Archived: Winifred Kettle

This service is rated as Good overall.

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 Winifred Kettle (Bolton GP Federation Extended Primary Care) on 24 and 25 February 2020. The inspection was carried out as part of our inspection programme.

At this inspection we found:

• The provider had effective systems in place at this location to ensure staff had a consistent approach to the service delivery. All staff we spoke to were consistent about avenues of communication.
• Staff we spoke with felt very supported by the teams they worked alongside and the management.
• There were systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The provider routinely reviewed the effectiveness and appropriateness of the care it provided at this location. It ensured that care and treatment was delivered according to evidence-based guidelines.
• A folder with information to support all staff, with step by step guidance/printed help sheets and referral forms was available at the location to ensure the service would run consistently. All staff we spoke to were aware of its existence.
• There was a comprehensive quality assurance system in place around policies and procedures, with all staff having access to the systems onsite.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs. We spoke with more than five patients and all were very satisfied with the service and the care received.
• The appointment system was well-managed, but clinics were scheduled dependent on which clinical system the patient’s GP used, rather than the area they lived in or the GP practice they were registered at. Whilst this was responsive for some patients it was less responsive for others. Patients we spoke to about this were not even aware of it and all had been very happy with their appointment date and time.
• Staff involved and treated people with compassion, kindness, dignity and respect and this was very evident at this location.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The provider should:

• The provider should assure themselves that all training is relevant to each location, and that each member of staff is aware of any differences at the location they are working at, for example in relation to fire and/or health and safety and chaperoning.
• The provider should assure themselves each member of staff working at each location is aware of policies, procedures and where to find information in relation to EPC.
• The service should assure itself that all necessary recruitment checks, such as DBS checks, are undertaken and/or documented, and not solely rely on information already collected by other primary care employers.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care