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Audley Health Centre Outstanding Also known as Drs Page, Turner, Hall, Sutton & Sweet

Reports


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 Audley Health Centre 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 Audley Health Centre, you can give feedback on this service.

Inspection carried out on 23 Oct 2019

During an inspection looking at part of the service

We carried out a focused inspection at Audley Health Centre on 23 October 2019 as part of our inspection programme. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: safe, effective and well-led. Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: caring and responsive from our last inspection in January 2015.

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 outstanding overall and in each population group.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs. Services had been tailored to meet the needs of the different population groups.
  • Nine of the 10 quality indicators used to monitor the effectiveness of the care and treatment provided to patients were above the national average.
  • There was a strong culture of collaboration with other services within the practice to improve the effectiveness of care and treatment provided to patients.
  • Staff were supported to develop their roles and influence changes in primary care locally and nationally.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • The patient participation group was very active and drove changes within the practice and primary care network.

We rated the practice as outstanding for providing effective services because:

  • The practice had developed a dynamic approach to the review of National Institute for Health and Care Excellence (NICE) guidelines that included constructive challenge and feedback to NICE for areas of improvement.
  • Clinical Commissioning Group data showed that the practice had been effective in reducing A&E attendances and non-elective admissions for older people.
  • The practice had initiated new approaches to managing the health of diabetic and pre-diabetic patients. Their findings had been published in two national professional journals.
  • Four of the six population groups were rated outstanding in effective due to improved positive outcomes for those groups of patients.

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

  • There was a strong culture of learning, innovation and recognition of staff achievements and contributions.
  • There was a clear and proactive approach to seeking out new ways of providing care and treatment.
  • The practice was not only proactive in managing, monitoring and improving outcomes for its own patients but it shared its learning locally and nationally to drive improvements within primary care.

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 12/01/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 12 January 2015 as part of our new comprehensive inspection programme.

The overall rating for this practice is outstanding. We found the practice to be outstanding in the effective, responsive and well led domains. We found the practice to be good in the safe and caring domains. We found the practice provided outstanding care to people with long term conditions.

The performance that led to the ratings of outstanding in effective, responsive and well-led services apply to everyone using the practice. The achievement of these ratings meant that the practice also provided outstanding services to all population groups including older people, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health.

Our key findings were as follows:

  • Patients were kept safe because there were arrangements in place for staff to report and learn from key safety risks. The practice had a system in place for reporting, recording and monitoring significant events over time.
  • Patients felt that they were treated with compassion, dignity and respect. The results of local and national patient opinion surveys were highly positive.
  • Practice staff were keen to share learning and provided numerous opportunities for medical students to develop under their guidance.
  • Patients told us the practice had a good range of appointments available that suited their needs and it was easy to make an appointment.

We saw several areas of outstanding practice including:

  • The quality and range of care provided was high. The practice offered a comprehensive range of services in house. Patients who required diagnostic tests for skin conditions, assessment of cardiovascular (heart and blood vessel) function received them at the practice. This resulted in lower referral rates and waiting times for patients. The practice had lower than local and national rates for emergency admissions and contact with accident and emergency departments and out-of-hours services. Patients told us that the practice offered the services and continuity they wanted and this was reflected in higher than average patient survey results.

  • The practice was inclusive for all. The practice cared for a number of patients who had previously displayed challenging behaviour and had developed positive relationships with them to address their behaviour. Also staff and students who had experienced difficulty were given high levels of support and had achieved high outcomes. The high levels of engagement and support provided by staff was evident throughout our inspection.
  • Leadership at the practice was reflective, strong and decisive. Although already achieving high outcomes in a number of areas, the practice team wished to improve their services and the experience of patients.

However, there were also an area of practice where the provider needs to make improvements.

The provider should:

Ensure that the system for monitoring and providing medicines for patients who receive anti-coagulation therapy and are housebound is robust and understood by all staff involved in their care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice