Askern Medical Practice Newapproachcomprehensive Report
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Askern Medical Practice Quality Report Askern Medical Practice The White Wings Centre Askern Doncaster DN6 0HZ Tel: 01302 700378 Website: www.mysurgerywebsite.co.uk/ Date of inspection visit: 11 January 2016 index.aspx?p=C86605 Date of publication: 31/03/2016 This report describes our judgement of the quality of care at this service. It is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information given to us from the provider, patients, the public and other organisations. Ratings Overall rating for this service Good ––– Are services safe? Good ––– Are services effective? Good ––– Are services caring? Good ––– Are services responsive to people’s needs? Good ––– Are services well-led? Good ––– 1 Askern Medical Practice Quality Report 31/03/2016 Summary of findings Contents Summary of this inspection Page Overall summary 2 The five questions we ask and what we found 4 The six population groups and what we found 6 What people who use the service say 9 Detailed findings from this inspection Our inspection team 10 Background to Askern Medical Practice 10 Why we carried out this inspection 10 How we carried out this inspection 10 Detailed findings 12 Overall summary Letter from the Chief Inspector of General • The practice had good facilities and was well equipped Practice to treat patients and meet their needs. • There was a clear leadership structure and staff felt We carried out an announced comprehensive inspection supported by management. The practice proactively at Askern Medical Practice on 11 January 2016. Overall sought feedback from staff and patients, which it acted the practice is rated as good. on. Our key findings across all the areas we inspected were as • The provider was aware of and complied with the follows: requirements of the Duty of Candour. • Although audits had been carried out, we were told • There was an open and transparent approach to safety there was not a continuous quality improvement and an effective system in place for reporting and programme for future audit and patient review activity. recording significant events. • Risks to patients were assessed and managed. We saw three areas of outstanding practice: • Staff assessed patients’ needs and delivered care in • The practice had engaged with the local traveller line with current evidence based guidance. Staff had community and to improve access to healthcare the skills, knowledge and experience to deliver services for them. The lead GP won the Inclusivity effective care and treatment. Leader of the Year award 2014 from NHS Health • Patients said they were treated with compassion, Education England Regional Leadership Recognition dignity and respect and they were involved in their Award (Yorkshire and the Humber) for this work. care and decisions about their treatment. • The practice offered local high school students the • Information about services and how to complain was opportunity to come into the practice and learn more available and easy to understand. about careers in primary care. The lead GP had won • Patients said they found it difficult to get through to the Mentor/Coach of the Year 2015 from NHS Health the practice by telephone first thing in the morning to make an appointment. Urgent appointments are available the same day but often filled quickly. 2 Askern Medical Practice Quality Report 31/03/2016 Summary of findings Education England Regional Leadership Recognition • Make arrangements for all staff to complete level one Award (Yorkshire and the Humber) for their work safeguarding childrens training as recommended in mentoring and coaching students applying to become the Intercollegiate Guideline (ICG) “Safeguarding healthcare professionals. Children and Young People: roles and competences for • The practice held quarterly education sessions for health care staff” (2014). patients and members of the PPG. Topics in the last • Implement a procedure to monitor prescription pad year included social prescribing and befriending, use complying with NHS Protect Security of common hand and eye consultant services for Prescription guidance. patients, bone and joint problems and the risks Professor Steve Field CBE FRCP FFPH FRCGP associated with addictive controlled drugs. Further Chief Inspector of General Practice events were planned for this year. The areas where the provider should make improvement are: 3 Askern Medical Practice Quality Report 31/03/2016 Summary of findings The five questions we ask and what we found We always ask the following five questions of services. Are services safe? Good ––– The practice is rated as good for providing safe services. There was an effective system in place for reporting and recording significant events. Lessons were shared to make sure action was taken to improve safety in the practice. When there were unintended or unexpected safety incidents, people received reasonable support, truthful information, a verbal and written apology and are told about any actions to improve processes to prevent the same thing happening again. The practice had clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse. Risks to patients were assessed and managed. Are services effective? Good ––– The practice is rated as good for providing effective services. Data showed patient outcomes were at or above average for the locality. Staff assessed needs and delivered care in line with current evidence based guidance. Clinical audits demonstrated quality improvement. Staff had the skills, knowledge and experience to deliver effective care and treatment. There was evidence of appraisals and personal development plans for all staff. Staff worked with multidisciplinary teams to understand and meet the range and complexity of people’s needs. Are services caring? Good ––– The practice is rated as good for providing caring services. Data from the national GP patient survey showed that patients rated the practice lower than others for several aspects of care.This did not reflect what patients told us and comments received on the CQC comment cards. Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment. Information for patients about the services available was easy to understand and accessible. We also saw that staff treated patients with kindness and respect, and maintained confidentiality. Are services responsive to people’s needs? Good ––– The practice is rated as good for providing responsive services. 4 Askern Medical Practice Quality Report 31/03/2016 Summary of findings It reviewed the needs of its local population and engaged with the NHS England Area Team and Clinical Commissioning Group to secure improvements to services where these were identified. They had reviewed access for certain population groups following feedback from patients. Patients said they found it difficult to get through to the practice by telephone first thing in the morning to make an appointment. Urgent appointments are available the same day but often filled quickly. The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand and evidence. Are services well-led? Good ––– The practice is rated as good for being well-led. It had a clear vision and strategy to deliver high quality care and promote good outcomes for patients. Staff were clear about the vision and their responsibilities in relation to this. There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity. There was an overarching governance framework which supported the delivery of the strategy and good quality care. This included arrangements to monitor and improve quality and identify risk. The provider was aware of and complied with the requirements of the Duty of Candour. The GP encouraged a culture of openness and honesty. The practice had systems in place for knowing about notifiable safety incidents The practice proactively sought feedback from staff and patients, which it acted on. 5 Askern Medical Practice Quality Report 31/03/2016 Summary of findings The six population groups and what we found We always inspect the quality of care for these six population groups. Older people Good ––– The practice is rated as good for the care of older people. The practice offered proactive, personalised care to meet the needs of the older people in its population. It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs. People with long term conditions Good ––– The practice is rated as good for the care of people with long term conditions. Practice nursing staff had lead roles in long term condition management and 2% of patients at risk of hospital admission were identified as a priority. Diabetes care related indicators were 4% above the CCG and 11% above the national average. Longer appointments and home visits were available when needed. All these patients had a named GP. Patients attended structured annual reviews to check their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. Families, children and young people Good ––– The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency attendances. Immunisation rates were relatively high for all standard childhood immunisations. Patients told us children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this. The practice’s uptake for the cervical screening programme was 80%, which was comparable to the CCG average of 82% and the national average of 77%.