Archived: Rosegarth Surgery

Updated 31 December 2021

Rosegarth Surgery is located in Halifax, West Yorkshire:

Rothwell Mount

Halifax

HX1 2HB

The branch site is located at:

117 Oxford Lane

Siddal

Halifax

HX3 9DG

The provider is registered with CQC to deliver the following Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury and surgical procedures.

The practice offers services from both a main practice and a branch surgery which are located approximately 1.5 miles apart from each other. Patients can access services at either surgery.

Opening times are 8am to 6pm and appointments were offered throughout that time in accordance with patient need.

The practice is situated within the Calderdale Clinical Commissioning Group (CCG) and delivers General Medical Services (GMS) to a patient population of around 10,406. This is part of a contract held with NHS England.

The practice is part of a wider network of GP practices, a Primary Care Network (PCN). Rosegarth Surgery is a member of Central Halifax PCN, which is made up of four GP practices.

Information published by Public Health England shows that deprivation within the practice population group is in the mid decile (five out of a scoring rating of 10). The lower the decile, the more deprived the practice population is relative to others.

According to the latest available data, the ethnic make-up of the practice area is 88% white, with the remainder made up of a mixture other non-white ethnicities.

The age distribution of the practice population shows a slightly higher than CCG and national average proportion of patients aged 65 years and older. The average life expectancy for patients at the practice is 78 years for men and 83 years for women, compared to the national average of 79 years and 83 years respectively.

The clinical team is made up of two GP partners, both male, three salaried GPs, two females and one male, and one female advanced nurse practitioner. The nursing team is made up of three practice nurses and one phlebotomist, all of whom are female. Supporting the clinical team is a practice business manager, operations and data quality manager, reception manager and a range of administrative, secretarial and reception staff. All staff, clinical and non-clinical cover the main site and the branch site. At the time of our visit there were vacancies in relation to GP posts, current and anticipated, for which plans were being finalised to recruit. In addition, newly recruited reception staff were being inducted to enable them to carry out their full range of duties.

Due to the enhanced infection prevention and control measures put in place since the pandemic and in line with the national guidance, patients requesting an appointment are contacted by a clinician over the telephone, and face to face appointments arranged when deemed clinically appropriate. Alternatively, advice may be given or medicines are prescribed, or patients signposted to the most appropriate service to meet their needs. Appointments are available at the main site and the branch site. The practice has recently temporarily suspended afternoon sessions at their branch site due to recent staff losses. The practice is aiming to resume afternoon opening at the branch site early in the new year.

Extended access is provided locally through the Primary Care Network, at one of three local practices, where late evening and weekend appointments are available. Out of hours services are provided by Local Care Direct, which is accessed by calling the surgery telephone number or by calling the NHS 111 service.

Updated 31 December 2021

This practice is rated as Good overall. The practice was previously inspected on 21 April 2015. On that occasion the practice received a rating of Outstanding overall, with ratings of Good for providing safe, caring and well led services; and Outstanding for providing effective and responsive services.

The key questions 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 Rosegarth Surgery on 9 May 2018, as part of our inspection programme.

At this inspection we found:

• The practice had an open and transparent process for dealing with safety incidents and near misses. When incidents occurred the practice learned lessons and made changes to improve processes and reduce risks when possible.
• There were clear governance policies and protocols which were accessible to all staff.
• The practice had carried out a ‘Perfect Day’ exercise internally. This enabled them to articulate what would improve the patients’ journey through the service, as well as enhancing staff experience. They had plans to implement changes in line with this. For example, they were establishing new systems for patients to access their test results in a timely and appropriate way
• The practice undertook quality improvement activity to review and improve the effectiveness and appropriateness of care provided. Care and treatment was delivered in line with current evidence based guidance.
• The practice had achieved Gold accreditation from the Gold Standards Framework for palliative care. Seventy five percent of identified patients had been appropriately monitored prior to their death using this framework. This was an increase from 36% of patients before accreditation training had been undertaken.
• The practice endeavoured to provide continuity of care for patients, with access to the clinician of their choice whenever possible. Patient feedback in relation to access to appointments and the quality of care provided was generally positive.
• We observed staff treating patients with kindness and compassion.
• The leadership team was approachable and visible. Staff told us they felt supported in their role. Practice developments and initiatives were designed to improve patient experience in accessing care.

The areas where the provider should make improvements are:

• Review staff immunisation status in line with Department of Health recommendations.
• Complete staff appraisals and development plans in a timely way.