Archived: Dr Stephen Haywood Also known as The Adderlane Surgery

Updated 19 March 2015

Adderlane Surgery is situated in Prudhoe Northumberland and provides primary medical care services, which includes access to GPs, minor surgery, family planning, ante and post natal care to patients living in the Prudhoe area. The practice is small, providing services to 1978 patients of all ages. There is a higher percentage of the practice population in the 65 to 74 years age group than the CCG and England average but a lower percentage in the 75 and over age group than the CCG and England average.

The practice has opted out of providing out of hours services for their patients. Information for patients requiring urgent medical attention out of hours is available in the waiting area and on the practice website. When the practice is closed patients access Northern Doctors Out of Hours Services.

The practice has two GP partners, one male and one female. One GP works full time and one works four mornings a week. There is one practice nurse who works 25 hours per week and a practice manager who works 12 hours per week.

The practice provided services to their patients through a General Medical Services (GMS) contract.

Updated 19 March 2015

Letter from the Chief Inspector of General Practice

This is the report of our findings of the inspection at of Dr Stephen Haywood’s practice. The practice is registered with the Care Quality Commission to provide primary medical services.

We undertook a planned, comprehensive inspection on the 23 Oct 2014. We talked to patients, staff and members of the practice management team.

Specifically, we found the practice to be outstanding for providing caring services. It was good for providing safe, effective and responsive services and was well led. It was good for meeting the needs of the population groups it serves. Our key findings were as follows:

• Patients who use the service are kept safe and protected from avoidable harm. The building is well maintained and clean.

• All the patients we spoke with are positive about the care and treatment they receive. The CQC comment cards and results of patient surveys show that patients are consistently pleased with the service they receive.

• There is good collaborative working between the practice and other health and social care agencies that ensures patients receive the best outcomes. Clinical decisions follow best practice guidelines.

• The practice meets with the local Clinical Commissioning Group (CCG) to discuss service performance and improvement issues.

• There are good governance and risk management measures in place. The leadership team are visible and staff we spoke with say they find them very approachable.

However, there were also areas of practice where the provider needs to make improvements.

In addition the provider should:

• Ensure oxygen is available for use in a medical emergency.
• Ensure all staff undertaking chaperoning duties receive appropriate training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 19 March 2015

The practice is rated as good for the care of people with long-term conditions. Staff had a good understanding of the care and treatment needs of these patients. The practice closely monitored the needs of this patient group. We heard from patients that staff invited them for routine checks and reviews. We found staff had a programme in place to make sure no patient missed their regular reviews for conditions, such as diabetes, respiratory and cardiovascular problems. Staff were skilled and regularly updated in specialist areas which helped them ensure best practice guidance was being followed.

Updated 19 March 2015

The practice is rated as good for the care of families, children and young people. The practice offered comprehensive vaccination programmes which were managed effectively. Immunisation rates were relatively high for all standard childhood immunisations. The practice monitored any non-attendance of babies and children at vaccination clinics and worked with the health visiting service to follow up any concerns. Appointments were available outside of school hours and the premises were suitable for children and babies. All of the staff were responsive to parents’ concerns and ensured children who were unwell could be seen quickly by the GP or nurse.

Updated 19 March 2015

The practice is rated as good for the care of older people. The practice was knowledgeable about the number and health needs of older patients using the service and actively reviewed the care and treatment needs of these patients. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. Patients over the age of 75 had a named GP. The practice was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs. The GP supported the local care homes and community hospital and visited them weekly.

Updated 19 March 2015

The practice is rated as good for the care of 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 had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice provided a range of options for patients to consult with the GP and nurse, including on-line booking and telephone consultations. Useful information was available in the practice and on the website as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 19 March 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice maintained a register of patients who experienced mental health problems. The register supported clinical staff to offer patients an annual appointment for a health check and a medicines review. The Community Psychiatric Nurse attended the practice once a week to provide support for patients experiencing poor mental health. Information was available for patients on counselling services and support groups.

Updated 19 March 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice was aware of patients in vulnerable circumstances and actively ensured these patients received regular reviews, including annual health checks. We found that all of the staff had a very good understanding of what services were available within their catchment area, such as supported living services, care homes and families with carer responsibilities. Staff were knowledgeable and proactive when safeguarding vulnerable adults and children. They had access to the practices’ policy and procedures and discussed vulnerable patients at the clinical meetings.