patients experiencing varying mental health problems and for those who required flexibility."

Neutral

"People experiencing poor mental health • A counsellor from a local support group worked at the surgery."

Neutral

"• The practice used the services of the community mental health team but was also able to provide cognitive behaviour therapy CBT for their patients."

Neutral

"Our findings The practice referred patients experiencing poor mental health to the community mental health team CMHT if appropriate."

Positive

"Patients with a learning disability were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"There was a system in place to identify patients with a learning disability and staff ensured that these patients received an annual health check."

Positive

"Those with extended roles for example seeing patients with longterm conditions such as asthma COPD and diabetes 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 two of the practice nurses supported this work which allowed the practice to focus on specific conditions."

Neutral

"Practice nurses had specialist training and skills for example in the treatment of asthma diabetes and travel vaccinations."

Neutral

"Practice nurses had specialist training and skills for example in the treatment of asthma diabetes and travel vaccinations."

Positive

"We heard that the practice nurse with specialist responsibility for supporting patients with diabetes added additional checks into their programme of supporting patients who had recently commenced taking insulin."

Positive

"Patients with diabetes who commenced insulin therapy received a daily call from the diabetes nurse to support them in taking their new medicine."

Positive

"Those with extended roles for example seeing patients with longterm conditions such as asthma COPD and diabetes 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 two of the practice nurses supported this work which allowed the practice to focus on specific conditions."

Positive

"For example the practice carried out an audit to ensure patients with diabetes who had recently given birth received a specific blood test."

Positive

"These included diabetes and respiratory disease clinics."

Neutral

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

Neutral

"Practice nurses had specialist training and skills for example in the treatment of asthma diabetes and travel vaccinations."

Positive

"The practice had one nurse specifically to provide care and support to patients with diabetes Identification & Management of Risk There was evidence that the practice continually learnt from incidents and feedback."

Neutral

"Practice nurses had specialist training and skills for example in the treatment of asthma diabetes and travel vaccinations."

Neutral

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

Positive

"Patients with a learning disability were supported to make decisions through the use of care plans which they were involved in agreeing."

Positive

"The practice had facilities for patients with a disability and an area of the reception desk was at a lower level for patients who may use a wheelchair."

Positive

"There was a system in place to identify patients with a learning disability and staff ensured that these patients received an annual health check."

Positive

"The practice had established relationships with neighbouring practices and had agreed to work with other surgeries in the event of an emergency situation such as a swine flu outbreak."

Positive

"• The GPs conducted home visits and visited patients at a day centre to administer flu vaccinations."

Positive

"GPs conducted home visits and visited patients at a day centre to administer flu vaccinations."

Positive

"The practice worked with a national charity to carry out patients’ annual flu vaccinations at the day centre."

Positive

"We saw evidence of calibration of relevant equipment; for example weighing scales and blood pressure measuring devices."

Positive

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

Neutral

"This did not follow the practice’s SOP for filling compliance aids which stated that all medication should be kept with their corresponding prescriptions until final dispensing check has been undertaken."