We carried out an announced comprehensive inspection at North Hyde on 4 November 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 have rated this practice as good overall and good for all population groups, with the exception of
f
amilies, children and young people, which is rated as requires improvement.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. For example, development of clinical and non-clinical staff, participation in the latent TB screening project, ongoing clinical audits, providing training placements for medical students and awarded the Teaching Excellence Award at the Annual Teachers Conference based on the feedback from medical students.
We saw areas of outstanding practice including:
- The practice was involved in a programme to screen patients who may have latent Tuberculosis (TB). (Latent TB is where bacteria are asleep in a person’s body, but can awaken in the future. If latent TB is detected it can be treated with appropriate medicines). Patients at risk were invited to attend to complete a screening form and blood test. The practice had screened over 450 patients in the last two years and identified 44 patients as having latent TB and they had received the treatment for eradication. They had identified two patients with possible active TB through this testing.
- The practice had developed a video on the social media platform in collaboration with the medical students to encourage the cervical screening uptake. The link of this video was shared with the patients via text messages. On the day of the inspection, the practice informed us that 77% of patients had attended the cervical screening test appointment. However, it was not possible to verify this data because the Public Health England recent data was not published.
We rated all population groups as good for providing responsive services. We rated all population groups as good for providing effective services, with the exception of families, children and young people, which is rated as requires improvement, because of low childhood immunisations rates.
Whilst we found no breaches of regulations, the provider should:
- Review and update the safeguarding lead details in safeguarding policies and review training arrangements in relation to safeguarding children, sepsis awareness and dementia awareness.
- Review and update the fire evacuation plan.
- Review recruitment procedures in place to ensure checks are undertaken as required.
- Continue to encourage and monitor the childhood immunisation, cervical and bowel cancer screening uptake.
- Consider a response to complaints includes information of the complainant’s right to escalate the complaint to the Ombudsman if dissatisfied with the response.
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