Background to this inspection
Updated
12 September 2016
Blyth Road Medical Centre is located in the village of Maltby on the outskirts of Rotherham. The practice provides personal medical care services for approximately 6,047 patients under the terms of the nationally agreed NHS General Medical Services contract. The area is classed as within the group of the fourth most deprived areas in England. The age profile of the practice population is broadly similar to other GP practices in the Rotherham District Clinical Commissioning Group (CCG) area.
The practice has three male GPs partners. They are supported by three practice nurses, one healthcare assistant, ten administrative staff and one practice manager.
The practice is open weekdays from 8am to 6.30pm with extended opening on Thursday evenings until 8pm and Friday mornings from 7.15am. GP appointments are available between 8.30am to 11am and 3pm to 5.30pm Monday to Wednesday. Thursday from 8am to 11am and 6.30pm to 8pm. Friday from 7.15am to 11am and 4pm to 6.30pm.
The practice is closed one Thursday afternoon per month for planned training sessions. The practice nurses offer appointments for diabetes, asthma, family planning, vaccines and immunisations. A midwife, mental health practitioner and a drug and alcohol counsellor hold clinics at the practice each week.
Out of hours care is provided by Rotherham out of hours service and is accessed via the surgery telephone number and listening to the message or calling the NHS 111 service.
Updated
12 September 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 24 March 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the regulatory breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 Regulation 12 Safe care and treatment and Regulation 17 Good governance.
We undertook this comprehensive inspection on 21 July 2016 to check that they had followed their plan and to confirm that they now met the legal requirements.
Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
12 September 2016
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 patients at risk of hospital admission were identified as a priority.
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Performance for diabetes related indicators had improved since our last visit.
- Longer appointments and home visits were available when needed.
- All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients 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
Updated
12 September 2016
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 that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
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The practice’s uptake for the cervical screening programme was 98%, which was above the CCG average of 82% and the national average of 81%.
- Appointments were available outside of school hours and the premises were suitable for children and babies.
We saw positive examples of joint working with midwives, health visitors and school nurses
Updated
12 September 2016
The practice is rated as good for the care of older people.
- All patients had a named GP.
- The practice offered proactive, personalised care to meet the needs of 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.
- The GPs held a clinic at the local care homes every two weeks incorporating medication and long term condition reviews along with regular appointments.
Working age people (including those recently retired and students)
Updated
12 September 2016
The practice is rated as good for the care of working-age people (including those recently retired and students).
- The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
People experiencing poor mental health (including people with dementia)
Updated
12 September 2016
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).
- All patients diagnosed as living with dementia had their care reviewed in a face to face meeting in the last 12 months.
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All patients with complex mental health illness had their care reviewed in a face to face meeting in the last 12 months.
- The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
- The practice carried out advance care planning for patients with dementia.
- The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
- The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
- Staff had a good understanding of how to support patients with mental health needs and dementia.
People whose circumstances may make them vulnerable
Updated
12 September 2016
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
- The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
- The practice offered longer appointments for patients with a learning disability.
- The practice regularly worked with other health care professionals in the case management of vulnerable patients.
- The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
- Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.