Moorfield House Surgery

Updated 27 July 2018

Moorfield House Surgery is the provider of the practice which is located at 11 Wakefield Road, Garforth, Leeds LS25 1AN. It is based within a semi-rural area in the South East of Leeds. The premises are owned by one of the the GP partners.

The provider is contracted to provide Personal Medical Services to a registered population of approximately 4,515 patients. There are some variables to the practice patient profile compared to national figures. For example, the percentage of patients whose working status is classed as being unemployed is 3% (5% nationally) and the percentage of patients aged 65 years and over is 35% (27% nationally).

The ethnicity of the practice patient population is approximately 98% white British with the remaining 2% from mixed ethnic groups. The National General Practice Profile shows the level of deprivation within the practice demographics being rated as nine. (This is based on a scale of one to ten, with one representing the highest level of deprivation and ten the lowest.)

The provider is registered with the Care Quality Commission to provide the following regulated activities: diagnostic and screening procedures; treatment of disease, disorder or injury; maternity and midwifery services; family planning and surgical procedures.

The practice clinical team is made up of two GP partners and one salaried GP (all female), one practice nurse, two healthcare assistants and a clinical pharmacist. The practice team consists of a practice manager and a range of administration and reception staff. There were arrangements in place should a patient wish to specifically consult with a male GP.

Opening times for Moorfield House Surgery are 7.30am to 6pm Monday to Friday, with the exception of Tuesday when they open at 8am. Patients also had access to Saturday morning appointments which were run alternatively at two local practices.

Routine and urgent appointments are available, along with telephone consultations as appropriate. Patients can also make appointments via the practice’s online portal on their website. When the practice is closed out-of-hours serviced are provided by Local Care Direct, which can be accessed by calling the NHS 111 service.

We saw that the ratings from the previous inspection were displayed both in the practice and on the website.

Updated 27 July 2018

This practice is rated as Good overall. (A previous inspection undertaken on 28 October 2014 had rated the practice as Good overall.)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Outstanding

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

As part of our inspection programme, we carried out an announced comprehensive inspection at Moorfield House Surgery on 14 June 2018.

At this inspection we found:

• The practice had clear governance policies and protocols, which were accessible to all staff. There were clear systems in place 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. For example, in relation to their recall system regarding high-risk medicines. This system had subsequently been shared with other local practices as best practice.
• Patient care and treatment was delivered in line with up to date best practice guildance. There was evidence of quality improvement within the practice. Clinicians knew how to identify and manage patients with severe infections including sepsis.
• The practice was proactive in engaging with patients to encourage and support them to attend for reviews of their care needs and treatment.
• The practice had achieved 100% (559) of the total Quality and Outcomes Framework indicators. This was higher than local and national figures (530 and 539 respectively).
• The practice offered patients a range of access to appointments, such as telephone consultations and extended hours. Patients also had access to Saturday morning appointments via a local ‘hub’.
• Uptake rates for cancer screening programmes were higher than local and national averages.
• The practice were engaged with innovative schemes to support quality patient care and service delivery.
• Patients where overwhelmingly positive about the service, care and treatment they received at the practice.
• The practice had been acknowledged as the second highest practice in Leeds for patient satisfaction (using the national GP patient survey results).
• There was evidence of a cohesive team with a strong focus on continuous learning and improvement at all levels of the organisation.

We saw areas of outstanding practice:

• As a result of a significant incident, a template had been developed regarding the review of patients who were prescribed high risk medicines. This template had subsequently been shared with, and in the process of being adopted by, other local practices.
• The practice were proactive in identifying and supporting patients who were experiencing domestic abuse. They worked with the local police to raise awareness and support patients in disclosing their experiences of being abused. This had resulted in an increase in patients feeling able to discuss their experiences. Their work in this area had been presented both at a local and national level.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 27 July 2018

Updated 27 July 2018

Updated 27 July 2018

Updated 27 July 2018

Updated 27 July 2018

Updated 27 July 2018