We carried out an announced comprehensive inspection at Greenside Medical Practice on 8 May 2019 as part of our inspection programme.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as requires improvement overall.
We rated the practice as requires improvement for providing safe services because:
- There were some areas of risk that were not effectively managed, related to risks in the building managed by another organisation, particularly from fire, infection and electrical device safety.
We rated the practice as requires improvement for providing effective services because:
- There was evidence that the care of patients in three population groups (people with long term conditions, families, children and young people and people whose circumstances make them vulnerable) did not meet national targets or was below average. The practice had actions underway to improve care, but these had not yet led to evidence of sufficient improvement.
We rated the practice as good for providing caring and responsive services because:
- Staff generally dealt with patients with kindness and respect and involved them in decisions about their care, although satisfaction with healthcare professionals was lower at Country Park Practice than at Greenside Medical Practice.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way. Although satisfaction with phone access at Country Park and appointment access at Greenside Medical Practice was below average, we saw evidence of the actions the practice had taken, and the practice was confident that the results would improve in the next patient survey (due to be published July 2019).
The areas where the provider must make improvements are:
- Ensure that care and treatment is provided in a safe way.
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
- Monitor patient satisfaction and take action where survey data indicates.
- Continue to implement action plans to improve the care of patients with diabetes, childhood immunisations, health checks for patients with a learning disability and cancer screening.
- Review whether the training completed by the health care assistant meets the Care Certificate standards.
- Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care.