Eden 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 service 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 who used the service was positive. They highlighted effective diagnosis, treatment, and compassionate medical care from doctors and nurses. 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. The provider had effective systems to identify people with previously undiagnosed conditions. Our remote clinical searches identified 6 people with a potentially missed diagnosis of diabetes. We looked at 5 records and identified 2 people required repeat blood tests to establish if there was a definitive diabetes diagnosis. The records we looked at for people with diabetes whose blood glucose levels were high demonstrated they had received all of the appropriate checks and reviews.

The service planned and delivered people’s care and treatment with them, 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. Clinical records we saw demonstrated care was provided in line with current 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.

Staff were positive about how the service worked well across teams and services to support people. There was evidence of working with the wider health care teams though community delivery multidisciplinary team meetings. People had access to services provided by the Primary Care Network (PCN), including physiotherapy, mental health workers and social prescribers. The service was part of a local GP federation which provided the ‘on day’ service, seeing people on behalf of GP practices during normal 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. Eligible people were invited for the NHS health check (carried out by a third-party organisation), to identify any potential health issues. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity. People could be referred to Live Life Better Derbyshire for a range of support and guidance.

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. There were systems in place to ensure that people with long-term conditions were reviewed regularly.

The practice met national targets for screening and immunisations. The service met the minimum national targets for childhood immunisations, with 1 of the 5 having achieved the 90% minimum uptake and 4 of the 5 having achieved the 95% World Health Organisation based target for uptake. Uptake of cervical screening was above the national target of 80%.

The service 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. The provider had audited the quality and completeness of DNACPR forms and had plans to review and update those that lacked sufficient detail.