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Beech House Medical Practice Good

Inspection Summary


Overall summary & rating

Good

Updated 14 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Beech House Medical Practice on 18 November. Overall the practice is rated as good.

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

  • The practice is situated in a purpose built health centre. The practice was clean and had good facilities including disabled access, translation services and a hearing loop.
  • The practice had recently altered the staffing structure and had just recruited a pharmacist.
  • There were systems in place to mitigate safety risks including analysing significant events and safeguarding.
  • The practice was aware of and had systems in place to ensure compliance with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment).
  • Patients’ needs were assessed and care was planned and delivered in line with current legislation.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. The practice sought patient views about improvements that could be made to the service and acted, where possible, on feedback.
  • Staff told us they felt valued, worked well together as a team and all felt supported to carry out their roles.

There were outstanding elements of practice including:-

  • As a result of a complaint, the practice had built a bespoke website. The website was colour coded for information for specific groups of patients making it easier for patients to navigate. In addition, the practice had the corresponding information available in the waiting room by having the same colour coded scheme on separate notice boards.

  • The practice had developed a patient information booklet specifically for teenagers covering a wide range of health issues that they may not wish to ask about in person.

  • The practice had an information board for patients covering varying types of mental health issues. The information was set out by asking the patient what type of issue they had and then giving the patient a link to where they could access further information or self- help support.

However, the practice should

  • Develop a protocol for medication reviews.
  • Update the complaints practice procedure and patient information leaflet to reflect that patients can complain to NHS England as an alternative, if they do not wish to directly complain to the practice.
  • Analyse trends from significant events.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 14 December 2016

The practice is rated as good for providing safe services. The practice took the opportunity to learn from internal incidents and safety alerts, to support improvement. There were systems, processes and practices in place that were essential to keep patients safe including infection control and safeguarding. 

Effective

Good

Updated 14 December 2016

The practice is rated as good for providing effective services. Patients’ needs were assessed and care was planned and delivered in line with current legislation. Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were at or above average compared to the national average. Clinical audits demonstrated quality improvement. Staff worked with other health care teams. Staff received training suitable for their role.

Caring

Good

Updated 14 December 2016

The practice is rated as good for providing caring services. Patients’ views gathered at inspection demonstrated they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment. We also saw that staff treated patients with kindness and respect. 

Responsive

Good

Updated 14 December 2016

The practice is rated as good for providing responsive services. Information about how to complain was available and easy to understand and evidence showed the practice responded quickly to issues raised. Learning from complaints was shared with staff.

Well-led

Good

Updated 14 December 2016

The practice is rated as good for being well-led. There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity. The practice proactively sought feedback from staff and patients. Staff had received inductions and attended staff meetings and events. Staff told us they felt valued, worked well together as a team and all felt supported to carry out their roles.

Checks on specific services

People with long term conditions

Good

Updated 14 December 2016

The practice is rated as good for providing services for people with long term conditions. The practice had registers in place for several long term conditions including diabetes and asthma. Longer appointments and home visits were available when needed. All these patients had a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Two of the advanced nurse practitioners delivered the X-PERT patient course for diabetes management to help patients improve their lifestyle.

The practice was in the process of setting up patient health information evenings to discuss asthma and pre-diabetes.

Families, children and young people

Good

Updated 14 December 2016

The practice is rated as good for providing services for families, children and young people. New baby information packs were sent out to parents of new babies to advise to attend for health checks and vaccinations. The practice regularly liaised with health visitors to review vulnerable children and new mothers. 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.

The practice had developed a patient information booklet specifically for teenagers covering a wide range of health issues that they may not wish to ask for in person. Information was also available on the practice website.

Older people

Good

Updated 14 December 2016

The practice is rated as good for providing services for older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and was allocated to look after patients for a local care home. The practice participated in meetings with other healthcare professionals to discuss any concerns. There was a named GP for the over 75s.  Advanced nurse practitioners carried out home visits for patients over 65 years old to identify any problems early.

Working age people (including those recently retired and students)

Good

Updated 14 December 2016

The practice is as rated good for providing services for working age people. The needs of this population group had been identified and the practice had adjusted the services it offered to ensure these were accessible. There were online systems available to allow patients to make appointments. There were extended hours appointments available.

People experiencing poor mental health (including people with dementia)

Good

Updated 14 December 2016

The practice is rated as good for providing services for people experiencing poor mental health. Patients experiencing poor mental health received an invitation for an annual physical health check. Those that did not attend had alerts placed on their records so they could be reviewed opportunistically. Staff told us they contacted patients with dementia to remind them of their appointment times.

The practice had an information board for patients covering varying types of mental health issues. The information was set out asking the patient what type of issue they had and then giving the patient a link to where they could access further information or self- help support.

People whose circumstances may make them vulnerable

Good

Updated 14 December 2016

The practice is rated as good for providing services for people whose circumstances make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with a learning disability. It had carried out annual health checks and longer appointments were available for people with a learning disability.

The practice supported charity organisations, for example, the practice had previously hosted a Macmillan coffee morning.