Background to this inspection
Updated
28 September 2018
Woodseats Medical Centre is located in a purpose built health centre at Chesterfield Road, Sheffield, S8 0SH. The practice provides services for 9859 patients under the terms of the NHS Personal Medical Services contract. The provider is registered with CQC to provide the regulated activities, diagnostic and screening, family planning, maternity and midwifery, surgical procedures and treatment of disease, disorder or injury.
Public Health England data shows the catchment area is classed as within one of the eighth least deprived area in England. The age profile of the practice population is broadly similar to the other GP practices in the Sheffield Clinical Commissioning Group (CCG) area.
The practice has four male GP partners, four female GP partners, two salaried female doctors, a GP registrar, three practice nurses, five healthcare assistants, business manager and a team of reception and administration staff which includes reception, finance, human resources and data managers. The practice participates in clinical research and is a teaching and training practice for GP registrars, physician associates and medical students.
The practice is open 8am to 6.30pm Monday to Friday and telephones operational between 8.30am to 12 noon and 1.30pm to 6pm. Morning and afternoon appointments are offered daily Monday to Friday. GP and nurse appointments are available throughout the practice opening hours.
There is a drop-in clinic with the healthcare assistant 8.30am to 10.30am daily for phlebotomy services. The practice offers extended hours appointments at the practice on Monday evenings until 8pm, Tuesday early mornings from 7am and one Saturday morning per calendar month 8am to 11.30am.
Weekend and evening appointments are also offered at one of the satellite clinics in Sheffield, in partnership with other practices in the area.
Out of hours care can be accessed by calling the NHS 111 service between 6.30pm and 8am Monday to Friday and at weekends. The practice telephone system automatically diverts calls to the city wide collaborative GP service between 8am and 8.30am, 12 noon and 1.30pm and 6pm to 6.30pm Monday to Friday.
Further information can be found on the practice website: www.woodseatsmedicalcentre.nhs.uk
Updated
28 September 2018
This practice is rated as Good overall.
The key questions at this inspection 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 Woodseats Medical Centre on 15 August 2018 as part of our inspection programme due to the provider changing their registration with CQC when it moved premises in 2017.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice took action to improve their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. 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 found the appointment system easy to use and reported that they were able to access care when they needed it although they reported difficulties getting through on the telephone first thing in a morning.
- The practice had a culture of high-quality sustainable care although there were some shortfalls with regard to internal communication pathways and non-clinical staff appraisals.
- There was a focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider
should
make improvements are:
-
Develop and improve communication pathways within individual staff teams and between leaders and staff to ensure an inclusive culture.
-
Take action to ensure all staff receive a regular appraisal.
-
Develop documentation to support the locum induction process.
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Review patient feedback with regard to telephone access first thing in a morning.
-
Review the practice policy for basic life support training of clinical staff in line with Resuscitation Council (UK) guidelines.
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Consider reducing the height of the reception desk to assist with confidentiality at the front desk and improved access for patients.
-
Review the systems in place to identify carer’s.
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.