Primary Care Doncaster Ltd Also known as Oak Tree Lodge

This service is rated as Good overall. (Previous inspection 12 June 2019 – Requires improvement).

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

We carried out an announced comprehensive inspection at Honeysuckle Lodge (formally registered as Devonshire House) to follow up on a breach of regulations. As part of the comprehensive inspection, we inspected safe, effective, caring, responsive and well-led.

CQC inspected the service on the 12 June 2019 and asked the provider to make improvements regarding Regulation 19 of the Health and Social Care Act etc. We checked this area as part of this inspection and found this had been resolved.

The provider, Primary Care Doncaster (PCD) is a GP federation located in Doncaster.

PCD has been commissioned to deliver 160 hours per week of primary care appointments, some of which are targeted at excluded and vulnerable groups. These are provided from a health bus which is in operation Wednesdays, Thursdays and Fridays at different sites in Doncaster, providing drop-in clinics. All practices in Doncaster will be able to signpost people to the health bus which is set up to service the whole population of Doncaster. All the GPs are regular locums.

Primary Care Doncaster also provide a COVID-19 vaccination service, this was not included in this inspection as they are not within scope.

Mrs Sherburn is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

As part of our inspection, we spoke with and received feedback from ten members of staff and received four comments from people who use the service.

Our key findings were:

• Staff had the information needed to deliver safe care and treatment.
• Staff worked together and with other organisations to deliver effective care and treatment.
• There was compassionate, inclusive and effective leadership at all levels. The provider had effective processes to develop leadership capacity and skills, including planning for the future leadership of the service. Governance arrangements were proactively reviewed and had been significantly strengthened since the last inspection.
• There was a demonstrated commitment to best practice performance and risk management systems and processes.
• Staff at all levels demonstrated commitment to sharing data and information proactively to drive and support internal decision making as well as system-wide working and improvement.
• There was a clear, systematic and proactive approach to seeking out and embedding new and more sustainable models of care. For example, the health bus provides additional support to GP practices in Doncaster and reaches vulnerable people in society who have difficulty accessing healthcare.
• Staff said management were approachable, they felt supported, informed, listened to, there was an open-door policy and actions were taken for improvement. They also said it was a positive, inclusive, well-led and encouraging environment and staff work well together. They said PCD was a big family. Staff were proud of the organisation as a place to work and spoke highly of the culture.
• All the patient feedback was positive, and they spoke highly of the service.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care