Kingstone 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.

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 practice made sure patients care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. The practice had systems and processes in place to identify patients’ needs and preferences during the registration process. The practice used digital flags within the care records system to highlight any specific individual needs such as the requirement for longer appointments. Patients told us they felt involved in any assessment of their needs and confident staff understood their individual needs.

There were systems in place to ensure staff were up to date with relevant legislation, evidence-based practice and required standards. The remote clinical searches we undertook of the practice’s clinical records system showed the monitoring of people with long-term conditions were followed in line with National Institute for Health and Care Excellence (NICE) recommendations. For example, we identified 48 patients with diabetes whose last blood glucose reading was over 75. We reviewed a random sample of 5 records and found all patients had an up to date medicine review and blood glucose test.

The practice worked well across teams and services to support patients. Staff had access to information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. Systems were in place to share information about patients electronically with other services. The practice worked with other services to ensure continuity of care and held regular multi-disciplinary team meetings. For example, the practice had a learning disability clinical lead who attended regular meetings with the local learning disability team alongside other clinicians such as physiotherapists. Patients had access to services provided by the primary care network (PCN), including social prescribers and extended access appointments.

The practice supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported national priorities and initiatives to improve population health. For example, one patient told us they were referred to the NHS stop smoking programme which they found very supportive. The practice website contained information to support health initiatives. The practice had a link with a local arts practitioner to encourage arts-health initiatives. Patients' art work was on display on a rotational basis in the waiting room. The practice had recently started a walking group to encourage patients and staff to increase their activity.

The practice 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. Clinical and non-clinical audits were regularly carried out to improve outcomes for patients. The practice offered patients with a learning disability a yearly health check. The practice told us they had recently changed to completing these based on the patients’ birth month.

The practice 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. Patients were offered a chaperone and chaperone posters were on display at the practice. Although the procedure described by staff was appropriate, we did not see evidence staff had completed chaperone training. We discussed this with the practice who confirmed staff had now completed the relevant training.