Charlestown Medical Practice - Care Quality Commission

Latest inspection summary

Background to this inspection
Overall inspection
People with long term conditions
Families, children and young people
Older people
Working age people (including those recently retired and students)
People experiencing poor mental health (including people with dementia)
People whose circumstances may make them vulnerable

Background to this inspection

Updated 24 August 2017

Charlestown Medical Practice is located in the Blackley area of Manchester. It is part of and managed by GTD healthcare, a not for profit social enterprise.

The practice is located in the same building as a range of community clinics providing services. The practice is fully accessible to those with mobility difficulties. There is a small car park with disabled parking spaces.

At the time of our inspection there were approximately 4000 patients registered with the practice. The practice is overseen by North Manchester Clinical Commissioning Group (CCG). The practice has an Alternative Primary Medical Services (APMS) contract. The APMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

The practice employs one full time GP (male) and two part time GPs (female). There is also a nurse practitioner and assistant practitioner, formerly known as a healthcare assistant. Members of clinical staff are supported by a practice manager and administrative staff. At the time of the inspection there was no permanent practice nurse in place however this was covered through agency staff.

The practice has an average patient population with regard to gender and age mix, although there was a slightly higher than average number of patients in the working age group and children age group. The male life expectancy for the area is 74 years compared with the CCG averages of 73 years and the national average of 79 years. The female life expectancy for the area is 78

years compared with the CCG averages of 78 years and the national average of 83 years.

The practice is open:

• Monday - 8am to 8pm

• Tuesday - 8am to 6.30pm

• Wednesday- 8am to 6.30pm

• Thursday - 8am to 8pm

• Friday - 8am to 6.30pm

• Saturday – 9am to1pm

Patients requiring a GP outside of normal working hours are advised to call “Go-to-Doc” using the usual surgery number and the call is re-directed to the NHS 111out-of-hours service. The surgery is part of Prime Ministers GP Access (GPPO) scheme offering extended hours and weekend.

Overall inspection

Good

Updated 24 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Charlestown Medical Practice on 14 June 2016. The overall rating for the practice was good however there were improvements required in the key question safe. The full comprehensive report on the 14 June 2016 inspection can be found by selecting the ‘all reports’ link for Charlestown Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 15 August 2017 to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings at this inspection were as follows:

We reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe Care and Treatment.
There was now an effective system in place to manage and monitor infection control.
There were clear processes and checks for the healthcare assistant (now called assistant practitioner) in following the Patient Specific Directions (PSD). A Patient Specific Direction (PSD) is an instruction to administer a medicine to a list of individually named patients where each patient on the list has been individually assessed by that prescriber. The prescriber must have adequate knowledge of the patient's health, and be satisfied that the medicine to be administered serves the individual needs of each patient on that list.
The GPs had appropriate emergency medicines available when attending home visits.
The practice held records to show staff were immunised against infectious diseases, in particular for Hepatitis B. Hepatitis B is an infection of the liver caused by a virus that's spread through blood and body fluids.
Blank prescription forms and pads were securely stored and there were systems in place to monitor their use.
There was now a patient participation group (PPG) in place that had met regularly since the last inspection and were looking at ways to engage with the patient population.

http://www.cqc.org.uk/search/services/doctors-gps

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Archived: Charlestown Medical Practice

Latest inspection summary

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Background to this inspection

Overall inspection

Letter from the Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

People with long term conditions

Families, children and young people

Older people

Working age people (including those recently retired and students)

People experiencing poor mental health (including people with dementia)

People whose circumstances may make them vulnerable