Background to this inspection
Updated
3 July 2018
Stockwell Road Surgery is located in the centre of the town of Knaresborough at 21 Stockwell Road HG5 0JY; www.stockwellroadsurgery.co.uk. The practice offers services to patients in rural and urban areas and has 7,016 patients registered. They have a higher than national average population of patients aged over 65+ years. The practice is in the lowest decile of deprivation i.e. within the 10% least deprived areas in the country. The population is predominately white British with only 1.5% from the black and minority ethnic group. It is part of NHS Harrogate and Rural District Clinical Commissioning Group (CCG). The practice is registered to provide surgical procedures, family planning, treatment of disease, disorder or injury, diagnostic and screening procedures and maternity and midwifery services
The practice provides General Medical Services (GMS) under a contract with NHS England. The practice is also contracted to provide a number of enhanced services, which aim to provide patients with greater access to care and treatment on site.
There are five GPs, one male and four female (four are GP partners with one salaried GP); three practice nurses, one healthcare assistant and a number of attached community staff. These are supported by a practice manager and an experienced team of reception/ administration staff.
The practice is open between 8am and 6.00pm Monday to Friday. When the practice is closed, out-of-hours services are provided by a local out of hours provider.
The practice is a teaching and training practice for medical students, doctors, GPs and nurses.
The practice displayed the previously awarded CQC rating in the surgery and on the website.
Updated
3 July 2018
This practice is rated as Outstanding overall. (Previous inspection September 2015 – Outstanding)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Outstanding
Are services responsive? – Outstanding
Are services well-led? - Outstanding
We carried out an announced comprehensive inspection at Stockwell Road Surgery on 9 May 2018, as part of our inspection programme.
At this inspection we found:
- 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.
- 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.
- There was evidence of safe prescribing with reviews undertaken with those patients who were prescribed high risk medicines.
- Patients’ comments were positive regarding access to appointments and the service they received form practice staff.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was evidence of a cohesive practice team. Support and respect was shown by all members of staff towards one another.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- There was a range of inclusive meetings to ensure all staff were engaged and kept up to date.
- GP national survey results were consistently above local and national averages in all areas.
- The practice reviewed appointment availability throughout the day to ensure that same day appointments were available.
We saw three areas of outstanding practice:
- The practice availability of appointments was intensively monitored constantly to ensure same day appointments were always available. Patients reported they could always access same day appointments as a result of the appointment system.
- The practice had a comprehensive audit programme across a range of service areas to monitor and improve patients care. The programme was managed so that two or more cycles were evident in more than 10 audit areas enabling better management of risk.
- The practice engaged with academic institutions and participated in significant research programmes for the benefit of its own patients and the wider population. Their contribution to clinical care was recognised by the local medical school.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
3 July 2018
People experiencing poor mental health (including people with dementia)
Updated
3 July 2018
People whose circumstances may make them vulnerable
Updated
3 July 2018