Crystal Peaks Medical Centre

Updated 31 May 2016

Crystal Peaks Medical Centre is situated in Sheffield 20 which is an area of moderate deprivation. The practice is situated in purpose built premises with on site car parking and there are good links to the city centre. The practice has a list size of 6,500 patients.

There are four GP partners (two female and two male), one salaried GP (female) and a trainee GP (male); two practice nurses (both female); one nurse practitioner (female) (who is a nurse prescriber), a health care assistant (female) and a phlebotomist (female). There is a practice manager, a practice manager assistant, two administration staff and five receptionists. Crystal Peaks is a teaching practice.

The practice is open Monday to Fridays between 8 am and 6.30 but closes for lunch between 12.30 pm and 2.00 pm. Morning pre-bookable appointments are from 8.30am to 10.00am and there are also urgent access appointments available between 10am – 11.40am. Afternoon appointments are from 2.00 pm and 6.30 pm and there are also book on the day afternoon slots which patients can access by telephone at 2 pm. Extended surgery hours are offered on Tuesday and Friday mornings from 7.30 and Wednesday evenings from 6.30 pm until 7.00 pm. Saturday morning clinics are available from 9 am until 11 am one Saturday per month.  NHS 111 out of hours services are in place if the practice is closed.

Updated 31 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Crystal Peaks Medical Centre on 13 April 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• The practice used innovative methods to improve patient outcomes, working with other local providers to share best practice. For example, the practice is participating in neighbourhood working with local practices.
• Feedback from patients about their care was strongly positive.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs. For example, the practice is a test site and part of a locality pilot for Shared Medical Appointments for patients suffering with hypertension.
• The practice made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group. For example, changes have been made to the telephone and appointment systems to improve access.
• 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
• The practice had a clear vision which had quality and safety as its top priority.

We saw several areas of outstanding practice including:

• The practice will be delivering as part of a locality pilot Shared Medical Appointments

However there were areas of practice where the provider should make improvements:

• The practice should review its emergency equipment provision.
• Sharps boxes in treatment rooms should be safely re-positioned and ensure that temporary closures in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 May 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Performance for diabetes related indicators was similar to the national average. For example the percentage of patients with diabetes on the register who had a blood test the preceding 12 months i was 75% (national average 77%)
• 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. 

Updated 31 May 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 A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• 82% of patients diagnosed with asthma, on the register had had an asthma review in the the last 12 months compared to the national average of 75%.
• 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.
• The practice’s uptake for the cervical screening programme was 94%, which was above 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, and health visitors. 

Updated 31 May 2016

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.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 31 May 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 ed the needs for this age group. 

Updated 31 May 2016

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• 88% of patients diagnosed with dementia who had had their care reviewed in a face to face meeting in the last 12 months, which i was comparable to the national average of 84%.
• Performance for mental health related indicators i was lower than the national average. For example the percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have d a comprehensive, agreed care plan documented in the record i was 78% (national average 88%).
• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.
• The practice carried out advance care planning for patients living 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 those living with dementia.

Updated 31 May 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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
• 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.