We carried out an announced comprehensive inspection at The Street Lane Practice 8 February 2019 as part of our inspection programme.
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 and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- In addition to general practices services, the practice provided additional specialist NHS community clinics under a separate contract with NHS Leeds Clinical Commissioning Group. The clinics could be accessed by patients registered with the practice; along with the local patient population.
- The practice had an in-house patient liaison service which provided support to all patients for both clinical and non-clinical needs.
- The practice had been involved in developing the ‘Healthy Minds Service’ which provided virtual support for patients with low level mental health issues; signposting to other services and a range of techniques and tools to improve resilience.
- The practice had implemented an ‘outcomes’ computer template on the clinical system for clinicians to complete following patient consultation. This clearly outlined the management plan and what the next steps for the individual patient were.
We saw areas of outstanding practice:
- The practice had worked with patients to improve access through the development of the eReception system. This enabled patients to contact the practice via a link on the website and reduce the need to contact the practice by telephone. This service was available 24 hours a day and the practice responded to any patient requests via this method within 30 minutes during working hours.
- The practice had obtained funding from the Yorkshire and Humber Academic Science Network to test eReception and had shared the system with 25 practices across Leeds.
Whilst we found no breaches of regulations, the provider should:
- Continue to identify and manage risks to patients through risk assessments of the premises. Specifically, the risk assessments for fire and infection prevention and control should be improved and updated.
- Continue to liaise with their cleaning company regarding the improving of infection, prevention and control processes.
- Review their exception reporting rates for patients living with diabetes to assure themselves that these patients are receiving the care, treatment and support that they need.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care