What is the Quality of Care at Oaklands Surgery

Positive

"• There had been significant delays in the programme of annual reviews of patients with long term conditions mental health needs and dementia although improved recently they were still below the expected local and national targets."

Positive

"• Patients at risk of dementia were identified and offered an assessment to detect possible signs of dementia."

Positive

"When dementia was suspected there was an appropriate referral for diagnosis."

Neutral

"• Levels of clinical staffing were not established and patients with long term conditions mental health and dementia were not being provided with regular annual reviews in a timely way."

Positive

"This inspection was carried out to follow up on breaches of regulations and areas identified for improvement where we had rated the key questions of safe effective and well led and the patient population groups of people with longterm conditions and mental health needs as requires improvement."

Positive

"Effective Areas where the provider must improve: • Ensure they monitor and address the gaps in clinical staff available required to maintain meeting the patients’ needs including patients with long term conditions mental health and dementia."

Positive

"Areas where the provider should continue to develop: • The practice should continue to resolve meeting the needs of the patients with long term conditions and with mental health concerns."

Neutral

"• There was a system to monitor and address the level of clinical staff available required to maintain meeting the patients’ needs including patients with long term conditions mental health and dementia."

Positive

"• There had been significant delays in the programme of annual reviews of patients with long term conditions mental health needs and dementia although improved recently they were still below the expected local and national targets."

Positive

"However the practice had identified that there were insufficient practice nurse hours to provide adequate care in a timely way for patients with long term conditions and mental health needs or to ensure that HCAs had the daily clinical support and oversight from a practice nurse daily."

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 health coach works with vulnerable patients to provide support and liaison with the primary care team social services and mental health team."

Positive

"• Ensure they monitor and address the gaps in clinical staff available required to maintain meeting the patients’ needs including patients with long term conditions mental health and dementia."

Neutral

"However there were still deficits in the monitoring of patients with long term needs mental health and dementia."

Neutral

"• Levels of clinical staffing were not established and patients with long term conditions mental health and dementia were not being provided with regular annual reviews in a timely way."

Neutral

"The provider must have the necessary information available regarding staffs’ immunisation status in line with Public Health EnglandPHE guidanceThe provider must monitor and address the gaps in clinical staff available required to maintain meeting the patient’s needs including patients with long term conditions mental health and dementia."

Positive

"• The practice’s uptake for breast and bowel cancer screening was above the national average for breast cancer screening and similar for bowel cancer screening."

Positive

"• The practice was able to demonstrate how it identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension Are services effective?"

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"• The practice was able to demonstrate how it identified patients with commonly undiagnosed conditions for example diabetes chronic obstructive pulmonary disease COPD atrial fibrillation and hypertension Are services effective?"

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Positive

"The practice had reviewed its antibiotic prescribing and taken action to support good antimicrobial stewardship in line with local and national guidance."

Positive

"People with suspected hypertension were offered ambulatory blood pressure monitoring and patients with atrial fibrillation were assessed for stroke risk and treated as appropriate."

Neutral

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