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Dr Yuen Fong Soloman Wong Good Also known as Ashton View Medical Centre

Inspection Summary


Overall summary & rating

Good

Updated 7 February 2020

We carried out an inspection of this service following our annual review of the information available to us, including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

  • are services effective
  • are services caring
  • are services well-led

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

  • are services safe - 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 about services
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups; with the exception of families, children and young people and working age people (including those recently retired and students), which were rated as being requires improvement.

We found that:

  • There were effective systems and processes in place to support good governance of the practice.
  • The lead GP and manager were visible, approachable and supportive of staff. Staff reported they felt valued and were positive about working at the practice.
  • There was a culture of openness, honesty and transparency.
  • There was a good understanding of the areas where they needed to improve, particularly relating to the Quality and Outcome Framework (QOF) indicators.
  • The practice manager was pivotal in the development of the Primary Care Network childhood immunisations project, which was aimed at improving uptake rates within the local areas.
  • Patient comments submitted via the CQC comment cards were all positive regarding the service, care and treatment they received from the practice.

The areas where the provider should make improvements are:

  • Continue to monitor and improve the identification of carers.
  • Continue to monitor and improve the uptake rates for childhood immunisations.
  • Continue to monitor and improve the uptake rates for cancer screening.
  • Formalise the induction programme for new staff.

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.

Inspection areas

Safe

Good

Updated 30 June 2016

The practice is rated as good for providing safe services.

  • Risks to patients were assessed and well managed
  • There were systems in place for reporting and recording significant events and a nominated lead who dealt with them overall. Lessons were shared to ensure action was taken to improve safety in the practice. All staff were encouraged and supported to record any incidents using the electronic reporting system.
  • There was a nominated lead for safeguarding children and adults. Systems were in place to keep patients and staff safeguarded from abuse. We saw laminated posters displaying safeguarding information and contact details; which were available for both staff and patients.
  • There were processes in place for safe medicines management.
  • There were systems in place for checking that equipment was tested, calibrated and fit for purpose.
  • There was a nominated lead for infection prevention and control.
  • There were processes in place, in line with British Medical Association guidelines, regarding the undertaking of male circumcisions in the practice.

Effective

Requires improvement

Caring

Good

Responsive

Good

Updated 30 June 2016

The practice is rated as good for providing responsive services.

  • The practice worked with Leeds South and East Clinical Commissioning Group (CCG) and other local practices to review the needs of their population.
  • National GP patient survey responses and the majority of comments made by patients showed they found it easy to make an appointment.
  • The practice offered pre-bookable, same day and online appointments. They also provided telephone consultations and text message reminders.
  • In addition to appointments, there was an ‘open’ clinic each weekday morning. All patients requiring urgent care were seen on the same day as requested.
  • Home visits and longer appointments were available for patients who were deemed to need them, for example housebound patients or those with complex conditions.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was an accessible complaints system. Evidence showed the practice responded quickly to issues raised and learning was shared with staff.
  • The practice provided a NHS non-therapeutic (for religious or cultural reasons) circumcision service, for male babies up to the age of 12 weeks. Patients who were registered with any of the GP practices across the three Leeds Clinical Commissioning Groups had access to the service.

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good