Ordsall Health 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

EFFECTIVE

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

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs.

Care was based on the latest evidence and good practice.

Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services.

Staff made sure people understood their care and treatment to enable them to give informed consent.

Staff involved those important to people and took decisions in people’s best interests where they did not have capacity.

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.

Ordsall Health Surgery 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 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.

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 prescribing service.

Ordsall Health Surgery had systems to identify people with previously undiagnosed conditions.

Ordsall Health Surgery planned and delivered people’s care and treatment 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. Clinical records we saw demonstrated care was provided in line with current guidance.

Ordsall Health Surgery worked well across teams and services to support people.

Systems were in place to ensure people only needed to tell their story once by sharing assessment needs and medical information 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.

There was clear evidence the practice worked with other services to ensure continuity of care, including where clinical tasks were delegated to other services such as GP extended hours.

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. The practice provided specialist staff training and championed initiatives to raise awareness of these priorities. The practice organised coffee mornings; undertook outreach work and provided targeted information on the practice website. We saw initiatives targeted at: improve childhood immunisation uptake; smoking cessation; and diabetes awareness.

Staff at Ordsall Health Surgery were trained and able to, after gaining consent, refer patients to the local social prescribing scheme for advice about housing, finances, physical or social activities and other non-clinical advice.

Ordsall Health Surgery routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were as positive as possible and consistent, and aimed to meet both clinical expectations and the expectations of people themselves.

People told us they were called in for health monitoring and stated the information provided was helpful and easy to understand.

The practice had worked hard to improve breast cancer screening examination uptake in the local community.

At the time of the visit CQC results showed the practice had not met the cervical screening targets. However, following the inspection, leaders sent recent data, (unverified), which indicated cervical screening targets had been met. Cervical screening uptake was being continually monitored with other GP practices in the Ordsall area.

The practice had achieved the World Health Organisation childhood immunisation targets in three out of the five priority areas. This was through local practice initiatives, including liaising closely with school nurses, engagement with schools and offering the injections opportunistically.

From the clinical notes we reviewed, we found that people who used the service experienced care set out in legislation, best practice standards and evidence-based clinical guidance. People had positive outcomes.

Patients using Ordsall Health Surgery were told about their rights around consent and this was respected when delivering person-centred care and treatment. People gave examples of doctors and nurses gaining consent.

Staff understood and applied legislation relating to consent. Capacity and consent were clearly recorded. Records reviewed indicated consent was gained for treatment and care for people who visited the practice.

Staff had completed specialist training about consent and mental capacity as related to adults and children.

Discussion with staff and feedback from patients confirmed information was given to help people to make an informed decision about their care including making plans about what treatment was wanted at the end of their life.

Records confirmed do not attempt cardiopulmonary resuscitation (DNACPR) decisions were appropriate and were made in line with relevant legislation.