What is the Quality of Care at The Cedars Surgery

Positive

"The practice has a Personal Medical Services PMS contract to deliver health care services; the contract includes enhanced services such as childhood vaccination and immunisation scheme facilitating timely diagnosis and support for patients with dementia and minor surgery services."

Positive

"People experiencing poor mental health including people with dementia The provider was rated as requires improvement for the provision of safe effective and well led care."

Positive

"The practice has a Personal Medical Services PMS contract to deliver health care services; the contract includes enhanced services such as childhood vaccination and immunisation scheme facilitating timely diagnosis and support for patients with dementia and minor surgery services."

Positive

"• People at risk of dementia were identified and offered an assessment."

Positive

"For example patients were referred to the Positive Steps councillor who held weekly sessions at the practice to help patients with common mental health difficulties to receive advice about selfhelp and develop skills for good mental health."

Positive

"People experiencing poor mental health including people with dementia The provider was rated as requires improvement for the provision of safe effective and well led care."

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."

Positive

"• Performance for mental health related indicators was better than the clinical commissioning group CCG and national averages."

Positive

"• 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 a system for monitoring repeat prescribing for people receiving medication for mental health needs."

Neutral

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

Neutral

"• Performance for mental health related indicators similar to the CCG and national averages."

Neutral

"The results showed improvements in antibiotic prescribing and compliance with relevant published clinical guidance."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"• The GPs made regular visits to local residential homes to provide care for patients with a learning disability and to elderly patients for example for those living with dementia."

Positive

"• Personnel files had been reviewed and updated to include records of all appropriate recruitment checks undertaken prior to employment • Arrangements for temperature checks of vaccine storage; recorded and addressing safety alerts; and infection prevention and control had been reviewed and we saw evidence of effective implementation."

Positive

"• Arrangements for temperature checks of vaccine storage; recorded and addressing safety alerts; and infection prevention and control had been reviewed and we saw evidence of effective implementation."

Positive

"• arrangements for monitoring vaccine storage temperatures recording and addressing safety alerts and infection prevention and control were not implemented effectively."

Positive

"• Arrangements for temperature checks of vaccine storage had been reviewed to ensure recording is complete."

Positive

"We found gaps in the authorisation for vaccines before they were provided to patients; monitoring of vaccine fridge temperatures; in the monitoring and response to safety alerts; in the arrangements for clinical supervision of some staff; and in the security of blank prescription paper."

Positive

"However we found gaps in the assessment and monitoring of risk including in the security of patient records and blank prescription paper; arrangements for monitoring vaccine storage temperatures; for monitoring safety alerts; and for infection prevention and control."

Neutral

"• Arrangements for temperature checks of vaccine storage had been reviewed and we saw evidence that recording is complete."

Neutral

"However we found that temperature checks of vaccine storage were not recorded on some days at the Village Surgery site."

Neutral

"Arrangements for temperature checks of vaccine storage had been reviewed and we saw evidence that recording is complete."

Positive

"• Review arrangements for temperature checks of vaccine storage and ensure recording is complete."

Positive

"We found gaps in the monitoring of vaccine fridge temperatures; in the monitoring and response to safety alerts; in the arrangements for clinical supervision of some staff; and in the security of blank prescription paper."

Neutral

"However we found that temperature checks of vaccine storage were not recorded on some days at the Village Surgery site."

Neutral

"The practice demonstrated how they encouraged uptake of the screening programme by using information in different languages and for those with a learning disability and they ensured a female sample taker was available."

Neutral

"• The GPs made regular visits to local residential homes to provide care for patients with a learning disability and to elderly patients for example for those living with dementia."

Positive

"For example for those reviewing patients with longterm conditions we saw evidence of training in advanced asthma care wound care and management and stop smoking support."

Positive

"• The practice took account of the needs and preferences of patients with lifelimiting progressive conditions including people with a condition other than cancer and people with dementia."

Positive

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

Neutral

"• Performance for diabetes related indicators was similar to the clinical commissioning group CCG and national averages."