The Health Centre - Holmes Chapel Also known as Holmes Chapel Health Centre

Updated 17 August 2016

The Health Centre Holmes Chapel provides primary care services to its registered list of approximately 11,792 patients. The practice is located at London Road, Holmes Chapel, Cheshire. The practice catchment area is classed as within the group of the least deprived areas in England relative to other local authorities. For example, income deprivation affecting children was 5% compared to the national average of 20%.

There are seven GPs, four male and three female. They are supported by three practice nurses. There is also a practice manager and administration staff. The practice is also a training practice.

The male life expectancy for the area is 83 years compared with the CCG averages of 81 years and the national average of 79 years. The female life expectancy for the area is 86 years compared with the CCG averages of 84 years and the national average of 83 years.

The reception, waiting areas, consulting rooms and disabled toilet facilities are on the ground floor of the practice, training room and administration offices are located on the first floor. There is step free access into the building and access for those in wheelchairs or with pushchairs.

The practice was open between 7.30am and 7.30pm on Monday, 8.30am and 6.30pm on Tuesday and Wednesday and 7.30am and 6.30pm Thursday and Friday.

Out of hours care can be accessed via the surgery telephone number and is provided by GP Out of Hours Primary Care Centre or by calling the NHS111 service.

Updated 17 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Health Centre Holmes Chapel on 18 May 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.

• 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, with urgent appointments available the same day.

• 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:

• Ensure systems are in place that accurately record the actions and learning following significant events.

• Ensure vaccine stocks are audited monthly and recorded.

• Ensure risk assessments relating to personnel files are present when necessary.The practice should review its complaints procedures to ensure all final response letters correctly signpost complainants to the Public Health Service Ombudsman (PHSO) should they be dissatisfied with the practices response.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 17 August 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.

• Performance for diabetes related indicators was comparable to the national average. For example: the percentage of patients on the diabetes register, with a record of a foot examination and risk classification within the preceding 12 months (01/04/2014 to 31/03/2015) was 87% compared to the national average of 88%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a 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.

Updated 17 August 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 relatively 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.

• 80% of female patients aged 25-64 attended cervical screening within the target period compared with the national average of 74%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw examples of joint working with midwives, health visitors and school nurses.

Updated 17 August 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 kept up to date registers of patient’s health conditions and data reported nationally was that outcomes were comparable to that of other practices for conditions commonly found in older people.

Updated 17 August 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 as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 17 August 2016

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

• 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 told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• 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.

Updated 17 August 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 homeless people who were encourage to register the practice as a home address and 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 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.