The Care Quality Commission
  • Doctor
  • GP practice

City View Medical Practice

Overall: Good read more about inspection ratings

Beeston Hill Community Health Centre, 123 Cemetery Road, Leeds, West Yorkshire, LS11 8SU

Provided and run by:
South & East Leeds General Practice Group Limited

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about City View Medical Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about City View Medical Practice, you can give feedback on this service.

12/03/2020

During an inspection looking at part of the service

We carried out an announced focused inspection of City View Medical Practice on 12 March 2020, following our annual review of the information available to us, including information provided by the practice. This inspection focused on the following key questions:

  • are services effective
  • are services well-led.

Because of the assurance we received from our review of information, we carried forward the ratings for the following key questions:

  • are services safe (good)
  • are services caring (good)
  • are services responsive (good).

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data and about services
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall. We have rated the population group working-age people (including those recently retired and students) as being requires improvement for effective because:

  • Cancer screening uptake rates, particularly those for cervical screening, were below local and national averages.

Our key findings at this inspection were:

  • The practice had responded to the challenge of COVID-19 and were effective in identifying patients who were at risk and signposting them to appropriate services.
  • Staff were engaging with patients, and providing information for, patients whose first language was not English.
  • A review of care and screening available for transgender patients had been undertaken, to ensure they were supported to access care in line with their choice.
  • The practice employed a mental health nurse specialist to support those patients with complex mental health needs and minimise the risk of them entering a ‘crisis’ phase.
  • The practice participated in a range of quality improvement schemes to support patient services.
  • The practice patient participation group was committed to supporting patients, particularly with health lifestyle interventions, such as raising cancer screening awareness and organising the practice allotment.
  • There was evidence of effective leadership and management. Leaders and managers had a good understanding of the challenges they faced regarding the provision of primary care services for their patient population.
  • Patients were generally positive about the care, treatment and service they received.
  • The merger of two locations had been successful in minimising any inconvenience to patients, whilst supporting staff through the process.

There was one area of outstanding practice:

  • The practice had an allotment which the patient participation group supported patients to become involved in the maintenance of. The allotment was used to promote the health and wellbeing of patients. Produce grown in the allotment was made available in the practice for patients.

The areas where the provider should make improvements are:

  • Continue to encourage and improve uptake rates for childhood immunisations.
  • Continue to encourage and improve uptake rates for cancer screening programmes, particularly those relating to cervical screening.
  • Improve and reduce the exception reporting relating to the Quality and Outcome Framework long-term condition indicators, to support patient care.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

3 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at City View Medical Practice on 3 August 2017.

Overall the practice is rated as good. Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events. We saw that incidents and events were analysed and learning shared with others; both in the practice and with the local Clinical Commissioning Group.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety. They responded quickly to areas of identified risk.
  • The practice delivered enhanced services or participated in programmes, to meet the needs of their patient population.
  • The practice had identified that 31% of their patients had a mental health issue. As a result, they had employed a mental health specialist nurse, who provided additional support for those patients. This model of working had been shared with other practices within the Leeds South and East Clinical Commissioning Group (CCG).
  • Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment. They effectively utilised current best practice and guidance.
  • Patients we spoke with said they were treated with compassion, dignity and respect.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
  • The practice had good governance arrangements in place. There was strong and visible clinical and managerial leadership and staff said they felt supported.
  • The practice had undergone a period of change which had supported continued improved services for patients. The practice had a strong vision, which included working with patients to support the delivery of high quality care and treatment.

We saw several areas of outstanding practice:

  • There was involvement with the wider community, through the use of the patient participation group, the volunteer practice health champions and the practice allotment. The allotment was used to promote health and well-being of patients. Any produce grown in the allotment was made available to patients within the practice.
  • The practice was recognised by the CCG as being a good example of best practice in promoting bowel cancer screening with patients. We were informed of the “gold standard service” which was offered by the practice.

The area where the provider should make an improvement is: 

  • Embed the revised processes regarding emergency equipment and medicines.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice