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Drs. Morris, Hamilton, Earl & Sowden Good Also known as Saltash Health Centre

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Drs. Morris, Hamilton, Earl & Sowden on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Drs. Morris, Hamilton, Earl & Sowden, you can give feedback on this service.

Review carried out on 11 February 2020

During an annual regulatory review

We reviewed the information available to us about Drs. Morris, Hamilton, Earl & Sowden on 11 February 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 31 July 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating April 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Saltash Health Centre on 31 July 2018 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 could access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • The practice worked closely with a military charity to display a heroes’ mural for the new extension at the practice. This was part of the practice’s support for military veterans and their families in the area. Saltash had a higher than average number of families with members in the armed forces due to the proximity of military bases in the area.
  • The practice was one of the first GP practices in the area to have employed three specialist paramedics. The practice had introduced its acute assessment clinic run by the paramedics and overseen by the duty GP. This clinic provided urgent care and allowed GPs to see patients with more complex needs.
  • The practice had achieved notable results in its childhood immunisation programme. The World Health Organisation target of 95% for childhood immunisations had been exceeded by 1.5% in all four key areas.

We identified areas of outstanding practice:

  • The practice had successfully continued to develop their secondary school outreach clinic called TicTac since our previous inspection in April 2015. TicTac clinics with practice GPs and nurses and a dedicated TicTac co-ordinator were held daily at the local secondary school. TicTac improved access to healthcare and contraception, anxiety and mental health issues, improved emotional and mental health and wellbeing, reduced unwanted teenage pregnancy, childhood obesity, helped young people give up smoking, reduced substance misuse and alcohol abuse and promoted collaborative and multi-agency working through direct links with the school’s safeguarding system. TicTac had provided over 1,000 appointments in the last 12 months.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.


Inspection carried out on 3 March 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

Saltash Health Centre was inspected on 3rd March 2015. This was a comprehensive inspection.

Overall the practice is rated as good for the five domains of safe, effective, caring, responsive and well led. It was also rated as good for providing services for five of the six population groups; with a rating of outstanding for the population group families, children and young people.

Our key findings were as follows:

Patients reported having good access to appointments at the practice and liked having a named GP which improved their continuity of care. Same day appointments were available. The practice was clean, well-organised, had good facilities and was well equipped to treat patients. There were effective infection control procedures in place.

The practice valued feedback from patients and acted upon this. Feedback from patients about their care and treatment was overwhelmingly positive. We observed a patient centred culture. Staff were motivated and inspired to offer kind and compassionate care and worked to overcome obstacles to achieving this. Views of external stakeholders were positive and were aligned with our findings.

The practice was well-led and had a clear leadership structure in place whilst retaining a sense of mutual respect and team work. There were systems in place to monitor and improve quality and identify risk and systems to manage emergencies.

Patients’ needs were assessed and care was planned and delivered in line with current legislation. This included assessment of a patient’s mental capacity to make an informed decision about their care and treatment, and the promotion of good health.

Suitable staff recruitment, pre-employment checks, induction and appraisal processes were in place and had been carried out. Staff had received training appropriate to their roles and further training needs had been identified and planned.

Information received about the practice prior to and during the inspection demonstrated the practice performed comparatively well with all other practices within the clinical commissioning group (CCG) area.

Patients told us they felt safe in the hands of the staff and felt confident in clinical decisions made. There were effective safeguarding procedures in place.

Significant events, complaints and incidents were investigated and discussed. Learning from these events was communicated and acted upon.

We found examples of outstanding practice:

The practice had been recognised as being young people friendly and had been EEFO approved. EEFO is a word that has been designed by young people, to be owned by young people. Part of this scheme is the use of a green card. This is a local collaboration between the practice and the local secondary school whereby a young person can request a green card from the school office allowing them to access medical services without the need to be asked lots of questions by teaching staff. The young person is then seen without the requirement to be given an appointment and is able to see a GP/nurse or associated health professional during the school lunch hour on the school premises. The scheme was set up to improve young peoples’ accessibility to health services.

The practice produced a business plan to NHS Kernow CCG and successfully set up a school outreach clinic called TicTac which holds daily lunchtime drop in sessions at the local secondary school. GPs and practice nurses attended the school on a rota basis with the other local practices to staff these clinics.

The practice was engaged in a programme called “Living Well,” which utilises Age Concern to visit and assess an older persons needs and put in place volunteers/helpers to improve their quality of life. This could be practical help with cleaning, shopping, transport or aimed at addressing their social needs by providing companions, clubs to attend, someone to visit and read them the paper once a week. This system ensures that social needs are being addressed along with the medical needs of the patient.

Practice nurses and health care assistance carried out complex leg ulcer dressings in the practice, which included complex layer bandaging. The practice took over this service as the provision in the community was reduced and it meant that by attending the practice it was more convenient for patients, rather than having to travel to the hospital. The practice received no additional funding for this; the patient participation group (PPG) provided the funds for a Doppler machine and other equipment to facilitate this service.

Action the provider SHOULD take to improve:

The provider should introduce a system to record and identify learning of GP appraisal and re-validation outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice