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Ashfield Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 21 November 2019

We carried out an announced comprehensive inspection at Ashfield Medical Centre also known as Dr Cassidy & Partners, on 22 January 2019. The overall rating for the practice was good with the practice rated as requires improvement for being safe.

From the inspection on 22 January 2019, the practice was told they must:

  • Ensure care and treatment is provided in a safe way to patients.

In addition, the practice was told they should:

  • Continue with efforts to identify and support carers within the practice population.
  • Continue with efforts to improve patient satisfaction with particular regard to the areas highlighted in the results of the national GP patient survey as being in need of improvement.
  • Monitor staff training to ensure timely completion of mandatory training.
  • Complete proposed testing for staff to provide assurance on staff immunity status.
  • Continue with efforts to reduce prescribing of antibacterial and hypnotic medicines where appropriate.

The full comprehensive report on the inspection carried out in January 2019 can be found by selecting the ‘all reports’ link for Ashfield Medical Centre on our website at .

This inspection was an announced focused inspection at Ashfield Medical Centre undertaken on 5 November 2019 as part of our inspection programme to follow up on concerns identified at our previous inspection.

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:

  • When incidents happened, the practice learned from them and improved their processes. In particular, improvements had been made to the management of safety alerts following concerns identified during our previous inspection.
  • The practice was working to support and identify carers within the population. There were 120 registered carers at the time of our inspection. The practice was using the support of the Integrated Community Support Team (ICST) to identify and support carers. The ICST provided the practice with access to a social work assistant who was able to offer additional support and information to carers and their dependents.
  • Systems for monitoring staff training had been developed. However, there was evidence of some gaps in record keeping. Immediately following our inspection, the practice submitted evidence to demonstrate these gaps were being filled.
  • The practice was making continued efforts to improve patient satisfaction as highlighted in the national GP patient survey. There had been some improvement in the practice’s performance in the most recent patient survey. For example, at the time of our previous inspection 28% of patients were satisfied with access to the practice via the telephone. This had improved to 45% in the most recent survey data (01/01/2019 to 31/03/2019). Similarly, satisfaction with the overall patient experience had improved from 65.6% to 74%.
  • All staff had been subject to appropriate testing of their immunity status in line with Public Health England Guidance. Those requiring additional vaccinations had received them.
  • The practice was able to demonstrate reduction in prescribing of antibacterial and hypnotic medicines where appropriate and was continuing with efforts to improve further.
  • The practice team displayed a willingness to learn and improve.

The areas where the provider should make improvements are:

  • Ensure all staff training records are appropriately maintained, particularly those relating to mandatory training as specified by the practice.
  • Continue with efforts to reduce prescribing of antibacterial and hypnotic medicines where appropriate.
  • Continue with efforts to improve patient satisfaction with particular regard to the areas highlighted in the results of the national GP patient survey as being in need of improvement.

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 areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good