Scarborough Medical Group

Updated 28 May 2019

Scarborough Medical Group is made up of three surgeries,

Danes Dyke Surgery, 463a Scalby Road, Newby, YO12 6UB (main surgery) (dispensing)

Opening times are Monday to Friday 8am to 6.30pm

South Cliff Surgery, 56 Esplanade Road, Scarborough, YO11 2AU (branch)

Opening times are Monday to Friday 8am to 6pm

Cloughton Surgery, 1 Station Lane, Cloughton, YO13 0AD (branch) (dispensing)

Opening times are Monday, Wednesday and Thursday 9am to 1pm and Tuesday and Friday 2pm to 4pm

The website address is www.scarboroughmedicalgroup.co.uk.

The practice provides General Medical Services (GMS) under a locally agreed contract with NHS Scarborough and Ryedale Clinical Commissioning Group for patients living in Scarborough and surrounding areas. The practice is registered with the Care Quality Commission to provide the following regulated activities:

•Treatment of disease, disorder or injury

•Diagnostics and screening procedures

•Surgical Procedures

•Family Planning

•Maternity and Midwifery

There are four GP partners, three male and 1 female and six salaried GPs all female. There are three nurse practitioners, three practice nurses and a treatment room nurse. There are three health care assistants and a phlebotomist. The team are led by a practice manager, assistant practice manager, patient services team leader and nurse manager. The practice is supported by a range of administration and reception staff. All staff rotate around the three surgeries.

Scarborough Medical Group were last inspected by the Care Quality Commission in November 2014 and found to be good overall.

When the practice is closed patients can ring the GP out of hours service via NHS 111, provided by Vocare.

Updated 28 May 2019

We carried out a focussed responsive inspection of Scarborough Medical Group on 23 May 2019. This inspection was in response to concerns raised anonymously with the Care Quality Commission. During this inspection we inspected the areas highlighted to us as concerns, which were in the safe domain only.

We inspected the main surgery, Danes Dyke Surgery, 463a Scalby Road, Scarborough, North Yorkshire, YO12 6UB. We also inspected the branch sites, South Cliff Surgery, 56 Esplanade Road, Scarborough, North Yorkshire, YO11 2AU and Cloughton Village Surgery, 1 Station Lane, Cloughton, North Yorkshire, YO13 0AD. Danes Dyke Surgery and Cloughton branch surgery are both dispensing surgeries.

The service had previously been inspected on 6th November 2014 and was rated as good across all domains and populations groups.

This report covers our findings in relation to the areas raised as concerns only.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and

information from the provider and other organisations.

We have rated this practice as good in the safe domain.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient safety.
• The systems and processes in place to keep children safe and safeguarded from abuse required improvement. Following the inspection, we were provided with evidence that the issues identified had been rectified.

Our key findings were as follows;

• The inspection highlighted a problem with access to safeguarding children information on the computer system for certain clinicians. We were shown evidence that this was rectified and shared in the wider locality to ensure it was not happening elsewhere.
• Safeguarding multi-disciplinary team meetings were not routinely held and the safeguarding children register was not up to date. Following the inspection, we were shown evidence that the practice had organised multi-disciplinary team meetings to discuss safeguarding issues and updated the child safeguarding register.
• Recruitment and induction checks were carried out in accordance with regulations.
• Premises, equipment and health and safety records were all up to date.
• Appropriate standards of cleanliness and hygiene were met and there was an action plan in place for any infection prevention and control issues identified by audit.
• Staff we spoke with were aware of their duty to maintain patient confidentiality and were up to date with information governance training.
• The practice had systems for the appropriate and safe use of medicines, including medicines optimisation.
• Dispensary services had standard operating procedures and staff who dispensed were appropriately trained for the role.

Whilst we found no breaches of regulations, the provider should:

Monitor the safeguarding children procedures that have been implemented to ensure they become embedded into practice.

Ensure that patient records are stored in lockable cabinets/rooms.

Updated 30 April 2015

The practice is rated as good for the care of people with long-term conditions. Staff had a good understanding of the care and treatment needs of these patients and nursing staff had lead roles in chronic disease management. The practice closely monitored the needs of this patient group. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. There was a recall programme in place to make sure no patient missed their regular reviews for conditions, such as diabetes, respiratory and cardiovascular problems. We heard from patients that staff invited them for routine checks and reviews. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Staff were skilled and regularly updated in specialist areas which helped them ensure best practice guidance was being followed.

Updated 30 April 2015

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. The practice offered comprehensive vaccination programmes which were managed effectively. Immunisation rates were relatively high for all standard childhood immunisations. The practice monitored any non-attendance of babies and children at vaccination clinics and worked with the health visiting service to follow up any concerns. Appointments were available outside of school hours and the premises were suitable for children and babies. All of the staff were responsive to parents’ concerns and ensured children who were unwell could be seen quickly by the GP or nurse.

Updated 30 April 2015

The practice is rated as good for the care of older people. The practice was knowledgeable about the number and health needs of older patients using the service and actively reviewed the care and treatment needs of these patients. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. Patients over the age of 75 had a named GP. The practice was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

In conjunction with another surgery in the area the practice was recruiting two part time district nurses to facilitate the NHS England strategy “Avoiding Unplanned Admissions / Proactive Care Programme Enhanced Services”. This was a strategy where the practice would liaise with local health and social care commissioners to work together for people with complex health needs. The nurses would work specifically with patients over the age of 75 to develop individualised care plans.

Updated 30 April 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of this population group 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 provided a range of options for patients to consult with the GP and nurse, including on-line booking. Useful information was available in the practice and on the website as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 30 April 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice maintained a register of patients who experienced mental health problems including dementia. The register supported clinical staff to offer patients an annual appointment for a health check and a medicines review. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. The practice offered access to other services, two days a week the Primary Care Mental Health Worker held clinics at the practice’s surgeries. Information was available for patients on counselling services and support groups.

Staff had received training on how to care for people with mental health needs and dementia.

Updated 30 April 2015

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. It had carried out annual health checks for people with a learning disability and 90% of these patients had received a follow-up. The practice offered these patients longer appointments. We found that all of the staff had a very good understanding of what services were available within their catchment area, such as supported living services, care homes and families with carer responsibilities.

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. They had access to the practices’ policy and procedures and discussed vulnerable patients at the clinical meetings.