Wychwood 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

Staff regularly reviewed people’s care and worked with other services to deliver person centred care this. National guidance and legislation was followed in the delivery of care.

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.

Reception staff were aware of the needs of the local community and knew many of the patients’ needs well. Reception staff told us there were flags used within the care records system to highlight some specific individual 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.

The provider had effective systems to identify people with previously undiagnosed conditions. However, our virtual clinical searches identified over 100 patients with potential undiagnosed chronic kidney disease (CKD). The practice immediately reviewed these patients and found a minority of these patients required some interventions to check their care was being delivered safely. They provided assurances actions were taken where necessary immediately. The majority of the clinical search outcomes identified patients received appropriate tests and interventions when needed.

The service planned and delivered people’s care and treatment collaboratively, 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. This included using up to date templates for long term condition reviews. Staff attended regional learning events to update their skills and knowledge regarding national clinical 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 practice actively monitored all referrals to ensure timely appointment scheduling, including urgent referrals. A medical secretary carried out regular checks to confirm that patients referred for suspected cancer or other urgent testing had been allocated a hospital appointment. Patients with learning disabilities were offered health checks to identify any potential medical conditions that may pose a risk to their wellbeing. Care plans and physical health checks were in place for patients with specific mental health conditions.

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 the need for healthcare interventions.

Staff supported patients with health conditions to access the service where necessary, Patients receiving end of life care were provided with additional support and care including home visits from GPs and coordination of care with other services, directly from their GP.

Staff supported national priorities and initiatives to improve their population’s 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.

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 standards and evidence-based clinical guidance.

The practice had a number of clinical audits in place and repeated these to identify where ongoing quality improvement was needed.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the requirements of legislation and guidance when considering consent and decision making.

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