Sheerness Health Centre

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• 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 identified two breaches of the legal regulations. People’s needs were not consistently and thoroughly assessed. Some staff operated outside their skills and competencies and there was no clinical oversight to mitigate risks to people. Staff did not work in partnership with other health and social care services to coordinate peoples care and improve their experiences of services. There were no established and effective systems in place to reflect on clinical practice, learn and improve patient services.

This service scored 29 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There were no systems or processes in place to assess, prioritise and review people’s care. Non clinician staff had not been trained, received guidance or supervision to assist them to triage patients effectively. Patient records were not appropriately coded and flagged to alert staff to individuals needs and preferences.

There were not established and effective systems in place to identify, share and embed best practice. Audits had not been conducted on administrative processes such as two week wait cancer referrals or safe prescribing. Regular management meetings were not held and/or poorly attended.

Staff did not work effectively across teams and services to support people. Staff did not have access to the information they need to appropriately assess, plan and deliver people’s care, treatment and support. We found clinical records lacked details of clinical assessments and supporting rationales for actions taken. There were not established and effective systems in place to ensure the timely and appropriate management of referrals. Meetings were not held with partner services to support people to access and/or move between services.

There were no established and effective systems in place to identify and monitor people’s outcomes. The provider did not oversee patient care individually and collectively to ensure adherence to safe practice. There was no system in place to recall patients to ensure they were invited to attend the practice to receive appropriate clinical monitoring.

Outcomes for people were not monitored by clinicians providing their care and treatment or considered collectively through clinical audits. We found pathology results were not reviewed and actioned in a timely manner placing people at risk of harm.

The practice did not have established policies and procedures in place to ensure staff knew and observed best practice when recording and delivering care. Consent was not appropriately obtained or documented prior to administer vaccinations to vulnerable people . Staff did ensure best interest decisions were appropriately made and recorded for people who lacked capacity to make decisions.