The Glenfield Surgery

Updated 6 September 2017

Dr J G Cooper and Partners, also known as Glenfield Surgery provides primary medical services to 13,977 patients in an area that includes Glenfield, Groby, Ansty and Ratby. The practice list is increasing and is likely to continue to do so as a result of housing development.

The practice demographics show there are fewer younger people registered with the practice than the national average and a higher number of patients aged 60-84 years of age. The practice is in the tenth less deprived decile. Life expectancy for both males and females is higher than the national average. The percentage of patients with a long standing health condition is lower than both the CCG and national average.

At the time of our inspection the practice had two GP partners, three salaried GPs, two GP registrars and four regular GP locums providing a total of 58 GP sessions per week. The GPs consisted of six males and five females.

There was one nurse practitioner, three practice nurses and one health care assistant. In addition the practice had two regular locum nurses. The practice also employs a pharmacist and a pharmacy technician.

They are supported by a range of management, administration and reception staff.

The practice has a General Medical Services Contract (GMS). The GMS contract is the contract for delivering primary care services to local communities.

It is not a dispensing practice, although a community pharmacy is located within the same building as the medical practice.

The provider has one location registered with the Care Quality Commission which is Glenfield Surgery, 111 Station Road, Glenfield, Leicester LE3 8GS. There are no branch surgeries.

The provider is registered to provide the regulated activities of; treatment of disease disorder or injury, diagnostic and screening procedures, family planning services, maternity and midwifery services and surgical procedures.

The surgery is open from 8am to 6.30pm Monday to Friday. Extended hours were offered on a Monday evening from 6.30pm to 8.30pm.

Phone call consultations with a GP and urgent appointments with a nurse practitioner were available on the day for people that needed them. Appointments with GPs could be booked on-line up to two weeks in advance.

The practice is located within the area covered by NHS East Leicestershire and Rutland Commissioning Group. The CCG is responsible for commissioning services from the practice.

The practice has a website which we found has an easy layout for patients to use. It enabled patients to find out information about the care and treatment provided by the practice and signposted them to other healthcare services.

When the practice is closed, GP out-of-hours services are provided by Derbyshire Health United which is accessed by the NHS 111 service.

Updated 6 September 2017

Letter from the Chief Inspector of General Practice

On 19 May 2016 we carried out an announced comprehensive inspection at Glenfield Surgery. The practice was found to be requires improvement in safe, caring, responsive and well-led. It was found to be good in the effective key question.

The overall rating for the practice was requires improvement .The full comprehensive report on that inspection can be found by selecting the ‘all reports’ link for Dr JG Cooper and Partners on our website at www.cqc.org.uk.

As a result of that inspection we issued the practice with requirement notices. This was in respect of the governance of the practice as we found there were ineffective systems to monitor risk to patients. We also had concerns regarding the process for managing serious events.

This inspection was an announced comprehensive inspection on 13 July 2017. Overall the practice is now rated as ‘Good’.

Our key findings were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• The practice was responsive to the needs of patients and tailored its services to meet those needs.
• Patients prescribed high risk medicines were well managed.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• There was continuity of care, with easy access to GPs and nurses.
• 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.

The areas where the provider should make improvements are:

• The practice should continue to take positive steps identify carers on its patient list.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 September 2017

The practice is rated as good for patients with long term conditions.

• Staff had lead roles in disease management and patients identified as at risk of hospital admission were seen as a priority.

• All patients in this population group had a named GP and a structured annual review to check their health and medication needs were being met.

• For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multi-disciplinary package of care.

• Longer appointments and home visits were available when needed.

Updated 6 September 2017

The practice is rated as good for families, children and young people.

• The full range of childhood immunisations were offered.

• Baby change facilities were available.

• Reversible contraceptive services were available.

• Practice policy was that all unwell children under the age of 12 years were seen on the day unless parents or guardians requested a later appointment.

• Appointments were available outside of school hours and the premises were suitable for babies and children.

• The practice held quarterly meetings with health visitors.

• The percentage of women aged 25-64 whose notes record that a cervical screening test has been performed in the preceding 5 years was 85%, which was comparable to local and national averages.

Updated 6 September 2017

The practice is rated as good for older patients.

• Patients over 75 years of age had a named GP.

• Home visits including medication reviews and phlebotomy were available for patients who were unable to attend the surgery.

• The practice undertook opportunistic dementia screening for patients in this group.

• Each residential care home where patients from the practice lived had an assigned GP to foster continuity of care and to help build positive relationships with the home and patients.

• The computer system in use by the practice alerted staff if the patient was a carer.

Updated 6 September 2017

The practice is rated as good for patients of working age (including those recently retired and students)

• Monday evening appointments were available to meet the needs of these patients.

• Telephone consultations were available.

• There was online access to appointments and repeat prescriptions.

• The practice was part of the electronic prescribing scheme.

• The practice gave advice and direction on lifestyle and health promotion.

Updated 6 September 2017

The practice is rated as good for patients experiencing poor mental health including people with dementia.

• The practice offered an in house cognitive behaviour therapy service through GP and self-referral.

• In addition the practice had a mental health facilitator who offered assessment and extended care at a level above cognitive behavioural therapy but below consultant led services.

• The practice offered dementia screening.

• Patients experiencing dementia were offered an annual structured dementia review.

• Of those patients diagnosed with dementia 86% had their care plan reviewed in a face-to-face review in the preceding 12 months. This was 5% higher than the CCG and 2% higher than the national average.

Updated 6 September 2017

The practice is rated as good for patients whose circumstances may make them vulnerable.

• The practice had effective systems in place to safeguard people from abuse.

• Patient records to alerted staff to the patient being a vulnerable child or adult.

• The practice register showed there to be 73 patients with a learning disability and an annual physical health checks were offered to these patients.

• There were monthly adult and children’s safeguarding meetings.

• There was an open registration policy to meet the needs of the homeless and the travelling community.