Archived: Guttridge Medical Centre

Updated 22 November 2018

Guttridge Medical Centre (Dr Shahid Surgery) is situated on the Deepdale Road in Preston at PR1 6LL serving a mainly urban population. The building is a converted church that has been occupied by the practice since September 2016. The practice shares the building with one other GP practice, a physiotherapy service and a pharmacy. The practice provides ramped access for patients to the building with disabled facilities available and fully automated entrance doors. Part of the reception desk is lowered to aid patient access.

The practice has parking for disabled patients and there is parking available on nearby streets for all other patients and the surgery is close to public transport.

The practice is part of the Greater Preston Clinical Commissioning Group (CCG) and services are provided under a General Medical Services (GMS) contract with NHS England. There is one regular male locum GP who provides seven surgery sessions each week, assisted by additional locum GPs and an advanced nurse practitioner. A practice nurse, a practice manager and seven additional administrative and reception staff assist them. One of the administrative staff acts as the practice medicines co-ordinator and one member of staff is the practice information technology lead.

At the time of our inspection, the practice principal GP (the registered provider) had been absent from the practice since 22 June 2018.

The practice doors open from Monday to Friday from 8.30am to 6pm, and telephone access to the practice starts at 8am and finishes at 6.30pm. Appointments are offered from 9am to 12pm and from 2.30pm to 5.30pm on weekdays. Extra appointments are offered through the Locality Group on Sundays by appointment. The surgery has no bookable surgery on Thursday afternoon when there is a rota for the two GP practices in the Medical Centre to cover any patient emergency appointments, including home visits. When the practice is closed, patients are able to access out of hours services offered locally by the provider GotoDoc by telephoning 111.

The practice provides services to approximately 2,401 patients. There are lower numbers of patients aged over 65 years of age (14%) than the national average (17%) and the same number of patients aged under 18 years of age (21%). The practice also has considerably more male patients than female.

Information published by Public Health England (PHE) rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The ethnicity estimate given by PHE gives an estimate of 2.7% mixed and 32.8% Asian. Male life expectancy is given as 77 years of age and female as 80 years.

The practice is registered with CQC to provide surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.

Updated 22 November 2018

This practice is rated as Good overall. (Previous rating January 2018 – Good)

The key question at this inspection is rated as:

Are services well-led? - Good

We carried out an announced focused inspection at Guttridge Medical Centre (Dr Shahid Surgery) on 24 October 2018 to follow up the breach of regulation 17, Good governance, identified at our inspection in January 2018 and to see whether our recommendation for improvement at our January inspection had been addressed. At the time of this inspection, the principal GP had been absent for some time and care for patients was being provided primarily by a regular locum GP. We inspected evidence relating to the Well-led key question.

At this inspection we found:

• The practice had begun to identify and manage the risks associated with historical patient clinical care. Patient prescribing was under review and changes had been made to reflect best practice.
• We saw evidence of good patient record-keeping although reasons for changes to patient medicines were not always recorded.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice had improved the identification of patients on the register who were carers and offered them the appropriate support. They had identified 30 patients as carers (1.3% of the practice list) at the time of our inspection.
• Governance of the practice had improved and additional systems to manage risk in the practice had been identified and put in place.
• The organisation of practice policies and procedures had improved although further work to avoid duplication of policies was needed.

The areas where the provider should make improvements are:

• Improve the management of practice policies and procedures.
• Take action to record reasons for changes to patient medicines and treatment on patient clinical records.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 22 November 2018

Updated 22 November 2018

Updated 22 November 2018

Updated 22 November 2018

Updated 22 November 2018

Updated 22 November 2018