This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Requires Improvement
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 Primary Care Manchester Ltd. on 21 July 2022 as part of our inspection programme as the service had not yet been inspected.
At this inspection we found:
The service was operating an effective, caring, responsive and well-led service. Systems, processes and governance arrangements were in place and working, although these would benefit from strengthening in some areas, in particular in relation to assurances sought from operational sites in relation to the safe key question, which is rated require improvement. The service delivered achieved key performance indicators and benchmarking standards and received generally positive feedback from the patients that used it.
For example:
- The practice had systems to manage risk so that safety incidents were less likely to happen, but these were not always fully effective. 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 and reported this regularly and openly to key stakeholders including the commissioners of the service. 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 feedback that they generally rated the service excellent or good and would recommend it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. In particular in relation to audits conducted by the service that ranged from consultation and treatment decisions, to referrals and the use of controlled drugs.
We saw one area of outstanding practice:
- We saw that the provider also ran a service to care homes that modelled the integrated care systems, incorporating care home staff, primary care staff and secondary care staff to provide proactive care and treatment to reduce admissions and increase general health for this vulnerable group. This service provided additional training for care home staff to ensure their participation in the health of their residents. Of the 361 patients in the service, all had had an annual review and medicines review, non-elective admissions were at 0.1% (target 0.4%) and all patients that were admitted were reviewed following the admission. Of the 361 patients, 81% had advanced care plans in place and 96% had had a flu vaccination. Of those patients that were at the end of their lives, 77% were facilitated to die in their preferred place of death.
The areas where the service should make improvements are:
- Ensure systems of assurance regarding infection prevention and control (IPC) are consistent and accurate.
- Review Service Level Agreements (SLAs) to ensure staff training is fully considered.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of General Practice