Lee 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 with advice and support.

At our last inspection we rated this key question as good. At this inspection, the rating remains the same. We found staff and services worked well together, and people were supported to live healthier lives. The service understood their responsibilities relating to consent.

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.

We reviewed 5 patients who had been prescribed 2 or more courses of rescue steroids in the last 12 months. We found 4 of these patients had not been followed up following an acute exacerbation of asthma.

We reviewed 5 patients with hypothyroidism. We found 4 of these patients were overdue monitoring tests.

We reviewed 5 patients with diabetes. We found 1 patient had a delayed diagnosis and was given lifestyle advice, rather than a repeat test. Another patient was overdue monitoring tests.

Whilst some patients were overdue monitoring tests, we saw evidence the provider had made attempts to contact patients to attend for tests.

Following our feedback of these findings, the provider sent us an action plan with details of how they intended to address these findings. Patients with acute exacerbations of asthma were to be booked in for a review 48 hours after being prescribed rescue steroids. All patients overdue monitoring tests for hypothyroidism were to be invited to attend for monitoring. We were told the provider would reduce the prescriptions for these patients to encourage patients to attend for monitoring. Feedback was to be given to clinical staff regarding appropriate management and advice given to patients with suspected diabetes.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. Clinical records we saw demonstrated that care was usually provided in line with current guidance. We found some patients with long-term conditions were overdue monitoring tests, however there was evidence the provider had made attempts to contact patients to attend for monitoring tests.

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. The practice supported people in 2 local care homes. Feedback from the care homes was positive about the support provided by the practice to the people living in the homes and their families.

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 focused 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. There were posters in reception with information on improving health.

The service monitored people’s care and treatment to continuously improve it. Published results showed the provider’s uptake for cervical cancer screening was below the 80% target for the national screening programme. Uptake rates were lower than the World Health Organisation (WHO) minimum target of 90% for children aged 5 who had received immunisation for measles, mumps, and rubella (MMR). The provider told us that in an attempt to improve uptake of cervical cancer screening and MMR immunisation, there were designated members of staff to monitor uptake rates. Reminders were sent in different formats, such as via letter and text message, and education was offered to patients to remind of the importance of cervical screening and immunisation. Patients were given the opportunity to discuss their concerns with a clinical member of staff.

Uptake rates for all other routine childhood vaccinations met the WHO minimum target of 90%.

We saw evidence the provider used clinical audits to demonstrate quality improvement.

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.