Background to this inspection
Updated
4 July 2016
Blackheath Medical Centre is situated in a deprived area of Wirral and is registered with CQC to provide primary care services, which include access to GPs, family planning, ante and post-natal care.
The practice has a Personal Medical Services (PMS) contract with a registered list size of 2947 patients (at the time of inspection). The practice has two male GP partners and two female salaried GPs, three practice nurses, a healthcare assistant, a practice manager, reception manager and a number of administration and reception staff. The practice is a training practice for trainee GPs and foundation doctors.
The practice is open 8.30am to 6pm Monday to Friday. Appointments are bookable in person or by telephone. Home visits and telephone consultations are available for patients who required them, including housebound patients and older patients. There are also arrangements to ensure patients received urgent medical assistance when the practice was closed. Out of hours patients are asked to contact the NHS 111 service to obtain healthcare advice or treatment.
Updated
4 July 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Blackheath Medical Centre on 16 May 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
4 July 2016
The practice is rated as good for the care of people with long-term conditions.
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Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
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Longer appointments and home visits were available when needed.
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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.
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The practice website provided healthcare information for patients with long term conditions such as diabetes and chronic obstructive pulmonary disease (COPD) to educate patients and support self-management.
Families, children and young people
Updated
4 July 2016
The practice is rated as good for the care of families, children and young people.
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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.
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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.
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Appointments were available outside of school hours and the premises were suitable for children and babies.
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We saw positive examples of joint working with midwives, health visitors and school nurses.
Updated
4 July 2016
The practice is rated as good for the care of older people.
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The practice offered proactive, personalised care to meet the needs of the older people in its population.
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The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
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The practice held a register of patients who were housebound and provided this group of patients with a leaflet detailing information about other services including voluntary sector support.
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The practice dealt with hospital discharge information within 72 hours to ensure recommendations for ongoing treatment and changes in medication were actioned in a timely manner.
Working age people (including those recently retired and students)
Updated
4 July 2016
The practice is rated as good for the care of working-age people (including those recently retired and students).
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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.
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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.
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The practice website provided links to healthcare information to support patients to engage with the practice and to attend for health screening initiatives offered by the practice.
People experiencing poor mental health (including people with dementia)
Updated
4 July 2016
The practice is rated as good for the care of people with poor mental health (including people with dementia).
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The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
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The practice carried out advance care planning for patients with dementia.
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The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
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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.
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Staff had a good understanding of how to support patients with mental health needs and dementia.
People whose circumstances may make them vulnerable
Updated
4 July 2016
The practice is rated as good for the care of people whose circumstances may make them vulnerable.
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The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
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The practice offered longer appointments for patients with a learning disability.
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The practice regularly worked with other health care professionals in the case management of vulnerable patients.
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The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
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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.