The Care Quality Commission
  • Doctor
  • GP practice

Archived: Your Health Partnership Also known as Regis Medical Centre

Overall: Requires improvement read more about inspection ratings

Darby Street, Rowley Regis, West Midlands, B65 0BA (0121) 559 3957

Provided and run by:
Your Health Partnership

Important: This service is now managed by a different provider - see new profile

All Inspections

During an inspection looking at part of the service

We carried out an announced focused inspection at Your Health Partnership (YHP)- Regis Medical Centre on 19 November 2019 as part of our inspection programme. As part of the inspection process we visited the five branch sites of Your Health Partnership during the inspection.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Effective, Responsive and Well-led. Because of the assurance received from our review of information we carried forward the rating for the following key questions: Safe and Caring.

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 Requires Improvement overall.

We rated the practice as requires improvement for families, children and young people and working age people (including those recently retired and students) in the Effective key question because:

  • Cervical screening targets were below the national average.
  • Childhood immunisation rates were below national average.

We rated the practice as requires improvement for all population groups in the Responsive key question because:

  • National patient survey results were below local and national averages for access.
  • Patient feedback highlighted difficulties in accessing the service.

We rated the practice as Outstanding for older people in the Effective key question because:

  • YHP cared for emergency assessment beds in the locality. There was a total of 55 beds across six care homes. The service was led by an advanced nurse practitioner who carried out weekly ward rounds at each of the homes. Weekly multi disciplinary team meetings were held with intermediate care and social services to ensure patients received a co-ordinated package of care when they left the care homes.
  • YHP had implemented a pathway to support the diagnosis and management of patients with dementia and to offer support to their carers. There was a lead nurse for dementia who worked closely with a Consultant Elderly Care Psychiatrist who offered review clinics once a month at Regis Medical Centre. A dementia information group had been started by the lead nurse to support patients and their carers.
  • YHP had implemented a range of projects to improve patient outcomes. For example: To address the number of smoking patients who were housebound and to offer an inhouse service; Patients’ responses showed there was a need for support to tackle loneliness. YHP decided a more person centred approach was required which may influence lifestyle changes. The primary care network link worker was asked to scope patient needs and review what services were available to offer support.
  • YHP had introduced a home visiting team of advanced nurse practitioners to support patients who could not attend the practices. The home visiting team monitored patients on the housebound register, patients who had recently been discharged from hospital and attended to patients requesting home visits. A GP supported the team by speaking with patients to ascertain the reason for the home visit when a request was made.

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

  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care. The practice had identified areas where there were gaps in provision locally and had taken steps to address them.
  • There were innovative approaches to providing integrated person-centred care.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
  • There was a strong emphasis on learning and sharing outcomes with the whole team and external organisations to promote best practice.
  • All opportunities for learning from internal and external incidents were maximised. All learning was shared with staff regularly.
  • Leaders demonstrated they had the capacity and skills to deliver high quality, sustainable care.

Whilst we found no breaches of regulations, the provider should:

  • Continue to monitor patient feedback to improve access to services.
  • Encourage patients to attend screening and immunisation appointments.
  • Review current processes for exception reporting to ensure they are appropriate for each patient.

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

18 March 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection on 18 March 2015. The practice has registered with the Care Quality Commission to provide primary care services to its local population. This is the report of the findings from our inspection.

We have rated each section of our findings for each key area. The practice provided a safe, effective, caring, responsive and well led service for the population it served. The overall rating was good and this was because the motivated practice staff consistently provided good standards of care for patients.

Our key findings were as follows:

  • Practice staff worked together as a team to ensure patients received the standards of care they needed. Practice staff were responsive to suggestions for improvements that lead to improved patient care. There was a clear leadership structure in place. Quality and performance were monitored and improvements made in service delivery.
  • There were safe systems in place for ensuring patients received appropriate treatments and prescribed medicines were regularly reviewed to check they were still needed. The practice planned its services to meet the diversity of its patients. Appointments length were need specific. Longer appointments were offered to some patients. For example, patients with a learning disability or multiple health conditions.
  • Patients were protected against the unnecessary risks of infections because staff adhered to appropriate hygiene practices and regular checks were carried out.
  • The practice was able to demonstrate a good track record for safety. Staff understood and fulfilled their responsibilities to raise concerns, report incidents and near misses. Staff used these opportunities to learn from incidents to support improvements.
  • Patients were treated with respect and their privacy was maintained. Patients informed us they were very satisfied with the care they received. The feedback we received from patients was without exception positive. There was a strong patient centred culture and motivated staff provided kind and compassionate care.
  • The practice facilitated eight hospital consultants held regular clinics at the practice for a range of specialties for patient’s convenience. For example, gynaecology, memory clinic and dermatology. These sessions were for the practice's own patients only.

We saw several areas of outstanding practice including:

  • The practice employed a specialist dementia nurse who visited patients in their own homes. The specialist nurse and a visiting hospital consultant held a monthly dementia clinic at the practice.

  • There were systems in place to identify and provide appropriate treatment to patients who had specific mental health needs. This included prompt review and regular and follow up to ensure their condition did not deteriorate. A GP with a specialist interest maintained a register and monitored patients who had been diagnosed with mental health problems. There were 112 patients on the significant mental health register.

  • The practice provided a weekly drop-in clinic for sexual health advice. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice