Sarephed Medical Centre

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

This is the first inspection for this service since its registration with CQC. This key question has been rated as Good

We found that the provider had systems in place so people could access care and treatment that supported them to live healthy lives. The provider ensured people had access to screening programmes and vaccinations. Where people had language barriers, we found the provider had systems in place to support people to understand.

Where people had complex care needs, we saw that multi-disciplinary meetings took place to ensure people received care and treatment that was consistent and had continuity across a range of partners.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People we spoke with were positive about the care and treatment they received. People felt they were involved in decisions about their treatment. We found that correspondence into the practice were up to date so any information received about people’s treatment needs would be actioned immediately without the need for delays.

Reception staff were aware of the needs of the local community. Reception staff used digital flags within the care records system to highlight any specific individual needs, such as the requirement for longer appointments or for a translator to be present. Staff checked people’s health, care, and wellbeing needs during health reviews. Clinical staff used templates when conducting care reviews to support the review of people’s wider health and wellbeing. The provider had effective systems to identify people with previously undiagnosed conditions. Staff could refer people with social needs, such as those experiencing social isolation or housing difficulties, to a social prescriber. These services were accessible via the Primary Care Network (PCN).

The provider had systems in place to be able to identify people who may need extra support. For example, people who had caring responsibilities, veterans or people who were bereaved.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

We found from our remote clinical reviews into several people with long-term conditions and the general management of people’s care and treatment that they had been treated appropriately following clinical guidance.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Clinical records we saw demonstrated care was provided in line with current guidance and staff could explain how they accessed the appropriate guidance.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

We found that the provider had processes in place to enable staff to work with others and access the information they needed to ensure people received the appropriate care and treatment. Where people needed to be referred to other services to make appropriate decisions about their care and treatment, we saw that this was being done.

Staff told us they could access the information they needed to plan and deliver people’s care and treatment. The practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

The Primary Care Network (PCN) provided resources to enable the provider to offer people support from pharmacists, physiotherapist and social prescribers.

Staff focussed on identifying risks to patients’ health, including those in the last 12 months of their lives, patients at risk of developing a long-term condition and those with caring responsibilities. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

We saw from the remote clinical reviews that the provider monitored people’s care and treatment needs to improve their health outcomes.

The practice met national targets for screening and immunisations. From the clinical notes we reviewed, we found that people who used the service experienced positive outcomes as set out in legislation, standards, and evidence-based clinical guidance.

The provider had initiatives in place to support people’s understanding of the importance to attend appointments for screening and immunisations.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.