Background to this inspection
Updated
26 April 2016
The Henry Moore Clinic is located in Castleford, West Yorkshire, it operates a surgery at the Henry Moore Clinic and a branch at the Fryston Road Surgery also in Castleford. Both main and branch surgeries currently provide services for around 10,400 patients and in the past year has seen it’s practice list grow by over 260 patients.
The Henry Moore Clinic is located in a mixed residential and business area of Castleford and is located in a terrace of commercial properties. The premises itself has been converted from a previous commercial use. For the current patient population the practice reports that space is very limited. Parking is available outside the surgery for a limited period, however other parking is available on side streets. The Henry Moore Clinic is accessed via a low concrete ramp into a small lobby. The main reception and the majority of the consultation rooms are located on the first floor which can be accessed via stairs or a passenger lift.
The Fryston Road Surgery is located in the Airedale area of Castleford and is approximately two miles from the Henry Moore Clinic, parking is available on the surgery site and access to the premises is suitable for those with a disability.
The practice is a member of the NHS Wakefield Clinical Commissioning Group (CCG.)
The practice population age profile shows that it is slightly below the England average for those over 65 years old (17% of the practice population is aged over 65 as compared to the England average of 18%) and 62% of the practice population report having a long standing health condition compared to a CCG average of 58% and an England average of 54%. Average life expectancy for the practice population is 76 years for males and 81 years for females (the CCG average is 77 years for males and 81 years for females and the England average is 79 years for males and 83 years for females respectively). The practice is located in an area of relative deprivation being ranked in the third most deprived decile. In general those with a long standing health issues and those living in more deprived areas tend to have a greater need for health services.
The practice provides services under the terms of the General Medical Services (GMS) contract and is registered with the Care Quality Commission (CQC) to provide the following services; treatment of disease, disorder or injury, diagnostic and screening procedures, family planning, and maternity and midwifery services and surgical procedures. In addition to this the practice offers a range of enhanced local services including those in relation to:
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Childhood vaccination and immunisation
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Influenza and Pneumococcal immunisation
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Rotavirus and Shingles immunisation.
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Learning disability support
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Dementia support
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Patient participation
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Extended hours access
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Minor surgery
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Improving patient online access
As well as these enhanced services the practice also offers or hosts additional services including:
The practice has four GP partners (one male, three female), one salaried GP (female), there are also currently two GP Registrars and one medical student gaining training and experience within the practice. In addition there is a nursing team of three practice nurses (female) and three health care assistants (female). Clinical staff are supported by a practice manager, an administration/reception team and a team of cleaners.
The practice has an active role in the training and development of health professionals and two of the partners are accredited trainers.
The practice offers two types of appointment, these being:
- Pre-bookable appointments with a GP or nurse.
- Urgent/emergency appointments.
Appointments could be made in person, via the telephone or on- line.
The main surgery Henry Moore Clinic is open:
Monday 7.15am to 6.30pm
Tuesday 7.45am to 1pm
Wednesday 7.15am to 6.30pm
Thursday 7.15am to 6.30pm
Friday 7.45am to 6.30pm
The Fryston Road Clinic branch surgery is open:
Monday 7.15am to 6.30pm
Tuesday 7.15am to 6.30pm
Wednesday 7.15am to 1pm
Thursday 8am to 6.30pm
Friday 8am to 6.30pm
Out of hours care is provided by Local Care Direct and is accessed via the practice telephone number or patients can contact NHS 111.
Updated
26 April 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Henry Moore Clinic on 8 March 2016. 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.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
- Patients said they found it easy to make an appointment with a GP and that 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.
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The practice was aware of and complied with the requirements of the Duty of Candour (
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There was a clear leadership structure with an experienced and
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Risks to patients were assessed and well managed.
- Information regarding the services provided by the practice was available for patients.
- There was a complaints policy and clear information available for patients who wished to make a complaint.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
26 April 2016
The practice is rated as good for the care of people with long-term conditions.
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Clinical staff had lead roles in chronic disease management . For example, a GP partner and a practice nurse had been appointed as leads for diabetes.
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A nurse was available who could initiate both insulin and other medication injections and a further nurse was undergoing training to increase capacity in this area work.
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The practice maintained a chronic disease register which identified patients and allowed more effective care planning.
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Longer appointments and home visits were available when needed.
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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.
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Regular monthly palliative care meetings were held with the lead GP, district nurses and specialist nursing staff.
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The practice had a high referral rate to structed educational programmes such as DESMOND
- Daily appointments were available to long term condition patients for blood and blood pressure tests.
Families, children and young people
Updated
26 April 2016
The practice is rated as good for the care of families, children and young people.
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There were systems in place to identify and follow up children living in disadvantaged circumstances and/or who were at risk, for example, children and young people who were recognised as having concerns with regard to their safeguarding.
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The lead GP for safeguarding held regular monthly meetings with health visitors to discuss cases.
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Immunisation rates were consistently high for all standard childhood immunisations when compared to the CCG average.
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Appointments were available outside of school hours and the premises were suitable for children and babies. All children who required an urgent appointment were seen on the same day as requested.
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Sexual health and contraceptive and cervical screening services were provided at both practice locations and the practice participated in the c-card scheme which gave young persons access to contraceptives.
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79% of eligible patients had received cervical screening in the preceding five years, compared to 82% both locally and nationally.
Updated
26 April 2016
The practice is rated as good for the care of older people.
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The practice offered proactive, personalised care to meet the needs of the older people in its population.
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The practice was responsive to the needs of older people, and offered urgent appointments for those with enhanced needs.
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The practice delivered an avoiding unplanned admissions service which provided proactive care management for patients who had complex needs and were at risk of an unplanned hospital admission. The practice used a risk profiling tool to identify these patients. The practice then carried out advanced care planning and regular patient reviews, which involved multi-disciplinary working across health and social care providers.
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The practice held carer’s details and access key codes on patient records to enable them to contact carers when required and gain easy entry for home visits.
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The practice had begun to participate in the CCG Vanguard scheme for care homes. This scheme saw routine visits being made to care homes to review patients needs, offer treatment and update care plans.
- The practice was liaising with local care homes to develop a DoLS register (Deprivation of Liberty Safeguards) DoLS relate to people who are placed in care homes or hospitals for their care or treatment and who lack mental capacity. The development of the register would allow the practice to recognise patients and better deliver treatment and packages of care.
Working age people (including those recently retired and students)
Updated
26 April 2016
The practice is rated as good for the care of working-age people (including those recently retired and students).
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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.
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The practice was proactive in offering online services such as appointment booking and prescription ordering and offered the electronic transfer of prescriptions to the patients pharmacy of choice.
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The practice offered 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
26 April 2016
The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).
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80% of patients diagnosed with dementia who had had their care reviewed in a face to face meeting in the last 12 months, which is slightly below the national average of 84%.
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91% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive and agreed care plan in the record in the preceding 12 months compared to a national average of 88%.
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The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.
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The practice carried out advance care planning for patients with dementia.
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Staff had a good understanding of how to support patients with mental health needs and dementia. For example dementia awareness training had been provided for all reception and administration staff.
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Patients were able to access
psychological therapies on referral from the practice.
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Clinicians were able to inform patients how to access various support groups and voluntary organisations. This included signposting young patients to online counselling support.
People whose circumstances may make them vulnerable
Updated
26 April 2016
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
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The practice held a register of patients living in circumstances that may make them vulnerable including those with a learning disability and the frail elderly.
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The practice offered longer appointments for patients with a learning disability and had appointed a dedicated learning disability nurse to meet the needs of this population group.
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The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.
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The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
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Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. 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.