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Archived: North Nottinghamshire Out of Hours Good Also known as Central Nottinghamshire Clinical Services

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 10 December 2015

We carried out a comprehensive inspection of North Nottinghamshire Out of Hours on 17 April 2015 and 20 April 2015. Overall this out-of-hours service is rated as good. Specifically we found this provider to be good for providing safe, effective, caring, responsive and well-led services.

Our key findings across all the areas we inspected were as follows:

  • The out-of-hours service provided safe care and treatment. North Nottinghamshire Out of Hours had procedures in place which identified and minimised risks to patients who used the service.

  • Staff delivered safe care and treatment.

  • The out-of-hours service was responsive to patients’ needs. It provided face-to-face consultations, telephone consultations and home visits depending on the needs of patients.

  • The out-of-hours service had procedures in place to monitor the effectiveness of its patient care and treatment. This was carried out in a consistent way which ensured the performance of the out-of-hours service was closely monitored.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 10 December 2015

The out-of-hours service is rated as good for providing safe patient care and treatment. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. The out-of-hours service provided opportunities for the staff team to learn from significant events and was committed to providing a safe service. Information about safety was recorded, monitored, appropriately reviewed and addressed. The out-of-hours service assessed risks to patients and managed these well. There were enough staff to keep patients safe.

Effective

Good

Updated 10 December 2015

The out-of-hours service is rated as good for providing effective patient care and treatment. Patients’ care and treatment took account of guidelines issued by the National Institute for Care and Health Excellence (NICE). Patients’ needs were assessed and care was planned and delivered in line with current legislation and guidelines for providing unscheduled (out of hours) care. Staff received training and supervision appropriate to their roles and the provider supported and encouraged their continued learning and development.

Caring

Good

Updated 10 December 2015

The out-of-hours service is rated as good for providing caring services. Patients told us they were treated with compassion, dignity and respect and they were involved in their care and treatment decisions. Easy to understand information was provided to help patients understand the care available to them. We saw that staff treated patients with kindness and respect and were aware of the importance of confidentiality.

Responsive

Good

Updated 10 December 2015

The out-of-hours service is rated as good for providing responsive patient care and treatment. It was aware of and reviewed the needs of its local population and engaged with the NHS Area Team and Clinical Commissioning Group (CCG) to secure service improvements where these were identified. Patients we spoke with said they were happy with the service provided and the out-of-hours service had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand. We saw the out-of-hours service responded quickly to issues raised. Learning from complaints was shared with staff and used to make improvements when appropriate.

Well-led

Good

Updated 10 December 2015

The out-of-hours service is rated as good for being well-led. There was a clear leadership structure although staff did not always feel supported by senior management. The provider had a number of policies and procedures to govern activity and held regular governance meetings. There were systems in place to monitor and improve quality and identify risk that has recently been implemented.