Background to this inspection
Updated
1 August 2018
Field House Medical Group occupies part of a purpose built GP and primary care centre in Freshney Green Primary Care Centre, Sorrel Road, Grimsby, DN34 4GB. The practice has a Personal Medical Services (PMS) contract and provides services to approximately 13,500 patients living in Cleethorpes, Grimsby and North East Lincolnshire.
The majority of patients on the practice list are of white British background. The proportion of the practice population in the 65 years and over age group is similar to the England average. The practice population in the 45-60 years age group is slightly higher than the England average. The practice scored four on the deprivation measurement scale, the deprivation scale goes from one to ten, with one being the most deprived. The overall practice deprivation score is higher than the England average, the practice is 28.9 and the England average is 21.8. People living in more deprived areas tend to have a greater need for health services.
The practice has four female GPs. There are two partners and two salaried GPs. There are nine practice nurses and three health care assistants (a mix of full-time and part-time workers). There is a practice manager, three management staff, eight receptionists and five administration staff.
The practice is accredited as a training practice and supports GP registrars and medical students; however there was no GP trainee placed with them at the time of our inspection.
The practice provides appointments between 8am to 6.30pm Monday to Friday. GPs provide telephone consultations every Saturday morning. When the practice is closed, patients’ calls are transferred to the Out Of Hours provider. Information for patients requiring urgent medical attention out of hours is available in the practice information leaflet and on the practice website.
The provider is registered to carry out the following regulated activities from the location; diagnostic and Screening, family planning, treatment of disease disorder and injury, surgical procedures, maternity and midwifery services.
Updated
1 August 2018
We carried out an announced comprehensive inspection at Field House Medical Group on 13 November 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Field House Medical Group on our website at .
This inspection was an announced focused site visit carried out on 27 June 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the ‘musts’ (breaches of regulations) and ‘shoulds’ that we identified in our previous inspection on 13 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At our inspection on 13 November 2017 we reported that the provider must:
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
At our inspection on 13 November 2017 we reported that the provider should:
• Ensure reception staff receive awareness training and written guidance about signs of sepsis and recognising deteriorating patients.
• Continue with efforts to review and monitor processes for QOF; auditing areas of high exception reporting.
• Undertake a formal risk assessment to ensure the emergency medicines are appropriate for the activities provided by the practice.
We rated the location as requires improvement for providing safe, effective and well led services.
This practice is now rated as Good overall. (Previous rating November 2017 – Requires Improvement)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services well-led? - Good
At this June 2018 inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- There was a strong focus on team working, overarching governance, and improvement at all levels of the organisation.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.