We carried out an announced new style focused inspection at Sherburn Group Practice on 12 June 2019 as part of our inspection programme, following our annual regulatory review process.
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 and good for all population groups.
We found that:
- Patients received effective care and treatment that met
their needs.
- The way the practice was led and managed promoted
the delivery of high-quality, person-centre care.
- The practice had done significant work on the management of patients with non-visible haematuria. They had collaborated with the microbiologist to ensure that cases presumed to be caused by a urinary tract infection were followed up. This initiative had identified two bladder cancer cases and a patient with renal stones.
- The practice had collaborated with Leeds hospital so that practices in their area could access the Yorkshire and Humber Healthcare record. Access to the records and passwords were now available to all staff. This meant that any periods of care at Leeds hospital could now be accessed by the practice to improve safe and effective care,
- The nursing team had made improvements to the management of patients with asthma, high-risk asthma. This included an ‘at-risk’ alert on patient records which could be seen by out of hours services to prioritise care.
- The practice participated in a scheme to try to improve care for patients in care homes. This scheme involved a proactive approach with an annual review with the consultant for older people, a GP and care home staff to provide a holistic and preventative approach. The review included falls assessment and planning and education to avoid unnecessary hospital admissions.
- The practice had been involved in a frailty pilot where care home staff had been trained to make direct referrals to dietetics, speech and language therapy, physios and occupational therapists. Staff were required to follow protocols and the aim was to reduce the need for GP intervention.
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