• Doctor
  • GP practice

Field House Medical Group

Overall: Good read more about inspection ratings

Freshney Green Primary Care Centre, Sorrel Road, Grimsby, Lincolnshire, DN34 4GB (01472) 254600

Provided and run by:
Woodfield Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Field House Medical Group on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Field House Medical Group, you can give feedback on this service.

10 December 2019

During an annual regulatory review

We reviewed the information available to us about Field House Medical Group on 10 December 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

27 June to 27 June

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at Field House Medical Group on 13 November 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Field House Medical Group on our website at .

This inspection was an announced focused site visit carried out on 27 June 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the ‘musts’ (breaches of regulations) and ‘shoulds’ that we identified in our previous inspection on 13 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At our inspection on 13 November 2017 we reported that the provider must:

• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.

• Ensure care and treatment is provided in a safe way to patients.

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

At our inspection on 13 November 2017 we reported that the provider should:

• Ensure reception staff receive awareness training and written guidance about signs of sepsis and recognising deteriorating patients.

• Continue with efforts to review and monitor processes for QOF; auditing areas of high exception reporting.

• Undertake a formal risk assessment to ensure the emergency medicines are appropriate for the activities provided by the practice.

We rated the location as requires improvement for providing safe, effective and well led services.

This practice is now rated as Good overall. (Previous rating November 2017 – Requires Improvement)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services well-led? - Good

At this June 2018 inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • There was a strong focus on team working, overarching governance, and improvement at all levels of the organisation.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

13/11/2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Requires improvement overall. (Previous inspection October 2015 – Good overall, Requires improvement for Safe).

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Requires improvement

People with long-term conditions – Requires improvement

Families, children and young people – Requires improvement

Working age people (including those recently retired and students – Requires improvement

People whose circumstances may make them vulnerable – Requires improvement

People experiencing poor mental health (including people with dementia) - Requires improvement

We carried out an announced comprehensive inspection at Drs Fazil, Buckley & Raghwani - Fieldhouse Medical Group on 13 November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had some systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice did not have a system to record when action was taken following the receipt of national safety alerts.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • We found there was a lack of evidence of records of mandatory training such as safeguarding, basic life support and infection control.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • The practice understood the needs of its population and tailored services in response to those needs. For example extended opening hours, online services such as repeat prescription requests and advanced booking of appointments.

The areas where the provider must make improvements are:

  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
  • Ensure care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Reception staff should receive awareness training and written guidance about sepsis signs and recognising deteriorating patients.
  • Continue with efforts to review and monitor processes for QOF; auditing areas of high exception reporting.
  • The practice should undertake a formal risk assessment to ensure the emergency drugs are appropriate for the activities provided by the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr D E Hopper and Partners on 6 October 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses.

  • Risks to patients were generally assessed and well managed, with the exception of those relating to the management of medicines where patients were at risk of receiving ineffective or unsafe medicines, including vaccines, as they had not been stored at the correct temperatures.

  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.

  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available and easy to understand.

  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

The area where the provider must make improvement is:

  • Ensure there are effective arrangements in place to ensure that vaccines and other medicines stored in the refrigerators are stored at the correct temperatures.

The area where the provider should make improvement is:

  • Ensure that the systems in place for the identification and management of risk are timely, robust and cover all areas of the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice