Dr Richard Benn Also known as Greystones Medical Centre

Updated 6 March 2017

Dr Richard Benn is located in a purpose built health centre in Greystones, Sheffield named Greystones Medical Centre and accepts patients from the surrounding area. The practice catchment area has been identified as one of the tenth least deprived areas nationally.

The practice provides General Medical Services (GMS) under a contract with NHS England for patients in the NHS Sheffield Clinical Commissioning Group (CCG) area. It also offers a range of enhanced services such as minor surgery, anticoagulation monitoring and childhood vaccination and immunisations.

The practice has one male GP partner, one female salaried GP, one female practice nurse, healthcare assistant, practice manager and an experienced team of reception and administration staff. The practice has recently become a teaching practice.

The practice is open 8.30am to 6pm Monday to Friday with the exception of Thursdays when the practice closes at 12 noon and opens at 7.30am on Mondays. The GP Collaborative provides cover when the practice is closed on a Thursday afternoon. Extended hours are offered on a Monday morning 7.30am to 8am and Tuesday evening 6.30pm to 7.30pm. Morning and afternoon appointments are offered daily Monday to Friday with the exception of Thursday afternoon when there are no afternoon appointments.

When the practice is closed between 6.30pm and 8am patients are directed to contact the NHS 111 service. The Sheffield GP Collaborative provides cover when the practice is closed between 8am and 6.30pm. For example, between 12 and 2pm at lunchtime. Patients are informed of this when they telephone the practice number.

Updated 6 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Richard Benn, known as Greystones Medical Centre on 4 May 2016. The overall rating for the practice was good with requires improvement in safe. The full comprehensive report from 4 May 2016 can be found by selecting the ‘all reports’ link for Dr Richard Benn on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 6 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 4 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated good. Specifically, following the focused inspection we found the practice to be rated good for providing safe services.

Our key findings were as follows:

• We found appropriate recruitment checks to ensure staff were of good character had been undertaken prior to employment for staff employed since our previous inspection on 4 May 2016.

• We saw evidence of completed induction checklists for new staff employed since 4 May 2016 in personnel files.

• The practice had implemented a system to monitor and track the movement of blank prescriptions within the practice.

• The practice had removed all medications from the doctor’s bag. We observed medications were now stored in a locked cupboard in the doctor’s room and a system had been implemented to check their expiry date.

• The practice had replaced the floor covering in the clinical area where the practice nurse carried out treatment room duties with cleanable flooring to ensure infection control standards were maintained. There was a system in place to regularly deep clean the carpets in other consulting rooms.

• We saw evidence of minutes of clinical meetings recording actions discussed and agreed.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 27 June 2016

The practice is rated as good for the care of people with long-term conditions.

• The GP and practice nurse had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• 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 27 June 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. Childhood immunisation rates were above national averages.

• 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.

• We received several positive comments on the CQC comment cards specifically regarding the care of children and families,  ‘how thoroughly and sensitively the practice dealt with children’ and ‘the practice offered appointments for their child even when the clinic was full’. One patient commented‘their children always felt safe and have found going to the doctors a very positive experience’. Another patient said ‘she was provided with excellent, timely care whilst pregnant’.

• Data showed 96% of women eligible for a cervical screening test had received one in the previous five years compared to the national average of 82%.

• All children were offered a same day appointment or GP telephone consultation.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives and health visitors.

Updated 27 June 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.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The percentage of people aged 65 or over who received a seasonal flu vaccination was 81%, higher than the national average of 73%.

Updated 27 June 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 offered evening appointments at the practice on a Tuesday and weekend and evening appointments at a local practice through the Sheffield satellite clinical scheme.

• 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.

Updated 27 June 2016

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

• Of those patients diagnosed with dementia, 100% had had their care reviewed in a face to face meeting in the last 12 months, which is higher than the national average of 84%.

• Of those patients diagnosed with a mental health condition, 94% had a comprehensive care plan reviewed in the last 12 months, which is above the national average of 88%.

• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• The practice hosted the Memory Clinic for patients of the practice and other local practices.

• 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.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

• The practice hosted Improving Access to Psychological Therapies Programme (IAPT) to support patients’ needs. The practice also hosted a private counselling service.

Updated 27 June 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 those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people.

• The practice provided a listening service for patients facing difficult life choices, ill health, loneliness or bereavement and also offered patients an appointment with a local chaplain who came into the practice and could offer confidential support and signposting to resources and local support groups if appropriate.

• 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.