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Ashton Medical Group Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 December 2019

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: are services effective, responsive and well-led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions from the previous inspection: are services safe and caring.

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 requires improvement overall and requires improvement for people with long term conditions and people experiencing poor mental health.

We found that:

  • Patients in the main received effective care and treatment that met their needs. However, the recall system was ad-hoc and not all patients had had an annual review in line with good practice.
  • 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. Improvements had been made to the way patients could access care and treatment.
  • The practice proactively sought feedback from staff and patients, which it acted on.
  • The way the practice was led, and managers promoted the delivery of person-centre care.

We rated the practice as requires improvement for providing effective services because:

  • There was limited monitoring of the outcomes for patients with long term conditions.
  • Quality Outcomes Framework data was significantly below local and national averages for patients with long term conditions.

We rated the practice as good for responsive services because:

  • The practice organised and delivered services to meet patients’ needs. There was a diverse skill mix of clinical staff to respond to patient’s needs, including those patients who required care at home.
  • In partnership with Community Wellbeing Tameside and Glossop the practice has recruited a team of 13 volunteer patient champions. The patient champions are able to offer waiting room support by directing patients to the right location and helping them to check in. They have also set up a monthly walking group, for patients of all abilities.

We rated the practice as requires improvement for providing well-led services because:

  • The practice processes for managing risks, issues and performance, were unclear and inconsistent.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Review safety net arrangements for reviewing results received whilst a GP is away from the practice.
  • Review data for childhood immunisations and look to implement systems to achieve targets.
  • Ensure there is a record of GPs completing level three safeguarding training and a record of DBS checks having taken place where required.
  • Continue to monitor improvements made to the telephone and appointment system.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief

Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Good

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Good