Salters 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 with 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 people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff were aware of the needs of the local community. The practice had a carers champion who supported those with caring responsibilities. They had effective systems in place to identify carers. For example, they attached a message to repeat prescriptions at periods during the year requesting patients to complete carer referral forms. 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. People living with a long-term condition and those with a learning disability were invited for regular review of their health, care and treatment. The practice had a lead GP who completed annual reviews with people with a learning disability. The practice provided holistic care for those patients.

The practice 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. 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 100 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 people. Leaders provided examples of changes they had made to help build relationships between teams. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. The practice worked effectively with other services to ensure continuity of care, including where clinical tasks were delegated to other services.

The 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. The practice had introduced a blood pressure machine in the waiting room to allow patients to do their own blood pressure readings. This also meant patients did not need to book an appointment to get their blood pressure readings. Staff supported national priorities and initiatives to improve population health, including stopping smoking and tackling obesity.

The practice routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and met both clinical expectations and the expectations of people themselves. Leaders recognised the importance of monitoring people not attending for screening and follow up appointments. The practice had improved their national target results for immunisations. For example, they provided clinics on different days and times. This had a positive impact on more people attending for their immunisations.

The 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. Staff were able to explain how they involved people to obtain consent for specific decisions. For example, the nurse obtained and recorded verbal consent from the parent or guardian in relation to childhood immunisations.