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Featherstone Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 13 August 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Featherstone Medical Practice on 12 May 2015. The overall rating for the practice is good. We found the practice to be good in the safe, effective, caring, responsive and well-led domains. The practice is rated good for the population groups:

  • Older people
  • People with long term conditions
  • Families, children and young people
  • Working age people (including those recently retired and students)
  • People whose circumstances may make them vulnerable
  • People experiencing poor mental health (including people with dementia)

Our key findings were as follows:

  • Systems were in place to ensure that all staff had access to relevant national patient safety alerts. Infection prevention and control systems were managed and staff had received appropriate training.

  • Staff received support, appraisals and role specific training to ensure they carried out their roles effectively. GPs carried out clinical audits to check that patients received appropriate care and treatment.

  • Staff were friendly, caring and respected patient confidentiality. Patients we spoke with said that all staff were compassionate, listened to what they had to say and treated them with respect. Patients told us they were satisfied with the care they received. Staff worked together as a team to ensure they provided safe, co-ordinated patient care.

  • There was a register of all vulnerable patients who were reviewed regularly. Patients who had long term conditions were regularly reviewed. GPs carried out clinical audits and made changes to patients care and treatments to ensure best practice. Information and feedback from patients was used to develop good systems of care.

  • The practice had a clear vision to deliver high quality care and promote good outcomes for patients. This was evident when speaking with staff and patients during our inspection. There was a clear leadership structure with named staff in lead roles.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 13 August 2015

The practice is rated as requires improvement for providing safe services. The practice had a good track record for safety. There was effective recording and analysis of significant events and lessons learnt were cascaded to all relevant staff for prevention of recurrences. There were robust safeguarding measures in place to help protect children and vulnerable adults. Systems were in place for the safe storage and use of medicines and vaccines within the practice. There were designated leads to oversee the hygiene standards within the practice to prevent infections. Staff recruitment checks had been carried out to clarify that staff were suitable to work with vulnerable people before they commenced employment.

Effective

Good

Updated 13 August 2015

The practice is rated as good for effective services. Practice staff took account of clinical guidelines such as National Institute for Health and Clinical Excellence (NICE) when providing care. Patients’ needs were assessed and care was planned appropriately to meet their needs. There were effective arrangements to identify, review and monitor patients with long term conditions. Staff received training that was appropriate to their roles and ensured staff skills and knowledge were kept up to date. Staff appraisals were carried out which identified their personal development needs. Health promotion and prevention was actively encouraged within the practice. Multidisciplinary working is evident to ensure patient needs are appropriately met.

Caring

Good

Updated 13 August 2015

The practice is rated as good for caring services. We saw that staff treated patients with kindness and respect ensuring confidentiality was maintained. Patients we spoke with confirmed this. The practice had access to interpreters. Practice staff spoke a number of languages to assist patients in understanding their needs. Patients told us they were happy with the standards of care they received. There were arrangements in place to provide patients with end of life care that respected patients’ needs and wishes.

Responsive

Good

Updated 13 August 2015

The practice is rated as good for providing responsive services. The practice made use of information to understand and respond to the needs of their local population. They had achieved Quality Outcomes Framework (QOF) points similar to or above the national average. QOF is a voluntary national performance target for managing some of the most common chronic diseases, for example asthma and diabetes. The practice was accessible to patients with mobility restrictions and other needs. There was a Patient Participation Group (PPG). The PPG is a way in which patients and GP practices can work together to improve the quality of the service. The practice carried out annual patient surveys and other specific clinical surveys. The outcomes from these resulted in changes having been made for improvements in patient care.

Well-led

Good

Updated 13 August 2015

The practice is rated as good for being well led. All staff worked closely together to innovate and promote continuous improvements. There was strong leadership with a clear vision and purpose. All staff were encouraged and involved with suggesting and implementing ongoing improvements that benefitted patients. Staff were clear who made decisions and followed appropriate paths of accountability. The practice had a number of policies and procedures in place to govern activity and regular governance meetings take place. There were systems in place to monitor and improve quality and identify risks to the service. We saw evidence that the practice seeks feedback from patients and staff and acts on it where appropriate.

Checks on specific services

People with long term conditions

Good

Updated 13 August 2015

The practice is rated as good for the population group of people with long term conditions. Practice staff supported patients to receive co-ordinated, multidisciplinary care whilst retaining an oversight of their care. Patients with long term conditions were regularly reviewed and any changes in their care needs were cascaded to other involved professionals to ensure integrated care was provided at all times. Staff kept a register of patients with long term conditions and those who had carers so that they could be offered support. When needed, longer appointments and home visits were available.

Families, children and young people

Good

Updated 13 August 2015

The practice is rated as good for the population group of families, children and young people. Practice staff worked with health visitors and community midwives who provided ante-natal clinics at a nearby practice. There was a safeguarding policy in place for children and adults that included principles and definitions of the different types of safeguarding concerns. The GP who was the lead for safeguarding had received appropriate training. Clinical sessions included outside of school hours for children to attend the practice. The childhood vaccination programme was encouraged and undertaken by practice staff.

Older people

Good

Updated 13 August 2015

The practice is rated as good for care of older people. Patients over 75 years old had a named GP to help co-ordinate their care. Patients over the age of 75 years were offered health checks. There were arrangements to review patients in their own home if they were unable to attend the practice. Care plans were in place for patients who were at risk or had complex health needs to monitor and review their health needs. Patients with complex care needs and at high risk of admission had been identified so that they could be appropriately supported to live at home and avoid admission to hospital. The practice worked with the palliative care team through monthly meetings to provide support to patients receiving end of life care.

Working age people (including those recently retired and students)

Good

Updated 13 August 2015

The practice is rated as good for the population group of working-age people (including those recently retired and students). There were extended evening hours each Monday until 7pm. The practice was proactive in offering on-line services for making appointments and ordering repeat prescriptions. Patients were offered a ‘choose and book’ service when they were referred to hospital outpatient services. This system gave them greater flexibility about when and where they were referred to. The practice carried out NHS health checks for patients between the ages of 40 and 74.

People experiencing poor mental health (including people with dementia)

Good

Updated 13 August 2015

The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). Care was tailored to patients’ individual needs and circumstances, including their physical health needs. Annual health checks were offered to patients with serious mental health illnesses. GPs had the necessary skills and information to assess and treat or refer patients with poor mental health. Practice staff had recognised the need and provided health checks and support for patients who had dementia.

People whose circumstances may make them vulnerable

Good

Updated 13 August 2015

The practice is rated as good for the population group of people whose circumstances may make them vulnerable. Practice staff discussed patients in vulnerable circumstances at joint meetings with relevant health and social care professionals to ensure they received appropriate care and support. The practice held a register of patients living in vulnerable circumstances including those with a learning disability and carried out regular health checks to ensure their needs were being met. There was a register of carers who cared for vulnerable patients to provide them with support. A GP explained how they sign posted carers to support agencies.