The Everglade Medical Practice

On this page

• 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 with advice and support. At our last assessment in November 2022 using our old methodology, we rated this key question as requires improvement because the uptake for cervical screening was well below the national target of 80%, and the uptake of childhood immunisations was also well below the World Health Organisation (WHO) target of 95%. We also found there was no documented evidence confirming nurse prescribing was being regularly monitored. At this assessment the rating has changed to good because the previously reported issues have been reviewed and improvements put in place.

This service scored 71 (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. Feedback from people using the service was positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs. Reception staff used digital flags within the care record 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 heath, care and wellbeing during reviews. Care plans and Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) records were completed and reviewed regularly. 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.

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. Systems were in place to ensure staff had received training in the latest guidance and legislation through regular staff training sessions. The clinical records that we reviewed demonstrated care was provided in line with current guidance. Data quality on the clinical system used by the practice was regularly checked.

The service worked well across teams and services to support people. The staff had access to the information needed to appropriately assess, plan and deliver people’s care, treatment and support. The practice worked with other services and healthcare partners to ensure continuity of care, including where clinical tasks were delegated to other services. All relevant teams and staff were given access to information and guidance as they were made available.

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. Practice staff refer patients for smoking cessation. The practice works with social prescribers who is very responsive to the needs of the patients.

The service routinely invited patients for childhood immunisations but the uptake remained below the national average. The practice uptake for the cervical screening programme was also under the national average. The leaders explained that the population was very hard to reach due to it being a very mobile population with many having a very limited use of English. An action plan had been put in place to improve these outcomes which included providing information leaflets in multiple languages, extended hours appointments and an increase in the practice calling patients to invite them to appointments. The practice also organised and attended other local community events to publicise and educate patients regarding vaccination programmes. The practice stated that some improvement in uptake has been seen and they were still working hard to reach existing patients.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Saff understood and applied legislation relating to consent. Capacity and consent sere clearly recorded. Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.