Background to this inspection
Updated
16 January 2018
Royston Group PMS Practice is situated within a purpose built surgery in Royston, Barnsley. The practice provides General Medical Services for approximately 8,100 patients in the NHS Barnsley Clinical Commissioning Group (CCG) area. The practice is situated in an area of high deprivation.
There are four male GPs, who are supported by three practice nurses and two health care assistants. There is a large reception and administration team led by a practice manager. Locum GPs are used as required to support the practice.
The surgery is open Monday to Friday 8:30am to 6pm and Saturday mornings 8:30am to 12:30am.
When the practice is closed patients who call the surgeries are referred to the Barnsley out of hours service.
Further information can be found on the practice website; www.roystongrouppractice.co.uk
Updated
16 January 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection December 2014 the practice was rated overall as Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
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 – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Royston Group Practice on 21 November 2017. We carried out a comprehensive inspection of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider continues to meet the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
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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.
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The practice had systems in place to keep patients safe and safeguarded from abuse.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Reception staff knew that if patients wanted to discuss sensitive issues or appeared distressed they could offer them a private room to discuss their needs.
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The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences.
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The practice staff had a culture of providing high-quality sustainable care.
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Patients were able to access care when they needed it.
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22 responded patients in comment cards that they found the service was good and met their needs. Ten patients spoken with made positive comments about the clinical staff.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
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We found the practice had not monitored the vaccine fridge temperatures correctly. Staff had regularly recorded the upper limit of the fridges as above the recommended temperatures but had failed to record the reason why or the actions they had taken to make sure the vaccines were safe. Following the inspection the practice reported this to NHS England, who have investigated the incident and confirmed that the practice were now taking the correct actions. The actions the practice had taken were; nursing staff had received one to one training to ensure they understood fully how to store and manage vaccines and plan to attend a two day vaccination and immunisation training course. The provider had purchased a new fridge to avoid over stocking vaccines and external fridge monitors, to ensure each fridge had three points of recording temperatures The practice had implemented a live-stock recording on system that records every vaccine that comes into practice and who it is administered to. This also records any wastage in a more comprehensive and accurate method.
The areas where the provider should make improvements are:
- The provider should ensure that vaccines are consistently stored following Public Health England Protocol for ordering and storing and handling medication.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
Families, children and young people
Updated
16 January 2018
Working age people (including those recently retired and students)
Updated
16 January 2018
People experiencing poor mental health (including people with dementia)
Updated
16 January 2018
People whose circumstances may make them vulnerable
Updated
16 January 2018