• Doctor
  • GP practice

Madeley Practice

Overall: Outstanding read more about inspection ratings

Moss Lane, Madeley, Crewe, Cheshire, CW3 9NQ (01782) 750274

Provided and run by:
Madeley Practice

Latest inspection summary

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Background to this inspection

Updated 23 March 2018

Madeley Practice is registered with the Care Quality Commission (CQC) as a partnership provider and is located in the village of Madeley, Cheshire. We previously carried out an announced comprehensive inspection at Madeley Practice on 1 November 2017. The overall rating for the practice was good, good for providing a well led service and outstanding for providing an effective, caring and responsive service. However, it was rated requires improvement for providing safe services. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Madeley Practice on our website at www.cqc.org.uk.

The practice holds a General Medical Services (GMS) contract. A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract. The practice delivers services from two locations and patients can attend either practice. We visited both practices during our inspection:

  • Madeley Practice is located at Moss Lane, Madeley, Crewe, Cheshire, CW3 9NQ.

  • Baldwins Gate Surgery is located at 1 The Poplars, Tollgate Avenue, Newcastle-under-Lyme, Staffordshire, ST5 5DA.

The practice is a rural practice providing care and treatment to 7,012 patients of all ages. The practice offers dispensing services to those patients on the practice list who live more than one mile (1.6km) from their nearest pharmacy. The practice area is one of low deprivation when compared with the national and local Clinical Commissioning Group (CCG) area. Demographically the practice has a lower than average younger population with 17% of patients being under 18 years old compared with CCG average of 18% and national average of 21%. Twenty-five per cent of the practice population is above 65 years which is higher than the CCG average of 21% and the national average of 17%. The percentage of patients with a long-standing health condition is 49% which is lower than the local CCG average of 57% and national average of 53%. The practice is a training practice for trainees to gain experience and professional qualifications in general practice and family medicine.

The practice staffing comprises of:

  • Three GP partners (two male and one female)

  • A salaried GP (male)

  • Four GP Registrars (two male and two female)

  • A specialist nurse practitioner, four practice nurses, a health care assistant and an elderly care facilitator.

  • Four dispensary staff

  • A practice manager, assistant practice manager and a trainee practice manager.

  • Ten members of administrative staff working a range of hours.

Madeley practice is open between 8.30am and 6pm Monday to Friday and offers extended hours appointments on a Monday until 8.15pm. Appointments are from 9am to 11am every morning and 3pm to 5pm daily but may be extended depending on the demand for appointments. Baldwins Gate Surgery is open Monday to Friday from 9am until 12pm. Pre-bookable appointments can be booked up to six weeks in advance and urgent appointments are available for those that need them. Telephone consultations are also available to suit the needs of the patient. During the out-of-hours period services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.

The practice offers a range of services for example, management of long term conditions, child development checks, contraceptive advice including the fitting of coils and contraceptive implants, a counselling service and a warfarin monitoring service. Further details can be found by accessing the practice’s website at www.madeleypractice.co.uk.

Overall inspection

Outstanding

Updated 23 March 2018

We previously carried out an announced comprehensive inspection at Madeley Practice on 1 November 2017. The overall rating for the practice was good, good for providing a well led service and outstanding for providing an effective, caring and responsive service. However, it was rated requires improvement for providing safe services. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Madeley Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 28 February 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in the regulation that we identified at our previous inspection on 1 November 2017. This report covers our findings in relation to the requirement and also additional improvements made since our last inspection.

Overall the practice is now rated as outstanding and outstanding for all of the population groups.

Our key findings were as follows:

  • All the suggested emergency medicines were available at the branch practice. There was a system in place to monitor that they were in date.

We also made four recommendations at our previous inspection. Our findings at this inspection were:

  • A risk assessment in relation to the storage or spillage of mercury had been completed. All the mercury blood pressure machines had been safely removed from the practice.

  • A system to track blank prescriptions used in printers throughout the practice had been put in place. Locks had been added to all the printers, at both practices, to restrict unauthorised access to blank prescription forms.

  • The practice’s complaints leaflet and policy informed patients of how they could complain to NHS England. Complaints leaflets were readily available in the reception areas. Response letters to patient complaints informed patients of their right to complain to the Parliamentary and Health Service Ombudsman.

  • The practice was aware of incidents notifiable to the Care Quality Commission (CQC). They had used this knowledge to enhance their reporting and analysis of significant events to trigger notifications to the CQC if assessed as appropriate to do so.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice