The Care Quality Commission
  • Doctor
  • GP practice

Jaunty Springs Health Centre

Overall: Good read more about inspection ratings

53 Jaunty Way, Sheffield, South Yorkshire, S12 3DZ 0845 122 2021

Provided and run by:
Jaunty Springs Health Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Jaunty Springs Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Jaunty Springs Health Centre, you can give feedback on this service.

14 November 2019

During an annual regulatory review

We reviewed the information available to us about Jaunty Springs Health Centre on 14 November 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

8 June 2017

During an inspection looking at part of the service

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

30 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Jaunty Springs Health Centre on 30 November 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • Some risks to patients were assessed although there were shortfalls identified with regard to adequate recruitment checks and risk assessments relating to the premises. For example there were no records of a legionella risk assessment, fire drills and maintenance of fire alarm testing. There were shortfalls in the system to monitor and track blank prescriptions within the practice.
  • 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, although there was limited overview of what training staff had received or when updates were due.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their 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. However, there was limited evidence of learning from individual complaints seen.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice sought feedback from patients through the national friends and family test, which it acted on. However, the practice did not have a website or an active patient participation group (PPG). There was limited opportunity for staff to feedback as there was a lack of regular full team meetings and appraisals had not been carried out for several years.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Ensure recruitment complies with Regulation 19 schedule 3 requirements of the Health and Social Care Act for all staff.
  • Implement a system to ensure annual registration with the professional bodies for clinical staff is maintained.
  • Ensure the practice complies with the actions identified within the fire risk assessment.
  • Ensure a risk assessment for legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings) is carried out to ensure water systems are safe and action taken in accord with the findings.
  • Ensure all staff receive an appraisal and implement a policy to ensure that performance appraisal is a continuous process.
  • Implement a system to oversee all the training staff have received and monitor when training updates are due.
  • Ensure all appropriate  policies are in place, reviewed, signed and dated to ensure they are current and up to date.

The areas where the provider should make improvement are:

  • Maintain 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.
  • Staff should follow the practice’s Chaperone Policy with regard to the appropriate recording of the event in the patient record.
  • Display the approved health and safety poster in a prominent position in the workplace or provide each worker with a copy of the approved leaflet that outlines British health and safety law as specified in the Health and Safety Information for Employees Regulations (HSIER) and consider implementing a health and safety policy for staff to follow.
  • The practice should review its prescribing of broad spectrum antibiotics to ensure appropriate prescribing.
  • Ensure the practice has a system in place to monitor and track the blank prescription boxes when they are received into the practice as specified in NHS Protect Security of Prescriptions 2013 guidance.
  • Develop a system to use complaints and patient feedback as a learning tool and share this learning with staff.
  • Review the frequency and attendance at full staff meetings to ensure all staff groups are kept updated.
  • Consider reviewing and developing ways to engage with patients further. For example,  by developing a patient reference group or developing a practice website.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice