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Haughton Thornley Medical Centres Good

Reports


Inspection carried out on 28/04/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Thornley House Medical Centre on 28 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring, responsive and safe services. It was also good for providing services for the populations groups we rate.

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 assessed and well managed.
  • 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, however there was no evidence of the system being put into practice.
  • Patients provided varied feedback on accessing appointment, with a number of patients reporting difficulties getting through to the practice by telephone, however patients reported when they got appointments these were convenient.
  • 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.

We saw several areas of outstanding practice including:

  • The practice offered patients direct electronic access to their health records enabling them to routinely read their own health records by logging on to an electronic system from home with a user name and password. To date 35% of patient have signed up to allow them access to their records.
  • One GP provided dry needling a treatment similar to acupuncture for patients during consultations to provide pain relief and assist injury rehabilitation where required as an alternative or in addition to medication.

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

Importantly the provider should

  • Ensure recruitment checks are carried out in line with practice policy.
  • Ensure all staff have access to appraisals on an annual basis.
  • Ensure data sheets and risk assessments are carried out for Control of Substances Hazardous to Health (COSHH).
  • Ensure checks are recorded for the cleaning of clinical equipment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Intelligent Monitoring

We use our system of intelligent monitoring of indicators to direct our resources to where they are most needed. Our analysts have developed this monitoring to give our inspectors a clear picture of the areas of care that need to be followed up.

Together with local information from partners and the public, this monitoring helps us to decide when, where and what to inspect.