Archived: Foden Street Surgery

Updated 14 November 2018

Foden Street Surgery is located in Stoke On Trent and is registered with the CQC as a single-handed provider. The provider holds a General Medical Services contract with NHS England and is a member of the Stoke On Trent Clinical Commissioning Group (CCG). A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract.

The premises is a single storey purpose built building with a designated car park. The practice is managed by a female GP who works full time. The GP is assisted by a long-term locum male GP, a practice nurse, a locum nurse practitioner/prescriber, a health care assistant, a practice manager, a deputy practice manager and team of reception and administrative staff. A care co-ordinator is employed on a part time basis to proactively review the care provided to patients over 65 and those who have attended accident and emergency.

The practice has 3597 registered patients. The locality has a higher level of deprivation when compared with the national average. The practice age distribution is mainly in line with the CCG and national averages with the exception of more male patients aged 25-59 years. The practice is open from 8am to 6pm on Monday to Friday, except on Thursday when opening times are from 8am to 1pm. During these times the reception desk and telephone lines are always staffed. Patients can book appointments in person, on-line and by telephone. The practice has opted out of providing cover to patients in the out-of-hours period. During this time services are provided by Staffordshire Doctors Urgent Care, patients access this service by calling NHS 111.

Updated 14 November 2018

We previously carried out an announced comprehensive inspection at Foden Street Surgery on 19 September 2017. The overall rating for the practice was good with requires improvement for providing a safe service. A breach of legal requirements was found and a requirement notice was served in relation to fit and proper persons employed. The full comprehensive report on the 19 September 2017 inspection can be found by selecting the ‘all reports’ link for Foden Street Surgery on our website at www.cqc.org.uk

This inspection was an announced comprehensive inspection carried out on 23 October 2018 as part of our inspection programme for services rated with a requires improvement, and to confirm that the practice met the legal requirements in relation to the breach in regulations identified in our previous inspection on 19 September 2017.

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

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 evidenced their attempts to improve patient engagement, through surveys, and via the Patient Participation Group.
• The practice continued to advertise for another GP and had successfully recruited a self-employed nurse practitioner prescriber.
• The practice held regular joint clinical governance meetings with another practice in which patient safety alerts and learning from significant events and complaints were shared.
• Staff who provided a chaperone service had been in receipt of appropriate training.
• The practice had ensured health and safety checks were undertaken within the recommended timescales.
• The practice had improved the number of carers registered.
• The practice had improved the arrangements for advising patients of the appointment system.
• The complaints and suggestions leaflets were readily accessible to patients.
• 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.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Fully implement the written consent document for minor surgical procedures.
• Improve the monitoring of the transportation of vaccines.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 14 November 2018

Updated 14 November 2018

Updated 14 November 2018

Updated 14 November 2018

Updated 14 November 2018

Updated 14 November 2018