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Townfield Doctors Surgery Good


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Townfield Doctors Surgery on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Townfield Doctors Surgery, you can give feedback on this service.

Inspection carried out on 17 September 2019

During a routine inspection

We decided to undertake a comprehensive inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

  • Are services safe?
  • Are services effective?
  • Are services caring?
  • Are services responsive?
  • Are services well-led?

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, for all key questions and all population groups.

  • The practice provided care in a way that kept patients safe and protected them from harm.
  • Patients’ needs were assessed, and they received care and treatment in line with guidelines.
  • The practice could demonstrate improved performance and active engagement with other health and social care agencies to provide coordinated care.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The practice leadership promoted the delivery of high-quality, person-centred care.
  • We received mixed feedback about the cohesiveness of team working and the practice culture but were consistently told this was improving.
  • The practice was acting to address issues identified after a serious incident.

We saw one area of outstanding practice:

  • The practice ran a programme of events aimed at meeting the needs of particular patient groups. In 2019, the practice had run events on mental health (to coincide with mental health awareness week); first aid training for parents; a healthy heart event; an early dementia awareness event; and a children's art workshop. The patient participation group was involved in suggesting ideas and running events. The events were used to raise awareness about the topic and the relevant services the practice provided and lead staff members. For example, the practice had provided relevant information for parents attending the art workshop about childhood immunisations. Feedback from people attending the workshops was very positive.

The areas where the provider should make improvements are:

  • Continue to monitor and encourage parents to have their children immunised in line with current guidelines.
  • Review patient feedback around clinicians’ listening skills and assess the scope for improvement.
  • Take action to improve the uptake of bowel cancer screening.
  • Ensure that actions taken to improve following a serious event are embedded into practice.
  • Review the scope to improve the quality of management and performance data, for example in relation to staff training.

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

Inspection carried out on 19 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Townfield Doctors Surgery on 19 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they felt the practice offered an excellent service and staff were caring, understanding, helpful and treated them with dignity and respect.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they had a named GP and there was continuity of care, with urgent appointments available the same day. However, some patients told us they found it difficult to make a routine appointment.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Revise the incident reporting form so that it supports the recording of notifiable incidents under the duty of candour.

  • Implement a process for the recording of completed actions taken in response to safety alerts.

  • Review options for the disposal of sharps used to administer cytotoxic medicines.

  • Implement a system to track blank prescriptions through the practice.

  • Complete a risk assessment for window blinds with free hanging looped cords installed in public areas.

  • Display notices informing patients of interpreting services available at the practice.

  • Identify and support more patients who are carers.

  • Formalise the practice strategy and business plans to demonstrate how they will be achieved.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice