Background to this inspection
Updated
5 July 2018
Lionwood Medical Practice is in the Norwich Clinical Commissioning Group (CCG) area. The practice provides a range of general medical services to approximately 8,460 registered patients. The practice previously operated as Yare Valley Medical Practice but moved into the new premises in March 2016 as Lionwood Medical Practice.
The practice team consists of three GPs (two female and one male). There is a management team of one GP partner and a practice business partner who hold financial and managerial responsibility for the practice. There are a team of three practice nurses, one nurse practitioners, three healthcare assistants and a number of reception and administration staff. The practice is also a training practice for medical students. (A GP registrar is a qualified doctor who is training to become a GP).
The practice is open between 8am to 6.30pm Monday to Friday. Outside of practice opening hours a service is provided by another health care provider, IC24 via the 111 service.
According to Public Health England information, the patient population aged 0 to 4 is slightly above the practice average across England and it has a slightly above average number of patients aged 85 and over compared to the practice average across England. Income deprivation affecting children is in line with the practice average across England and in relation to older people, is slightly below the practice average across England.
Updated
5 July 2018
This practice 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 Lionwood Medical Practice on 31 May 2018 as part of our inspection programme.
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. We saw evidence that learning points were discussed in management meetings and staff we spoke to were aware of these.
- The practice ensured that care and treatment was delivered according to evidence based guidelines.
- The practice had a programme of quality improvement activity planned and we saw evidence of a two-cycle audit completed which positively impacted on the quality of patient care.
- The practice had recently recruited a pharmacist to work at the practice who at the time of the inspection was in the process of completing a series of reviews and audits. The pharmacist offered appointments at the practice and completed home visits for patients unable to easily access the practice.
- The practice offered a wellbeing service at the practice. A wellbeing advisor was based at the practice on average between three or four days per week and patients were able to self-refer or be referred by their clinician.
- The practice’s performance in relation to the Quality Outcome Framework (QOF) results was above the Clinical Commissioning Group (CCG) and national averages.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Staff told us that they were happy to work at the practice and felt supported by the management team. Staff told us they were encouraged to raise concerns and share their views.
- There was not an active patient participation group (PPG) list. The practice was aware of this and had plans in place to commence a PPG in the future.
- Results from the July 2017 national GP patient survey were in line with and above local and national averages. Feedback from patients we spoke with and received comments from supported these findings.
- We saw evidence that complaints were handled effectively, trends were analysed and lessons learned and distributed amongst relevant staff.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Families, children and young people
Updated
5 July 2018
Working age people (including those recently retired and students)
Updated
5 July 2018
People experiencing poor mental health (including people with dementia)
Updated
5 July 2018
People whose circumstances may make them vulnerable
Updated
5 July 2018