Archived: Rochdale Road Medical Centre

Updated 9 December 2016

Rochdale Road Medical Centre provides primary medical services in Middleton near Manchester from Monday to Friday. The practice is open between 8.45am and 6.15pm. The first appointment of the day with a GP is 9:00am and the last appointment with a GP is 5:10pm, Monday to Thursday and until 5.30pm on Fridays. The practice is part of a group of local practices who offer appointments with a GP and nurse every weekday evening and at weekends and bank holidays.

Rochdale Road Medical Centre is situated within the geographical area of Heywood, Middleton and Rochdale Commissioning Group (CCG).

The practice has a Personal Medical Services (PMS) contract. The PMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

Rochdale Road Medical Centre is responsible for providing care to 4225 patients.

The practice consists of four partners three male and one female and one long term sessional female GP, one practice nurse and one Health Care assistant and three part time phlebotomists. The practice is supported by a practice manager, assistant practice manager, administration/reception manager and receptionists.

The practice is a teaching practice with regular medical students and year two foundation doctors.

When the practice is closed patients are directed to the out of hour’s service run by Bury and Rochdale Doctors on Call (BARDOC)

Updated 9 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rochdale Road Medical Centre on 22 November 2016. Overall the practice is rated as good.

The practice had been previously inspected on 5 November 2015. Following that inspection the practice was rated as requires improvement with the following domain ratings:

Safe – Requires Improvement

Effective – Requires improvement.

Caring – Good

Responsive – Requires improvement

Well Led – Requires Improvement

The practice provided us with an action plan detailing how they were going to make the required improvements.

The inspection on 22 November 2016 was to confirm the required actions had been completed and award a new rating if appropriate.

Following this re-inspection on 22 November 2016, our key findings across all the areas we inspected were as follows:

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.
• The practice had a systematic process of dealing with and monitoring updates and guidelines from the National Institute for Health and Care Excellence.(NICE)
• Feedback from patient surveys undertaken by the practice and CQC patient comment cards were consistently positive about the practice. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 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.
• 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.
• The practice had good facilities and was well equipped to treat patients and meet their needs. The practice had submitted plans for an extension to the building which would enable them to offer more services from the surgery.
• 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 9 December 2016

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.
• 84% of patients on the diabetes register had a record of a foot examination and risk classification within the preceding 12 months compared to the national average of 88%.
• Longer appointments and home visits were available when needed.
• Urgent appointments were available for all patients with long term conditions such as asthma, epilepsy, and chronic obstructive pulmonary disease.
• 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.
• The practice held weekly clinics dedicated to patients with long term conditions.
• Patients with complex needs were offered personalised care plans.

Updated 9 December 2016

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.
• All clinical and non clinical staff had received face to face training to a level 3 in safeguarding children and adults which included training in awareness of and recognising female genital mutilation.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• 78% of women aged between 25 and 64 had their notes recorded that a cervical screening test had been performed in the preceding five years compared to the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• All children under the age of 12 were offered same day appointments when needed.
• We saw positive examples of joint working with midwives, health visitors and school nurses.
• Well man and well women clinics were held by the practice nurse.
• One of the female GP partners was also a consultant gynaecologist and offered a full contraceptive service including the fitting of coils and contraceptive implants.

Updated 9 December 2016

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. At the time of inspection 48% of patients had a care plan in place.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• All elderly patients had a named GP.
• The practice embraced the Gold Standards Framework for end of life care. This included supporting patients’ choice to receive end of life care at home.
• All elderly patients were offered same day appointments or home visits, as required.
• The practice nurse visited elderly patients each month in their own homes and offered support where needed.
• The practice offered dementia screening to all its elderly patients.

Updated 9 December 2016

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 and 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 reflects the needs for this age group.
• The practice offered telephone appointments for patients that required them.
• The practice were part of a group of practices that offered patients access to a GP or practice nurse at evenings, weekends and bank holidays.
• The practice offered a confidential chlamydia screening service.

Updated 9 December 2016

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

• 79% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which was lower than the national average 84%.
• 100% of patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive, agreed care plan documented in their record in the preceding 12 months which was above the national average of 89%, however the exception rate was 15% which was 2.5% above the national rate. Exception reporting is the removal of patients from QOF calculations where, for example, the patients are unable to attend a review meeting or certain medicines cannot be prescribed because of side effects.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice offered dementia screening for all its elderly patients.
• The practice carried out advance care planning for patients 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.
• All clinical and non clinical staff had received training in the Mental Capacity Act and Deprivation of Liberty Safeguards.
• Staff had a good understanding of how to support patients with mental health needs and dementia.
• Longer appointments were available for patients in this population group.

Updated 9 December 2016

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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice 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.
• All clinical and non clinical staff were trained to level 3 in safeguarding children and vulnerable adults.