• Doctor
  • GP practice

Dr T Crawford & Partners Also known as Greenview Surgery

Overall: Good read more about inspection ratings

129 Hazeldene Road, Northampton, Northamptonshire, NN2 7PB (01604) 791002

Provided and run by:
Dr T Crawford & Partners

Important: We are carrying out a review of quality at Dr T Crawford & Partners. We will publish a report when our review is complete. Find out more about our inspection reports.

Latest inspection summary

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Background to this inspection

Updated 22 July 2016

Dr Crawford and partners is a GP practice which provides primary medical services under a General Medical Services (GMS) contract to a population of approximately 7,430 patients living in Northamptonshire. A GMS contract is a standard nationally agreed contract used for general medical services providers.

The practice operates from two storey purpose built premises with 11 consulting rooms which are all on the ground floor. The practice population has a higher than average number of patients aged 50 to 60 years and 70 years onwards. National data indicates that the area is one that experiences moderate levels of deprivation. The practice population is made up of predominantly white British patients with pockets of patients of eastern European origin.

There are two GP partners who are both female, who employ five salaried GPs; three male and two female. The practice employ two nurse practitioners, three practice nurses; one of whom specialises in long term conditions, two health care assistants, a practice manager and assistant practice manager, who are supported by a team of administrative and reception staff. The practice accommodate the district nursing and health visiting team and the community midwife attends the practice to carry out two clinics per week. The First for Well-Being Service also attends the practice, which provides support for patients experiencing social isolation and helps address emotional wellbeing. The Community Law Service attend the practice regularly to provide support, advice and advocacy regarding financial, housing and employment issues.

The practice is accredited as a teaching practice where they support qualified doctors to carry out additional training to become GPs as well as opportunities for medical students to gain experience in general practice.

The practice is open on Mondays and Wednesdays between 7.30am and 6.30pm, Tuesdays from 7am until 6.30pm, Thursdays 8am until 6.30pm and Fridays 7am until 7pm. These times include extended hours appointments.

When the surgery is closed services are provided by Integrated Care 24 out of hours provider who can be contacted via the service via NHS 111.

Overall inspection

Good

Updated 22 July 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Crawford and partners on 14 June 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 and staff demonstrated an awareness and involvement in the process.
  • 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 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 and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care and patients could access urgent appointments on the same day without difficulty.
  • 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:

  • To carry out regular formal audits to demonstrate monitoring of infection control.
  • To introduce a formal induction checklist to clearly show all topics undertaken at induction including training.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

People with long term conditions

Good

Updated 22 July 2016

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

  • Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. The practice monitored these patients closely offering support and had demonstrated a reduction in admissions as a result.
  • Diabetes indicators from the QOF were comparable with the national and CCG averages, for example, the percentage of patients with diabetes, on the register, in whom the last blood pressure reading (measured in the preceding 12 months) was 140/80 mmHg or less was 79% which was comparable with the national average of 78%.
  • Longer appointments were provided for long term condition reviews and home visits were undertaken when needed.
  • The practice had an allocated member of staff responsible for ensuring the call and recall system operated efficiently and effectively.
  • All these patients had structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 22 July 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. Immunisation rates were high for all standard childhood immunisations.
  • 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.
  • Cervical screening rates were at 80% and comparable with the national average of 82%.
  • Appointments were available outside of school hours and the premises were suitable for children and babies.
  • The practice offered a range of services for this group including eight week baby medical checks prior to immunisation and family planning services and post-natal depression screening.
  • We saw positive examples of joint working with midwives and health visitors.

Older people

Good

Updated 22 July 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.
  • The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
  • The practice had identified a specific member of staff to co-ordinate daily liaison with staff involved in delivery of care of older patients and organisation of weekly ward rounds to the local care homes they provided services to.
  • The practice see all new patients, including those in care homes, within a month of registering with the practice and develop shared care plans during this process including end of life.
  • The practice signpost to a variety of support organisations such as Age UK.

Working age people (including those recently retired and students)

Good

Updated 22 July 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 including electronic prescribing as well as a full range of health promotion and screening that reflects the needs for this age group.
  • The practice offered NHS health checks and new patient checks and reported a good uptake of this service.

People experiencing poor mental health (including people with dementia)

Good

Updated 22 July 2016

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

  • 89% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 84%.
  • 94% of patients with schizophrenia, bipolar affective disorder and other psychoses had had a comprehensive, agreed care plan documented in the record, in the preceding 12 months which was comparable to the national average of 89%.
  • The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
  • The practice carried out advance care planning for patients with dementia.
  • The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations and engaged with ‘First for Wellbeing’, a service that provided social support and addressed social isolation and emotional wellbeing who attended the practice regularly.
  • The community mental health lead was based at the practice and they met weekly with them for advice regarding mental health issues.
  • 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.
  • Staff had a good understanding of how to support patients with mental health needs and dementia.

People whose circumstances may make them vulnerable

Good

Updated 22 July 2016

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

  • The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
  • The practice offered longer appointments for patients with a learning disability.
  • The practice regularly worked with other health care professionals in the case management of vulnerable patients.
  • The practice informed vulnerable patients; such as carers, 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.
  • The practice accommodated the Community Law Service which provided advice and advocacy for financial, housing and social needs.
  • The practice had identified 246 patients as carers which represented 3.2% of the practice list
  • The First for Well-Being Service also attends the practice, which provides support for patients experiencing social isolation and helps address emotional wellbeing.