Rangeways Road Surgery

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 advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

At our last assessment, we rated this key question as Good. At this assessment, the rating remains the same.

Patients received care and treatment that supported them to live healthier lives including being supported to undertake national screening programmes and vaccinations. Patients who required monitoring underwent regular checks on their health.

Multi-disciplinary meetings were held where the needs of patients with complex conditions or those approaching the end of life could be discussed, reviewed and planned for.

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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

During the remote clinical review, we carried out a search to identify people with asthma who had been prescribed 2 or more courses of rescue steroids in the past 12 months. The search identified 24 people. We reviewed a random sample of 5 clinical records and found the clinical assessment of each patient was in line with clinical guidance, however we found 3 patients had not been issued a steroid card. A steroid emergency card provides healthcare professionals with the information that a patient takes steroids. This is useful in emergency situations if a patient is involved in an accident or becomes seriously ill.

We carried out a clinical search on patients who had hypothyroidism and had not received the appropriate monitoring in the past 18 months. The search identified 4 people. We reviewed 3 of the 4 records and found all patients were overdue monitoring, 2 patients had not received a medicines review in the past 12 months and 1 patient had a medicines review in August 2025, however there was no evidence to demonstrate that the overdue monitoring had been discussed.

Following the onsite assessment, we received assurances that the patients we had identified during the clinical searches would be contacted to attend for the appropriate review.

Further reviews of the clinical system identified people with diabetes who had a HbA1c of 75 and over. A haemoglobin A1C (HbA1C) test is a blood test that shows your average level of blood glucose over time. We reviewed a random sample of 5 clinical records and found the appropriate reviews had been completed.

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 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. 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.

Systems were in place to identify individuals with caring responsibilities, who were offered an annual review. All patients with a learning disability were invited to attend an annual health assessment.

There were appropriate referral pathways to make sure that patients’ needs were addressed. We spoke with staff who were able to describe the process for coding of correspondence and care and treatment records for people.

Staff we spoke to were aware of the workflow and clinical staff were able to demonstrate how the practice provided further education and support to patients. We found that staff had the appropriate skills and training to carry out reviews where appropriate.

The service always 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. They worked to develop evidence-based good practice and standards.

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.

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.

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.

In September 2025 the practice hosted an information session with the Pulmonary Rehabilitation Team for patients with COPD. The session focused on exacerbation management and recognising early warning signs and practical tips on staying safe and well during the winter. A total of 16 patients attended. Feedback showed patients had found the session informative and people were aware of the support available to them.

The service always supported people to manage their health and wellbeing to fully 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 practice had made reasonable adjustments to provide support to vulnerable patients. This included home visits for patients who had mental health needs and were unable to attend the practice.

The practice as part of the primary care network (PCN) had been involved in a range of initiatives. This included:

• In February 2025 the practice had promoted an engagement event held with the migrant community with the use of interpreters and online translation tools. The event was aimed at enhancing the communities understanding of various healthcare-related topics. The event included understanding secondary care services, appropriate appointment booking, recognising signs and symptoms of breast, bowel and cervical cancer. The event was support by local cancer services, breast screening service and the PCN social prescribing team.

• An event held in May 2025 called “Break the Cycle: Find Support, Find Strength” which was aimed at promoting awareness and access to support services around gambling harm, substance misuse, mental health, and wider social wellbeing. A range of local services attended the event to provide information and support to people. Evidence provided showed 44 people attended who had the opportunity to speak directly with professionals in a relaxed environment. The event provided a multi-agency collaboration and due to the success of the event, plans were in place to organise regular events with ongoing support for people who were in vulnerable circumstances.

• In July 2025 the practice had promoted a baby food awareness event to encourage patients to discuss the benefits of home cooked food with the health visitors and PCN health coaches.

• In September 2025 the practice took part in a Wellbeing Fair to promote health and wellbeing. One of the key features of the Wellbeing Fair was the free mini health checks which included height and weight measurements, blood sugar testing, blood pressure assessments and PSA blood forms. There was a range of information stalls from local community services. There was a total of 23 stalls from different organisations. Evidence provided showed 500 patients had expressed an interest in attending the fair. The PCN had received positive feedback on the event and patients were provided with practical steps for prevention, early detection, and management of various health conditions.

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.

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.

In February 2025 as part of the PCN initiatives, the practice had held a breast screening education session to enhance awareness and encourage participation in the screening program. The session focused on inviting previous non-responders and all first-time women eligible for screening. Patients who attended were educated on the various signs and symptoms of breast cancer and self-examination.

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.