24 October 2018
Cobridge Surgery changed its legal identity from a single-handed GP practice to a partnership provider in May 2018. It is located in Cobridge, Stoke-on-Trent. The practice provides care and treatment to approximately 5,170 patients of all ages and holds a General Medical Services (GMS) contract. A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract. It delivers services from one location which we visited during our inspection:
- Cobridge Surgery, Cobridge Community Health Centre, Church Terrace Stoke-on-Trent, Staffordshire, ST6 2JN.
The practice is in an area of high deprivation being in the first most deprived decile in the country. Demographically 27.4% of the practice population is under 18 years old which is higher than the national average of 20.8% and 11.2% are aged over 65 years which is below the national average of 17.1%. The practice supports a diverse community with 70% white British and 30% of people from other nationalities. The percentage of patients with a long-standing health condition is 54.4% which is comparable with the national average of 53.7%. The practice is a training practice for GP registrars.
The practice staffing comprises of:
- Two male GP partners.
- A male GP registrar
- A female practice nurse.
- A practice manager and assistant practice manager.
- Five members of administrative staff working a range of hours.
GP telephone consultations are available for patients who are unable to attend the practice within normal opening hours. During the out-of-hours period services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.
The practice offers a range of services for example, immunisations for children, child development checks, travel vaccinations, lifestyle advise and management of long-term conditions such as diabetes. Further details can be found by accessing the practice’s website at www.cobridgesurgery.co.uk
24 October 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 Cobridge Surgery on 1 October 2018 as part of our inspection programme.
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 learned from them and improved 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. However, their prescribing quality systems showed a small number of patients had not been monitored effectively.
- The practice had a proactive approach in helping patients to live healthier lives.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use but reported that they were not always able to access care when they needed it. The practice was reviewing the telephone access to the practice in response to patients concerns.
- Staff stated they felt respected, supported and valued and there was an open culture within the practice.
- There were clear responsibilities and roles of accountability to support good governance and management.
- There was a focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- The practice nurse had implemented a proactive plan to increase the uptake of cervical screening within the practice population, particularly amongst patients whose first language was not English and patients with a learning disability. The practice nurse who is a Queen’s Nurse was awarded a highly commended certificate at the Queens Nursing Annual Conference for this work, with this innovative project recently being published on NHS England ‘Leading Change – Adding Value’ website.
The areas where the provider should make improvements are:
- Review routine immunisations for all staff that have direct contact with patients, including reception staff, to ensure they are up to date.
- Consider ways of updating reception staff in the identification of a rapidly deteriorating patient and the escalation process to follow.
- Complete a formal risk assessment to record the processes GPs followed regarding assessment of emergency medicines taken on home visits.
- Introduce safety netting processes to support prescribing against all current national prescribing guidance and MHRA alerts.
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.