Jaunty Springs Health Centre

Background to this inspection

Updated 4 July 2017

Jaunty Springs Health Centre is located in a purpose built health centre and accepts patients from the S12 district of Sheffield and the surrounding area. Public Health England data shows the practice population has a higher than average number of patients aged 50 years and older compared to the England average and the practice catchment area has been identified as one of the fifth least deprived areas nationally.

The practice provides Primary Medical Services (PMS) under a contract with NHS England for 3629 patients in the NHS Sheffield Clinical Commissioning Group (CCG) area. It also offers a range of enhanced services such as anticoagulation monitoring and childhood vaccination and immunisations.

Jaunty Springs Health Centre is registered as an organisation with CQC and has one male GP who works in partnership with a pharmacy organisation. The practice employs four salaried GPs (two female, two male), two female practice nurses, one male pharmacist and a healthcare assistant, a practice manager, assistant practice manager and an experienced team of reception and administration staff.

The practice is open 8.30am to 6pm Monday to Friday with the exception of Thursdays when the practice closes at 1pm. The Sheffield GP Collaborative provides cover when the practice is closed on a Thursday afternoon. Extended hours are offered Tuesday evenings 6.30pm to 8pm. 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, at lunchtime. Patients are informed of this when they telephone the practice number.

Overall inspection

Good

Updated 4 July 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Jaunty Springs Health Centre on 30 November 2016. The overall rating for the practice was requires improvement with requires improvement for both the safe and well led domains. The full comprehensive report from 30 November 2016 can be found by selecting the ‘all reports’ link for Jaunty Springs Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 8 June 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 30 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

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

Our key findings were as follows:

A legionella risk assessment had been completed and an action plan to mitigate the risks identified had been implemented.
The practice had carried out a fire drill and had undertaken regular fire alarm maintenance testing as a requirement identified in their fire risk assessment.
A system to monitor and manage staff training had been implemented.
All staff had received an appraisal with the exception of the practice manager and the assistant practice manager. A date was planned for these to be completed in July 2017.
Policies and procedures were signed and dated and all had been reviewed in the last six months. Evidence was seen that staff were mostly following these policies. All staff had received infection prevention and control (IPC) training as specified in their infection control policy. However, reception staff we spoke with who performed chaperone duties were not following the chaperone policy as they differed in their account of who recorded the event in the medical record.
Recruitment procedures had been reviewed and appropriate checks completed for all staff and locum GPs including Disclosure and Barring Service (DBS) checks for two practice nurses who had been appointed following the practice’s registration with CQC.
We saw evidence a system to monitor clinical staff’s registration with the professional bodies had been implemented.
A process to obtain a complete record of the immunity status of clinical staff as specified in the national Green Book (Immunisations Against Infectious Disease) guidance for healthcare staff had been commenced.
The approved health and safety poster was displayed in the staff area which identified the local health and safety representative.
The practice had completed an audit of broad spectrum antibiotic prescribing to ensure appropriate prescribing.
A system to record the number of prescription boxes containing blank prescriptions received into the practice had been implemented to monitor and track blank prescriptions as specified in NHS Protect Security of Prescriptions (2013) guidance.
A schedule of monthly team meeting dates had been developed. Staff told us they had the opportunity to raise any issues at team meetings and felt confident and supported in doing so.
We saw evidence complaints had been discussed at the full team meeting to share learning with staff.
The practice manager told us the practice were in the process of reviewing ways to engage with patients and had recently recruited one member to the patient participation group (PPG).

Areas where the provider should make improvement are:

All staff who perform chaperone duties should be aware of and follow the procedures specified in the practice’s chaperone policy.
Ensure the practice management team staff receive an appraisal.
Consider reviewing and developing ways to engage with patients further. For example, by developing a practice website and to continue to promote the patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice