Court Street Medical Practice

Updated 20 February 2017

Court Street Medical Practice is registered with CQC as a partnership provider operating out of a new purpose built premises in Madeley. Car parking, (including disabled parking) is available at this practice. The practice is part of the NHS Telford and Wrekin Clinical Commissioning Group.

At the time of our inspection the practice had 5300 registered patients. The practice area is one of higher deprivation when compared with the local average and national average. The practice has a higher than average rate of male and female patients aged five to nine. The practice also has a higher than average rate of male patients aged 40 to 64 and females aged 45 to 69.

The practice staffing comprises of:

• One GP partner and one business partner.
• One salaried GP and one locum GP
• Two practice nurses
• One health care assistant
• A practice manager who oversees the operational delivery of services supported by a team of administrative staff.

The practice is open between 8.20am and 6.00pm Monday to Friday.

When the practice is closed patients are advised to call the surgery where their call will be diverted after 6.00pm to the designated out of hours service, which is provided by Shrop Doc.

Updated 20 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Court Street Medical Practice on 8 November 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.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Most patients said they found it easy to make an appointment with a named GP and 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.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 20 February 2017

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.
• The percentage of patients with diabetes, on the register, who had had an influenza immunisation was 98%, this was higher than the CCG average of 94% and the national average of 95%.
• The percentage of patients on the diabetes register, with a record of a foot examination and risk classification was 92% compared to the CCG average of 84% and the national average of 89%.
• 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 20 February 2017

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.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice used social media to advertise and reach the younger population.
• The practice offered a Men’s Health Clinic.
• There were positive examples of joint working with midwives and health visitors

Updated 20 February 2017

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. All patients over 75 had been given a named GP.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• Patients were invited to attend the surgery for vaccines to prevent illnesses such as the flu and shingles.
• All patients were offered an annual medication review to monitor their medication.
• The practice offered triage calls over the telephone.

Updated 20 February 2017

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. 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 reflected the needs for this age group.
• Social media was used to update patients with practice events and communicate important information.
• The practice offered triage calls over the telephone.

Updated 20 February 2017

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

• 97% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in their record, in the last 12 months. This was higher than the CCG average of 92% and the national average of 89%.
• 79% of patients diagnosed with dementia had been reviewed in a face-to-face meeting in the last 12 months, which was lower than the CCG average of 84% and the national average of 85%.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those 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 dementia.

Updated 20 February 2017

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 patients with a learning disability.
• The practice offered longer appointments for patients with a learning disability as well as annual health checks.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice employed a care navigator that 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.