Kiveton Park 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 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.

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.

Kiveton Park Medical Practice 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 needs.

Reception staff were aware of the needs of the local community. 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. 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. Staff could refer people with social needs, such as those experiencing social isolation or housing difficulties, to a social prescriber.

Kiveton Park Medical Practice planned and delivered people’s care and treatment with them, including what was important and mattered to them. They mostly 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 and in most of the clinical records we reviewed we found that care was provided in line with current guidance.

However, as part of our assessment we identified a cohort of patients prescribed hydrochlorothiazide (a medication primarily used to treat high blood pressure and reduce fluid retention caused by heart, liver, or kidney conditions) who had not been informed about the increased risk of skin cancer as recommended by a Medicines and Healthcare products Regulatory Agency (MHRA) alert issued in November 2018.

Similarly, we also identified a small number of female patients of childbearing age prescribed gabapentinoids (medication primarily used to treat nerve pain) who had not been counselled about the risks associated with taking the medication during pregnancy as recommended by MHRA alert issued in April 2022.

When these concerns were highlighted to the provider, appropriate actions were taken to address the issues identified.

Kiveton Park Medical Practice worked effectively with other teams and services to support people and promote continuity of care and support.

Staff had access to the information they needed to assess, plan, and deliver care and treatment.

The practice worked collaboratively with external health and care services, including making referrals and sharing relevant information where appropriate to support people's ongoing care.

Kiveton Park Medical Practice 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, those 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.

Our clinical searches showed that 1165 patients had had a medication review within the past 12 months. Seven records were reviewed in more detail and, although one review lacked detail and did not include a narrative, the overall quality was found to be good.

Five dementia care plans were also reviewed, and no concerns were identified regarding their quality. Records demonstrated that clinicians had discussed patients’ current medical conditions, undertaken physical examinations where appropriate and considered the patients’ wishes when planning their care.

Kiveton Park Medical Practice routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive, consistent, and focussed on meeting people’s needs.

The practice met national targets for the uptake of childhood immunisations and achieved the World Health Organisation’s 95% target for 4 of the 5 routine childhood vaccinations.

They also performed better than the England average in relation to several cancer screening programmes, including breast and bowel cancer screening. For example, breast screening coverage among patients aged 53 to 70 was 73% (England average 70.4%) and bowel cancer screening coverage among patients aged 60 to 74 year old was 78.9% (England average 71.8%).

Screening for cervical cancer was also above the 80% national target, with 83% of eligible patients aged 25 to 49 years having had an adequate screening test within the last 3.5 years and 86.8% of eligible patients aged 50 to 64 years having had an adequate screening test in the last 5.5 years.

The provider offered NHS health checks for 40 to 74-year-olds and annual health checks for patients with learning disabilities and patients with severe mental health conditions. Local monitoring arrangements were in place for ensuring these checks were completed. There were systems in place for monitoring patients who did not attend for screening appointments and follow-up reviews, including those relating to cervical screening and childhood immunisations.

In feedback to the CQC, staff told us they believed the practice provided good care and that effective systems were in place to monitor patients with long-term conditions and those prescribed high risk medicines.

As part of our series of patient clinical record searches, we reviewed records relating to patients with chronic kidney disease stages 4 or 5, hypothyroidism, asthma patients prescribed 2 or more courses of rescue steroids within the previous 12 months, and patients with diabetes whose most recent HbA1c (blood test to measure blood glucose levels) level was above 75mmol/l. In most cases, no concerns were identified regarding patient monitoring.

However, one patient record identified through the searches contained a documented ‘red flag symptom’ (i.e. something that could suggest a potentially serious underlying condition) that had not been acted on. When this was highlighted to the practice, appropriate action was taken immediately.

Kiveton Park Medical Practice 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.