Letter from the Chief Inspector of General Practice
This inspection was an announced focused inspection carried out on 9 August 2017 at the branch location Bosden Moor Surgery, (formerly The Surgery) which is now part of the registration of Heaton Moor Medical Group (HMMG).
HMMG was inspected 15 November 2016 and was rated good overall. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Heaton Moor Medical Group on our website at www.cqc.org.uk.
This GP practice was previously registered to another provider (Dr Yogendra Dutt Sharma) and was known locally as The Surgery. However significant concerns were identified in relation to the key questions safe, effective and well led and the practice was rated inadequate overall and placed into special measures following our first inspection of the practice in February 2016.
At our re-inspection of the GP practice in 7 December 2016 Dr Yogendra Dutt Sharma, the registered provider, was no longer contracted with NHS England to provide primary medical services at The Surgery. The NHS England contract as of the 1 December 2016 was with the GP partners from HMMG.
HMMG had been supporting The Surgery from October 2016 and the re-inspection in December 2016 identified major improvements in the quality and safety of the service provided. HMMG had implemented an effective remedial action plan but recognised further work was required to improve services. The practice was rated as requires improvement overall and one requirement notice was issued. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Dr Yogendra Dutt Sharma on our website at www.cqc.org.uk.
HMMG completed the purchase of the GP Surgery in February 2017, notified the Care Quality Commission that the location was now a branch GP surgery and undertook a consultation process with patients to rename the practice to Bosden Moor Surgery. HMMG patients’ register merged with the patients registered at Bosden Moor Surgery in April 2017.
The purpose of this focused inspection was to confirm that HMMG had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection 7 December 2016.
Our key findings across all the areas we inspected were as follows:
- HMMG had successfully implemented a strategy to improve and develop the service provided at Bosden Moor Surgery and had addressed the significant issues, transforming the service provided to one that was safe, effective and well led.
- The practice building had been totally remodelled to a high standard, providing tastefully modern décor and facilities while retaining and enhancing patient access and improving capacity and the variety of the services provided.
- The planned integration of the patient record system with that of HMMG had been completed. This allowed patients to access a range of GP, nurse and specialist appointments across four locations within Stockport.
- Records management was centralised for the majority of administrative tasks, which enabled effective management of patient information.
- The practice had fully implemented and integrated their established governance systems at Bosden Moor Surgery. This ensured all staff had access to standardised policies, procedures and processes regardless of which of the four GP surgeries they were located at.
- Patient medication reviews at Bosden Moor Surgery had been completed and a recall and review cycle established dependent on the individual patient’s needs.
- HMMG were actively trying to engage with patients at Bosden Moor Surgery and invited patients to join the wider HMMG patient participation group.
- HMMG implemented a range of audits including clinical audits.
- Regular multi-disciplinary meetings were held jointly with another of HMMG branch surgery because the same health care professionals covered both localities.
- HMMG was forward thinking and worked collaboratively with the clinical commissioning group (CCG) in piloting new ways of working to improve patient outcomes and to expand the variety of and access to a range of health care and treatment options.
- Staff training plans and annual appraisal were established and implemented.
- We saw that staff treated patients with kindness and respect, and maintained confidentiality.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice