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Review carried out on 16 July 2019

During an annual regulatory review

We reviewed the information available to us about Gibson Lane Practice on 16 July 2019. 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 2 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Gibson Lane Practice on 2 August 2016. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

Our key findings across all the areas we inspected were as follows:

  • There was a clear leadership structure, staff were aware of their roles and responsibilities and told us the GPs were accessible and supportive. There was evidence of an all-inclusive team approach for providing services and care for patients.
  • Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients’ needs were assessed and care was planned and delivered following local and national care pathways and National Institute for Health and Care Excellence (NICE) guidance.
  • Patients had good access to appointments over three locations, which included extended hours early morning, in an evening and on Saturdays. There was continuity of care and if urgent care was needed patients were seen on the same day as requested.
  • Information regarding the services provided by the practice and how to make a complaint was readily available for patients.
  • The practice sought views on how improvements could be made to the service, through the use of patient surveys, the NHS Friends and Family Test and engagement with patients and their local community. They were leading on a locality wide patient participation group with regard to the delivery of enhanced services such as patient liaison, extended access and healthy lifestyle support.
  • There were safe and effective systems in place, which included the management of medicines, patient care and safeguarding.
  • The practice had an organised and effective approach to infection prevention and control which was in line with recommended guidance. This was evidenced in their policies, audits and training of staff.
  • The practice promoted a culture of openness and honesty. There was a nominated lead for dealing with significant events. All staff were encouraged and supported to record any incidents using the electronic reporting system. There was evidence of good investigation, learning and sharing mechanisms in place.
  • The practice complied with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment.)

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Inspection carried out on 28 and 29 October 2014

During a routine inspection

We inspected this practice and the two branches at Garforth and Monk Fryston on the 28 and 29 October 2014 as part of our comprehensive inspection programme.

We found that the practice had made provision to ensure care for people was safe, caring, responsive, effective and well lead and we have rated the practice as good overall.

Our key findings were as follows:

  • Patients were satisfied with the approaches adopted by staff and said they were caring and helpful. We received a number of comments from patients who told us that the GPs took their time to listen to them.
  • The practice offers flexible appointment times and is open until 8pm one day per week and Saturday mornings. Appointments are available to book in advance. The practice also offers telephone consultations and an online appointment and prescription service.
  • The practice has a clear vision to deliver high quality care and promote good outcomes for patients. We found that these values are embedded within the culture of the practice. There are good governance and risk management processes in place. We found that the provider listens to patient comments and takes action to improve their service.
  • We looked at how well services are provided for specific groups of people and what good care looks like for them. We found that the practice actively monitors the needs of patients. We saw that they make arrangements for older patients and patients who have long term health conditions to be regularly reviewed and to attend the practice for routine checks. We found that appointments provide flexibility for patients who are working.

We saw some areas of outstanding practice including:

  • The practice had identified patients over the age of 74 years and those they considered to be at high risk of deterioration or admission to hospital due to the complexities of their health needs. Individual plans of care had been developed for these patients. Each patient considered at high risk had a named GP and a member of the reception staff as a named care coordinator. Patients were contacted at regular intervals by either their named GP or care coordinator to monitor the patients’ health and wellbeing.

However, there were also areas of practice where the provider needs to make improvements.

  • We found systems for infection prevention and control did not always follow recommended guidance.
  • Arrangements to control access to the controlled drug cupboard at the Monks Fryston site were not robust.

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice