• Doctor
  • GP practice

Archived: Church View Surgery - Hedon

Overall: Good read more about inspection ratings

Church View Surgery, Market Hill, Hedon, Hull, Humberside, HU12 8JE (01482) 899348

Provided and run by:
Holderness Health (Church View Surgery)

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Background to this inspection

Updated 16 June 2017

Church View Surgery – Hedon, Market Hill, Hedon, HU12 8JE is located in the centre of the market town of Hedon and is close to local bus routes. There is a car parking on the street outside the practice and there are public car parks within walking distance. The practice is in an adapted building which has been extended to continue to meet the clinical needs of the patients. There is disabled access and consulting and treatment rooms are available on the ground and first floors; there is a stair lift to access the first floor. There is one branch site, Prospect Surgery, Chapel Lane, Keyingham HU12 9RA which is located in the village of Keyingham, approximately six miles from Hedon. There is disabled access and all consulting and treatment rooms are on the ground floor. This site was also visited during the inspection.

The practice provides services under a General Medical Services (GMS) contract with the NHS North Yorkshire and Humber Area Team to the practice population of 11714, covering patients of all ages. The practice covers a large rural area. The practice is a ‘dispensing practice’ and is able to dispense medicines for patients who live more than one mile from the nearest pharmacy.

The proportion of the practice population in the 65 years and 75 years and over age group is similar to the local CCG average and above the England average. In the 85 years and over it is similar to the local CCG and England average. In the under 18 age group the proportion of the practice population is slightly below the local CCG and England average. The practice scored eight on the deprivation measurement scale, the deprivation scale goes from one to ten, with one being the most deprived. People living in more deprived areas tend to have a greater need for health services.

The practice has seven GP partners and a salaried GP, three are full time and five are part time. There are five female and three male GPs. There is an advanced clinical practitioner, two nurse prescribers, two practice nurses, two health care assistants (HCA) and an apprentice HCA. The advanced clinical practitioner and apprentice HCA are full time and the rest of the nursing team are part time, there is one male and nine females in the nursing team. There is a practice manager and a team of administrators, secretaries and receptionists. There is a pharmacist, two senior dispensers and five dispensers.

Church View Surgery - Hedon is open between 8am to 6pm Monday to Thursday and 8am to 5pm on Friday. Appointments are available from 9.20am to 12pm on a Monday and 8.30am to 11am Tuesday to Friday. Afternoon appointments are from 3pm to 5.40pm Monday to Thursday and from 2pm to 4.40pm on Friday. There is an open surgery on Fridays. The surgery is open on a Saturday between 9am and 12pm for pre-bookable appointments only between 9am to 11am.

The Prospect Surgery is open between 8am and 1pm Monday to Friday and 2pm to 6pm Monday and Thursday. Appointments are available from 9.20am to 12pm on a Monday and 8.30am to 11am Tuesday to Friday and from 3.30pm to 5.40pm Monday and Thursday. The Surgery is open for dispensing medicines only (no GP or nurse is present) on a Tuesday from 2pm - 6.00pm.

Information about the opening times is available on the website and in the appointment times leaflet.

The practice is a training practice for GP Registrars; doctors who are training to become GPs, there are three GP registrars working at the practice. The practice is also a teaching practice for year one and two medical students and is a training site for student nurses.

The practice, along with all other practices in the East Riding of Yorkshire CCG area have a contractual agreement for the Out of Hours provider to provide OOHs services from 6.00pm. This has been agreed with the NHS England area team.

The practice has opted out of providing out of hours services (OOHs) for their patients. When the practice is closed patients use the NHS 111 service to contact the OOHs provider. Information for patients requiring urgent medical attention out of hours is available in the waiting area, in the practice information leaflet and on the practice website.

Overall inspection

Good

Updated 16 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Church View Surgery - Hedon on 21 June 2016. The overall rating for the practice was good and the rating for the safe domain was requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Church View Surgery - Hedon on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 28 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 21 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • The arrangements for managing medicines, including emergency medicines and vaccines, in the practice minimised risks to patient safety (including obtaining, prescribing, recording, handling, storing, security and disposal).

  • The practice monitored significant events to identify any patterns or trends and evaluated any action taken to confirm actions taken prevented recurrence.

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

In addition the provider should:

  • Monitor that standard operating procedures at both surgeries are up to date to ensure they remain fit for purpose.

  • Carry out regular balance checks of controlled drugs.

  • Monitor that medicines fridge temperatures are recorded daily in line with national guidance.

  • Track blank prescriptions forms through the practice in accordance with national guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 11 October 2016

The practice is rated as good for the care of people with long-term conditions (LTCs).

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

  • Nationally reported data for 2014/2015 showed that outcomes for patients with long term conditions were good. For example, the percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months was 85% compared to the local CCG and England average of 88%.

  • Longer appointments and home visits were available when needed.

  • Patients with LTCs had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GPs worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 11 October 2016

The practice is rated as good for the care of families, children and young people.

  • There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk. For example, children and young people who had a high number of A&E attendances or who failed to attend hospital appointments.

  • Immunisation rates were comparable to or higher than the local CCG area for all standard childhood immunisations. For example, rates for all immunisations given to children aged 12 months, 24 months and five years in the practice ranged from 96% to 100% compared to 94% to 98% for the local CCG area.

  • Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

  • Nationally reported data from 2014/2015 showed the practice’s uptake for the cervical screening programme was 86% compared to the local CCG average of 85% and the England average of 82%.

  • The practice had 'in house' gynaecology clinics where patients could get advice and treatment, for example with regard to; hormone replacement therapy and contraception. This service was offered to other practices so they could refer their patients. The practice provided health care assistant and administration support for the service. 

  • Appointments were available outside of school hours and the premises were suitable for children and babies.

  • We saw good examples of joint working with midwives, health visitors and school nurses. 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.

Older people

Good

Updated 11 October 2016

The practice is rated as good for the care of older people.

  • The practice offered proactive, personalised care to meet the needs of the older people in its population. Patients over the age of 75 had a named GP.

  • The practice had assessed the older patients most at risk of unplanned admissions and had developed care plans.

  • The practice was delivering ‘A Care Home Scheme’. This ensured patients living in care homes had structured annual reviews which included a review of medication by a pharmacist, review of clinical care and advanced care planning with the GPs and nurses.

  • They were responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

  • Nationally reported data for 2014/2015 showed that outcomes were good for conditions commonly found in older people. For example, performance for heart failure indicators was 100%; this was 1.9% above the local CCG average and 2.1% above the England average.

Working age people (including those recently retired and students)

Good

Updated 11 October 2016

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 was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

  • Telephone consultations and e mail consultations were available for working patients who could not attend during surgery hours or for those whose problem could be dealt with on the phone or by e mail.

  • Saturday morning appointments were available with the GPs and with nurses or health care assistants (HCAS). Early morning appointments were available during the week with nurses and HCAs.

People experiencing poor mental health (including people with dementia)

Good

Updated 11 October 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

  • Nationally reported data from 2014/2015 showed 91% of people diagnosed with dementia had had their care reviewed in a face to face meeting in the preceding 12 months. This was above the local CCG and England average of 84%.

  • Nationally reported data from 2014/2015 showed the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive care plan documented in their record in the preceding 12 months was 93%. This was above the local CCG average of 91% and the England average of 88%.

  • The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

  • The practice carried out advanced care planning for patients with dementia. Staff had completed dementia friends training (a dementia friend is someone who learns more about what it is like to live with dementia and turns that understanding into action). Dementia Advisor sessions run by the Alzheimers society were held on a monthly basis in the practice.

  • A drug and alcohol service was provided by the GPs with support from the local drug and alcohol worker. A counselling service was offered twice a week and counsellors had data sharing access so that information could be kept up to date.

  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

  • The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

People whose circumstances may make them vulnerable

Good

Updated 11 October 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

  • The practice held registers of patients living in vulnerable circumstances which included those with a learning disability.

  • The practice offered longer appointments for people with a learning disability.

  • Nursing staff used easy read leaflets to assist patients with learning disabilities to understand their treatment.

  • The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

  • The practice told vulnerable patients about how to access various support groups and voluntary 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 in normal working hours and out of hours.

  • Telephone interpretation services were available and information leaflets in different languages were provided when required.