Archived: The Oldfield Family Practice

We carried out an announced comprehensive inspection at The Oldfield Family Practice on 18 July 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following whistle blowing concerns we received.

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 good overall and in all the key questions with the exception of well-led which we rated as requires improvement. We rated all the population groups as good with the exception of families, children and young people which we rated as requires improvement.

We rated the practice as requires improvement for providing well-led services because:

• The leadership present on the day of the inspection demonstrated they had the experience, capacity and capability to run the practice and ensure high quality care. However, there were divisions between practice leaders and practice leaders and staff resulting in a breakdown in communication and relationships.
• Staff reported that they were not able to raise concerns with all the practice leaders and did not always feel supported.
• Not all leaders took seriously the safety and well-being of staff and staff did not always feel respected and valued.

We rated the practice as requires improvement for the families, children and young people population group because:

• Childhood immunisation rates were significantly below the World Health Organisation (WHO) based target of 95%.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff had the skills, knowledge and experience to carry out their roles.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

The areas where the provider Should make improvements are:

• Consider ways to address the divisions in leadership, ensure staff are supported by all leaders and their safety and well-being is prioritised.
• Review safeguarding training for staff to ensure it is in line with intercollegiate guidance (updated January 2019).
• Develop quality improvement activity including clinical audit.
• Improve childhood immunisation uptake to bring in line with the WHO based target of 95%.
• Consider providing information leaflets in other languages and easy read format appropriate for the local population.

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