The Care Quality Commission
  • Doctor
  • GP practice

Buxton Medical Practice Also known as Dr Hartley and Partners

Overall: Good read more about inspection ratings

2 Temple Road, Buxton, Derbyshire, SK17 9BZ (01298) 23298

Provided and run by:
Buxton Medical Practice

All Inspections

6 September 2023

During a routine inspection

We carried out an announced comprehensive inspection at Buxton Medical Practice on 6 September 2023. Overall, the practice is rated as good.

Safe - good

Effective - good

Caring - good

Responsive - good

Well-led - good

At our previous inspection on 27 October May 2015, the practice was rated good overall and for all key questions. Therefore, the practice has retained its rating.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Buxton Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection.

We carried out this inspection due to our current inspection priorities. In this case, the practice was selected for inspection due to the length of time since our previous inspection.

How we carried out the inspection.

  • An announced site visit.
  • Conducting staff interviews using video conferencing.

Completing remote clinical searches on the practice’s patient records system and discussing findings with the provider (this was with consent from the provider and in line with all data protection and information governance requirements).

  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider to be submitted electronically, and to review further evidence on site on the day of the inspection.
  • Speaking with a member of the Patient Participation Group.

Our findings

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 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 dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

In addition, the provide should:

  • Continue to develop its approach to infection prevention and control to ensure the practice achieves full compliance with standards.
  • Complete all necessary sections of ‘Do Not Attempt Cardio Pulmonary Resuscitation (DNACPR)’ documentation, and review the decisions at appropriate intervals.
  • Review the staff feedback received via questionnaires as part of this inspection and formulate an action plan, involving the practice team, to address the issues raised.
  • Continue to improve the uptake of childhood immunisations and cancer screening.
  • Monitor training and appraisals to ensure these are updated according to the practice’s own schedule.
  • Provide easy access to the cloud based telephone system to the reception team to enable them to respond to demand more efficiently.
  • The practice should monitor patient satisfaction annually, supported by relevant action plans, to deliver an effective system to act on patient feedback

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

27 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Buxton Medical Practice on 27 October 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents. Information about safety was recorded, monitored, and appropriately reviewed. Learning was applied from events to enhance future service delivery.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. This was kept under review by the practice which proactively used audit as a way of ensuring that patients received safe and effective care.
  • Risks to patients were assessed and well managed. Regular liaison meetings were held with the wider multi-disciplinary team to co-ordinate the provision of effective and responsive care. There was good evidence of collaborative working including end of life care and safeguarding. The CCG pharmacist attached to the practice provided regular and effective support on medication issues.
  • All members of the practice team had received an annual appraisal and had undertaken training appropriate to their roles, with any further training needs identified and supported by the practice.
  • Results from the national GP survey, and responses to our conversations with patients showed that patients were treated with compassion, dignity and respect, and that they were involved in their care and decisions about their treatment.
  • The practice worked closely with other services and organisations in the locality, and across the CCG area to plan and review how services were provided to ensure that they met people’s needs.
  • Urgent appointments were available on the day they were requested. However, patients said that they sometimes had to wait a long time for non-urgent appointments.
  • There was a clear leadership structure and staff felt supported by management.
  • The practice proactively sought feedback from patients, which it acted upon. For example, the practice undertook patient surveys and encouraged ongoing feedback via the use of a suggestion box. The practice implemented changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG). For example, the practice had automatic entrance doors which had been raised as an issue by the PPG.
  • The practice had introduced the role of advanced nurse practitioners (ANPs) as a response to challenges with GP recruitment and to ensure a wider skill mix to give more flexibility in how services were delivered.

However there were areas of practice where the provider should make improvements.

Importantly the provider should:

  • Implement a review of the practice’s cleaning schedules to incorporate all areas used by patients.
  • Implement a review of the storage and management of paper prescriptions in the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice