Background to this inspection
Updated
4 July 2018
Gatley Group Practice (known locally as Gatley Medical Centre), Old Hall Road, Gatley, Cheadle, Stockport SK8 4DG is one of the 51 practices within the NHS Stockport Clinical Commissioning Group (CCG). Services are provided under a general medical service (GMS) contract with NHS England. The practice has 9,326 patients on their register (4,513 male, 4,813 female). The practice is located on a quiet side road and has dedicated parking facilities at the front and side of the premises; some parking is available on nearby residential streets. The practice is housed in a purpose-built building constructed 15 years ago. Treatment rooms are on the ground and first floors, there are no mobility issues. Also situated in the building are community services including; podiatry, physiotherapy, District Nurses, midwifery and speech therapy.
Information published by Public Health England rates the level of deprivation within the practice population group as nine on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. The patient numbers in the older age group are above the England average. For example, 19% of the patient population is over 65 and the average England value is 17.2%. The practice population has more children and young people registered with it than the England average 22% compared with 20.8% nationally. 19.5% of the patient list are from black and ethnic minority groups.
The practice's main opening times are Monday to Friday 8.00am to 6.30pm. Extended hours are offered from 7.30am to 8.00am every Tuesday and Wednesday morning and 6.30pm to 7.00pm on Thursday evening. Patients requiring a GP outside of normal working hours are advised to contact the out of hours service provided by Medicom.
The practice has four GP partners two male and two female. The practice employs one salaried GP (male), a pharmacist, a practice manager, a practice nurses, receptionists and secretaries. The practice regularly supports undergraduate medical students and physician associates.
The practice provides online patient access that allows patients to book appointments, order prescriptions and review some of their personal records.The practices provides the following regulated activities: Treatment of disease, disorder or injury, maternity and midwifery services, surgical procedures, family planning and diagnostic and screening procedures.
Updated
4 July 2018
This practice is rated as Good overall. (Previous inspection 20 October 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Gatley Group Practice on 6 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this 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.
•There was a strong focus on continuous learning and improvement at all levels of the organisation.
•Safety systems were comprehensive and actions were taken to prevent incidents and risks to patients. We noted that some recruitment information was not present.
•The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.
•Clinicians had access to appropriate information to deliver safe care and treatment.
•Staff involved and treated patients with compassion, kindness, dignity and respect.
•Patients found the appointment system easy to use and reported they were able to access care when they needed it. Patient feedback on the care and treatment delivered by all staff was overwhelmingly positive.
•There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one areas of outstanding practice:
•Clinicians used 4G laptops on home visits to access patient records and complete electronic prescriptions.
The areas where the provider should make improvements are:
•Document recruitment information more fully particularly medical declarations.
•Improve the method of recording safety alerts.
•Document fire evacuation drills.
•Explore ways to provide patient information in a variety of formats.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice