• Doctor
  • GP practice

Archived: Dr Pulloori Jagadesham Also known as Hollins Grove Surgery

Overall: Good read more about inspection ratings

Hollins Grove Surgery, 153 Blackburn Road, Darwen, Lancashire, BB3 1ET (01254) 701961

Provided and run by:
Dr Pulloori Jagadesham

Latest inspection summary

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Background to this inspection

Updated 5 March 2015

Hollins Grove Surgery is located in Darwen and is part of the Blackburn with Darwen Clinical Commissioning Group. The total patient population is approximately 1650.

The staff team currently comprises of one male GP, a practice nurse, a practice manager and two reception staff.

The practice population includes significantly lower numbers of patients between the ages of 30 and 40 years, and over the age of 65 years, than the national average. In contrast, there is a significantly higher proportion of patients aged between 40 and 50 years. There are comparatively high levels of deprivation in the area. Information published by Public Health England rates the level of deprivation as three on a scale of one to ten. Level one represents the highest levels of deprivation and ten the lowest.

The practice is open Monday to Friday from 8.00am until 6.30pm, except on Wednesday when the hours are 8.30am until 3.00pm. The GP holds a morning surgery between 9.00am and 10.30am, and an afternoon surgery between 4.00pm and 5.30pm. No appointment is necessary during these times. Later consultations are available by appointment. The practice nurse holds surgeries between 9.00am and 5.00pm by appointment. When the practice is closed the care and treatment needs of patients are met by an out of hours provider, East Lancashire Medical Services.

The CQC intelligent monitoring placed the practice in band 5. The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework (QOF) and the National Patient Survey. Based on the indicators, each GP practice has been categorised into one of six priority bands, with band six representing the best performance band. This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place.

Overall inspection

Good

Updated 5 March 2015

Letter from the Chief Inspector of General Practice

We inspected the practice of Dr Pulloori Jagdesham on 4 November 2014. The inspection was scheduled as part of our new comprehensive inspection programme and was announced to the practice.

The practice was rated as good overall.

Our key findings were as follows:

  • The practice was rated as good for safe. All staff understand and fulfil their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal incidents are maximised to support improvement.
  • The practice was rated as good for effective. The practice completed thorough assessment of patients’ needs. There were good systems in place to ensure care and treatment was regularly reviewed and continued to be effective.
  • The practice was rated as outstanding for caring. We observed a patient centred culture. Staff were motivated and inspired to offer kind and compassionate care and worked to overcome obstacles to achieving this. Patients reported high levels of satisfaction with the way in which they were listened to and involved in planning for their care and treatment.
  • The practice was rated as good for responsive. Patients reported good access to the practice and continuity of care.
  • The practice was rated as good for well led. The practice had a clear vision and strategy to deliver this. Staff were clear about the vision and their responsibilities in relation to this. We found a high level of staff satisfaction.

We saw several areas of outstanding practice including:

  • The practice approach to anticipating and managing risks to people who use the service. Staff began to plan for the impact of the Christmas period in November by contacting potentially vulnerable patients to check on their well-being and ensure they had all necessary medication prior to the Christmas break.
  • The approach staff took to ensure patients were treated with respect, dignity, compassion and empathy. We heard examples of particularly caring practice including offering hot drinks and biscuits to patients who had attended for fasting blood tests before they left the surgery.
  • The support offered to patients to help them cope emotionally with care and treatment. Feedback from patients consistently showed they felt well supported by the practice and that staff took a real interest in their general well-being.

In addition the provider should:

  • Record completion of cleaning tasks to evidence continuity. Review the existing policy on infection prevention and control to ensure it is up to date and reflects best practice.

Review the existing practice business continuity policy to ensure the content remains accurate and up to date.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 5 March 2015

The practice is rated good for the population group of people with long term conditions. Emergency processes were in place and referrals made for patients in this group that had a sudden deterioration in health. Longer than average appointments and home visits were available when needed. The practice had systems in place to ensure patients had structured annual reviews to check their health and medication needs were being met.

Families, children and young people

Good

Updated 5 March 2015

The practice is rated as good for the population group of families, children and young people. Systems were in place for identifying and following up children who were at risk. Immunisation rates were relatively high for standard childhood vaccinations and robust systems were in place to follow up on any non-attendance. Patients told us that children and young people were treated in an age appropriate way and recognised as individuals. Appointments were available outside of school hours and the premises were suitable for children and babies.

Older people

Good

Updated 5 March 2015

The practice is rated good for the care of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered proactive, personalised care to meet the needs of the older people in its population. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments though the drop in system.

Working age people (including those recently retired and students)

Good

Updated 5 March 2015

The practice is rated as good for the population group of the working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students, had been identified and the practice offered services that were accessible, flexible and offered continuity of care. A range of health promotion and screening services which reflected the needs of this age group were available.

People experiencing poor mental health (including people with dementia)

Good

Updated 5 March 2015

The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). Patients experiencing poor mental health had received an annual physical health check. Information was available to signpost patients experiencing poor mental health to various support groups and other professional organisations.

People whose circumstances may make them vulnerable

Good

Updated 5 March 2015

The practice is rated as good for the population group of people whose circumstances may make them vulnerable. Systems were in place to identify any patients who lived in vulnerable circumstances and ensure annual health checks were offered and any non-attendance followed up. Longer than average appointments were available with both the GP and nurse.

The practice worked with other healthcare professionals in the case management of vulnerable people as necessary. Information was available to signpost vulnerable patients to various support groups and other professional organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies out of hours.