• Doctor
  • GP practice

Archived: Westfield Medical Centre

Overall: Good read more about inspection ratings

1st Floor, The Reginald Centre, 263 Chapeltown Road, Leeds, West Yorkshire, LS7 3EX (0113) 843 4488

Provided and run by:
Westfield Medical Centre

Latest inspection summary

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Background to this inspection

Updated 15 June 2018

Westfield Medical Centre provides services for 4,119 patients and is situated on the first floor of The Reginald Centre, 263 Chapeltown Road, Leeds, LS7 3EX, West Yorkshire. There are fully accessible facilities and services are reached via the stairs or a lift. There is car parking available and the centre is accessible by bus. The surgery is situated within a large health centre which also hosts other community services including a pharmacy, a library and a café.

The website address is www.westfieldmedicalcentre.co.uk. 

Westfield Medical Centre is situated within the Leeds Clinical Commissioning Group (CCG) and provides primary medical services under the terms of a personal medical services (PMS) contract. This is a contract between general practices and primary care organisations for delivering services to the local community.

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, surgical procedures, family planning, maternity and midwifery services and treatment of disease, disorder or injury.

There is a higher than average number of patients aged between birth and 39 years old when compared to the national average. Only approximately 8% of the practice population is aged 65 years and over compared to the national average of 17% and the CCG average of 16%.

The National General Practice Profile states that 27% of the practice population is from an Asian background with a further 26% of the population originating from a black ethnic background. 10% of the practice population are from mixed or non-white ethnic groups.

There are two GP partners, (one male, one female) and a business partner. We were told the male GP partner does not often work at the practice. The practice is also staffed by two female salaried GPs, two part time practice nurses, and two health care assistants (HCAs), all of whom are female. The practice is also supported by a pharmacist from the CCG.

The clinical team are supported by a business support manager, an office manager and a team of administrative staff.

The lead GP was a GP trainer and the practice was able to offer training opportunities to student GPs.

Information published by Public Health England rates the level of deprivation within the practice population group as one on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.

Westfield Medical Centre reception is open between 8.00am and 6.30pm Monday to Friday and appointments were available from 8.30am to 6pm daily at this location. Extended hours access was available at the practice every Tuesday between 6.30pm and 7.30pm.

The practice works closely with other practices in the locality to provide additional out of hours appointments. Allocated appointments are available Monday to Thursday between 6pm and 8pm and on a Saturday morning between 9am and 12pm at nearby locations. A range of appointments are offered with a pharmacist, GP, practice nurse, and a HCA.

Out of Hours, patients are advised of the NHS 111 service.

During our inspection we saw that the provider was displaying the previously awarded ratings in the practice and on their website.

Overall inspection

Good

Updated 15 June 2018

This practice is rated as Good overall. (Previous inspection 23 August 2017 – 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 Westfield Medical Centre on 23 August 2017. The practice was rated as requires improvement in the key questions of safe and well led. The full comprehensive report on the August 2017 inspection can be found by selecting the ‘all reports’ link for Westfield Medical Centre on our website at www.cqc.org.uk. 

This inspection was an announced comprehensive inspection carried out on 29 May 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach of regulations that we identified at our previous inspection on 23 August 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

At this inspection we found:

  • The practice had clear, organised and effective 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.
  • The provider held an annual away day which was attended by the partners at Westfield Medical Centre and those of their sister practice. Clinical priorities, objectives and business plans were developed which set out the priorities of the organisation for the next 12 months. An action plan developed from the meeting was reviewed weekly by the partners and cascaded to the staff team.
  • The practice reviewed the effectiveness and appropriateness of the care it provided within structured and documented meetings. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients comment cards reflected that the majority of patients found the appointment system easy to use and they were able to access care when they needed it.
  • A comprehensive system for the reporting, recording and reviewing of significant events was in place. These were routinely shared with the staff team.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • The practice had responded and actioned the previous breach of regulations and issues noted in the report of August 2017.

The areas where the provider should make improvements are:

  • The provider should continue to review and take steps to improve the uptake of bowel and breast screening by patients registered with the practice.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice