Background to this inspection
Updated
29 May 2018
Mexborough Health Centre is located in Mexborough on the outskirts of Doncaster. The practice provides services for 5,688 patients under the terms of the NHS General Medical Services contract.
The catchment area, which includes former mining communities, is classed as within the second most deprived areas in England. Income deprivation indices affecting children (29.89%) and older people (23%) are significantly higher than the CCG (25% and 18%) and England (20% and 16%) averages. The age profile of the practice population is broadly similar to other GP practices in the Doncaster Clinical Commissioning Group (CCG).
The practice has two female GP partners. They are supported by locum advanced nurse practitioners, a practice nurse, two healthcare assistants, a practice manager and a team of reception and administrative staff.
The practice is open between 8am and 6.30pm Monday to Friday. Appointments with all staff are available during the practice opening hours and from 8am to 1pm on Thursdays. A phlebotomy service with the healthcare assistant is available daily.
In addition to pre-bookable appointments that can be booked up to two weeks in advance, urgent appointments are also available for people that need them. The practice is located in a purpose built health centre with parking to the front of the building and accessible facilities.
Routine and specialist clinics such as long-term condition management, minor surgery and ante-natal care are also available. Out of hours care can be accessed via the surgery telephone number or by calling the NHS 111 service.
Updated
29 May 2018
This practice is rated as Good overall. (Previous inspection September 2017– Requires improvement)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Mexborough Health Centre on 18 September 2017. The overall rating for the practice was requires improvement. The full comprehensive report from this inspection can be found by selecting the ‘all reports’ link for Mexborough Health Centre on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 11 April 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 18 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The telephone and appointment system had recently been reviewed to make it easier for patients to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- A member of the patient participation group (PPG) had completed the expert patient programme and facilitated a creative well being group for patients and their carers registered at the practice and from the local area supported by other members of the PPG and practice staff. The group met twice a month and provided those who attended with the opportunity to take part in various creative activities. People spoke very enthusiastically of the sessions and we were told how attendance had increased and how it benefited to address social isolation.
The areas where the provider
should
make improvements are:
- Promote awareness of sepsis in the practice by providing notices and leaftets for patients and staff.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice