Edenfield Road Surgery

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

We looked for evidence that the service met people’s needs, and that staff treated people equally and without discrimination.

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

This service scored 79 (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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.
Care plans reflected physical, mental, emotional, and social needs of patients including those related to protected characteristics under the Equality Act. Our review of clinical records showed patients were supported to understand their condition and were involved in planning for their care needs. They were also involved in decisions about their care.
 

The service had an exceptional understanding of the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.
We saw the practice worked in partnership with other services to meet the needs of its patient population. The practice had tailored its services to meet the diverse needs of its community, for example, building relationships with community groups to promote the uptake of screening programmes. There were established mechanisms for engaging with the community healthcare provider. The practice actively promoted community engagement by organising awareness days such as breast cancer awareness day and participating in volunteering and charity initiatives such as climbing the summit of Mount Snowdon in partnership with Cancer Research UK.
 

The service supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.
The practice had access to interpreter services, including British Sign Language. Information provided by the service met the Accessible Information Standard. The practice maintained a strong selection of well‑presented information boards and leaflets, offering patients a wide range of accessible and relevant guidance.
 

The service made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. They involved people in decisions about their care and told them what had changed as a result.
We saw complaints were managed in line with the practice’s policy. Learning from complaints was evident and staff were able to identify changes made as a result of patient feedback, including complaints.
 

The service made sure that people could access the care, support and treatment they needed when they needed it.
In response to the National GP Patient Survey data and from feedback from members of the community the provider had identified changes to improve access to the service. For example they had introduced a new online system to improve appointment accessibility. People could access the service to suit their needs for example online, in person and by telephone. Treatment rooms were available on the ground floor, further consultation rooms could be accessed via steps or alternatively via a separate entrance door for which was fully accessible. An automatic door had been fitted to the entrance.
 

Staff and leaders were innovative in how they listened to information about people who are most likely to experience inequality in experience or outcomes. Staff and leaders actively used this information to provide exceptionally tailored care, support and treatment in response to this.
Feedback provided by people using the service, both to the provider as well as to CQC, was positive. Staff treated people equally and without discrimination. Leaders proactively sought ways to address any barriers to improving people’s experience and worked with local organisations, including within the voluntary sector, to address any local health inequalities. Staff understood the importance of providing an inclusive approach to care and made adjustments to support equity in people’s experience and outcomes. The provider had processes to ensure people could register at the practice, including those in vulnerable circumstances such as homeless people and Travellers. Staff used appropriate systems to capture and review feedback from people using the service, including those who did not speak English or have access to the internet. The practice has an active PPG, and meetings are held regularly and are attended by a GP. Meeting minutes and outcomes are relayed to staff appropriately. The PPG felt they are listened to and suggestions are herd and acted upon.
 

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.
Our records review showed people were supported to consider their wishes for their end-of-life care, including cardiopulmonary resuscitation. This information was shared with other services when necessary.