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Hobs Moat Medical Centre Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 1 February 2019

This practice is rated as Outstanding overall. At the previous inspection in September 2015 the practice were rated as good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Outstanding

Are services responsive? – Good

Are services well-led? – Outstanding

We carried out an announced comprehensive inspection at Hobs Moat Medical Centre on 15 January 2019 as part of our inspection programme.

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 concluded that:

  • Patients were able to access care and treatment in a timely way.
  • Quality Outcomes Framework data was generally in line, or above, local and national averages. Exception reporting data was generally lower than both the CCG and England averages in indicators such as long term conditions.
  • Staff we spoke with were positive about working at the practice and the leadership and management team.
  • We found several areas of continuous improvement and innovation undertaken by the practice and found the practice were always willing to participate in pilot studies and trials.
  • The practice assessed and responded to the needs of their population groups.
  • Patients with spoke with and the Patient Reference Group were positive about the practice, the services offered and the care and treatment delivered at the practice.

We rated the practice as good for providing safe, effective and responsive services.

We rated the practice as outstanding for providing caring services because:

  • Patient satisfaction through the National GP Patient Survey was higher than both the CCG and England averages across all indicators relating to caring.
  • Patient feedback through comment cards, reviews on NHS Choices and patient consultations on the day of the inspection were very positive about the caring nature of the practice.
  • The practice completed a number of patient surveys, in partnership with their Patient Reference Group, to understand their patient population and work to find new initiatives and innovations to meet those patient needs.
  • The practice had proactively identified and supported 485 carers, approximately 4.4% of the practice population. Patients identified as carers were eligible for a number of enhanced services such as tailored flu vaccination invitations, a carer’s support advisor held a monthly clinic at the practice and there was literature in the practice waiting room of local support groups and networks.

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

  • The practice demonstrated a strong leadership team with clear roles, responsibilities, lead areas and values. Staff we spoke with commented on how the strong leadership team provided clear direction and guidance and impacted on a positive working environment.
  • The practice worked proactively with the Patient Reference Group (PRG) to undertake a number of surveys and responded to patient need with a number of innovative services.
  • The practice had a strong culture of learning and development and encouraged staff to undertake further learning and training to increase the skill mix within the practice and provide enhanced services to patients.
  • The practice leadership team continually assessed and responded to patients’ needs within their population group. For example, the practice improved staff awareness and response in relation to suicide awareness and prevention following a higher than normal prevalence. In addition to this, the practice had purchased software for their website which enabled visually impaired patients to listen to the text and information on the website.
  • The practice worked to achieve a number of accreditations such as; Military Veteran Aware Accreditation, autism friendly, dementia friendly and Lesbian & Gay Foundation GOLD Pride in Practice to improve the quality of care for patients.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young 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