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Davyhulme Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 16 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection January 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Davyhulme Medical Centre on 6 December 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • The practice had an established, proactive patient participation group.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • The practice had an informal process where receptionists were trained to signpost patients to the right person at the right time across a variety of health services.
  • The practice held a daily walk in clinic where children, the elderly and the most ill patients were seen by the GP as a priority.
  • Although the practice did not have a hearing loop most staff had completed basic sign language training.
  • All abnormal test results from the laboratories were dealt with on the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 16 January 2018

Effective

Good

Updated 16 January 2018

Caring

Good

Updated 16 January 2018

Responsive

Good

Updated 16 January 2018

Well-led

Good

Updated 16 January 2018

Checks on specific services

People with long term conditions

Good

Updated 5 February 2015

Emergency processes were in place and referrals made for patients in this group that had a sudden deterioration in health. When needed longer appointments and home visits were available. All these patients had a named GP and structured annual reviews to check their health and medication needs were being met. For those people with the most complex needs the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Families, children and young people

Good

Updated 5 February 2015

Systems were in place for identifying and following-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. Appointments were available outside of school hours and the premises was suitable for children and babies. We were provided with good examples of joint working with midwives, health visitors and school nurses. Emergency processes were in place and referrals made for children and pregnant women who had a sudden deterioration in health.

Older people

Good

Updated 5 February 2015

The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example in dementia and end of life care. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments.

Working age people (including those recently retired and students)

Good

Updated 5 February 2015

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.

People experiencing poor mental health (including people with dementia)

Good

Updated 5 February 2015

The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia). The practice had carried out annual health checks for people experiencing poor mental health. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health including those with dementia. The practice had sign-posted patients experiencing poor mental health to various support groups and third sector organisations such as MIND. The practice had a system in place to follow up on patients who did not attend practice appointments or had attended accident and emergency.

People whose circumstances may make them vulnerable

Good

Updated 5 February 2015

The practice had carried out annual health checks for people with learning disabilities and offered longer appointments for people with learning disabilities. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. The practice had sign-posted vulnerable patients to various support groups and third sector organisations and had arranged for a welfare benefits advisor to be accessible at the practice once a week. 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 and out of hours. People in vulnerable circumstances were able to register with the practice.