Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. This is the first inspection of this practice since being registered as a location of McKenzie Group Practice.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students) – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Wynyard Medical Centre on 6 February 2018. The reason for the inspection was as part of our inspection programme.
At this inspection we found:
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The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
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The practice was open and transparent, and had systems in place to adhere to the Duty of Candour.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
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Quality improvement was embedded into the organisation.
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The practice displayed a strong commitment to multidisciplinary working and could evidence how this positively impacted on individual patient care.
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Discussion with staff and feedback from patients showed that staff were highly motivated to deliver care that was respectful, kind and caring.
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The practice organised and delivered their services to meet the needs of their patient population. They were proactive in understanding the needs of the different patient groups.
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The practice demonstrated a clear commitment to developing increased skill mix within all staff teams and there was clear evidence of the up-skilling of staff.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice:
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The practice demonstrated a strong commitment to ongoing development and innovative practice for the benefits of their practice population.
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The leadership in the practice drove continuous improvement and staff were accountable for delivering change. There was a clear proactive approach to seeking out and embedding new ways of providing care and treatment.
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The practice had developed effective multi-disciplinary working arrangements for identifying and supporting more complex patients. We saw evidence from minutes of meetings involving among others; Social Services, Cleveland Constabulary, Hartlepool and North Tees NHS Trust. We saw agreed plans were in place for the management of a number of patients with complex needs, which set out agreed parameters and ensured consistency in approach.
The areas where the provider should make improvements are:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice