Castletown Medical Centre

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

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

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

Feedback from people using the service was positive. People felt involved in assessments of their needs and felt confident that staff understood their individual and cultural needs. 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. 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 were up to date with evidence-based guidance and legislation. They had protected study time. Clinical records we saw demonstrated care was provided in line with current guidance.

The service worked well across teams and services to support people. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. The practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services.

The management at the service explained how the tasks and letters were processed and how the GPs covered each other’s work. There were safety measures in place meaning tasks were flagged up to the providers central team if they were open beyond a certain time.

There were systems in place for end-of-life care. The practice could call on the services of district nurses. They informed out of hours care and the local ambulance trust of patients who were a priority.

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.

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 monitored people’s care and treatment to continuously improve it. They were working towards ensuring that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people.

National targets for screening and immunisations were not being met when the provider took over the service. There were challenges as there was no practice nurse in place. The new practice nurse at the time of our assessment had been in place for 8 weeks.

The service shared with us their progress. Cervical screening uptake was 70% (the target is 80%). They were hoping to make some considerable headway with this in the coming months.

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.