• Doctor
  • GP practice

Bentley Surgery

Overall: Outstanding read more about inspection ratings

128 High Street, Bentley, Doncaster, South Yorkshire, DN5 0AT (01302) 874551

Provided and run by:
Don Valley Healthcare

Latest inspection summary

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Background to this inspection

Updated 31 January 2018

Bentley Surgery is registered with CQC to provide GP services from 128 High Street, Bentley, Doncaster, DN5 0AT and is located approximately two miles north of Doncaster town centre. The practice provides primary medical care services for 7,298 patients under the terms of the national NHS General Medical Services contract. Further information can be found on the practice website www.bentleysurgery.co.uk. 

The catchment area, which includes villages local to the surgery, former mining communities and three traveller sites, is classed as within the second most deprived areas in England. Income deprivation indices affecting children (30%) and older people (26%) are significantly higher than the CCG (25% and 18%) and England (20% and 16%) averages. The age profile of the practice population is broadly similar to other GP practices in the Doncaster CCG area. However, there are more children under the age of 10 years old registered at the practice. The practice has seen an increase in patients registering, 216 in the last year and 508 patients in the last five years.

There are five GP partners (two male and three female) at the practice who are supported by two salaried GPs. There is a lead nurse, three practice nurses, two healthcare assistants, a phlebotomist and an experienced management and administrative team. The practice is a training practice for GPs and a clinical placement area for medical and nursing students and physicians assistants. 

The practice opening hours are:

  • Monday, Wednesday, Thursday and Friday from  8.00am until 6.00pm.
  • Tuesday from 7.30am until 7.30pm.

The practice leaflet and web site include details of surgery and GP appointments times. GP appointments are available from 8.00am to 5.30pm each weekday, with extended appointment times on Tuesday mornings and evenings.

Routine and specialist clinics such as long term condition management, minor surgery, ante-natal and endometrial biopsy diagnostic testing are also available. Out of hours care can be accessed via the surgery telephone number or by calling the NHS 111 service.

Overall inspection

Outstanding

Updated 31 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Outstanding overall. (Previous inspection January 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Outstanding

Are services caring? – Good

Are services responsive? – Oustanding

Are services well-led? - Outstanding

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Outstanding

Families, children and young people – Outstanding

Working age people (including those retired and students – Good

People whose circumstances may make them vulnerable – Outstanding

People experiencing poor mental health (including people living with dementia) - Outstanding

We carried out an announced comprehensive inspection at Bentley Surgery on 4 December 2017 as part of our inspection programme.

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.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was  always delivered according to evidence- based guidelines, for example in relation to prescribing medicines for an irregular heart beat.
  • Frail older people were well supported by the practice-employed care coordinator and their engagement with social prescribing.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.The practice was above average for its satisfaction scores on consultations with GPs and nurses.
  • Patients found it easy to use the appointment system and reported that they were able to access care when they needed it.
  • There was innovation and service development and improvement was a priority among staff and leaders.
  • Data showed that the practice was performing highly when compared to practices locally and nationally.
  • At the core of the practices ethos, was learning and development across all staff groups.
  • Feedback from patients was consistently positive and higher than local and national averages.

We saw areas of outstanding practice:

  • The practice used innovative and proactive methods to improve patient outcomes and worked with other local providers to share best practice. In October 2016 the practice linked with three neighbouring practices to hold quarterly meetings with the wider multidisciplinary team which included a respiratory nurse, community geriatrician, a representative from the local social prescribing initiative, palliative care nurses, district nurses, heart failure nurse, social services and the falls team. This provided the opportunity to review those patients considered most at risk and a forum for sharing best practice and learning through review of case studies.
  • The practice ensured that patients with complex needs, including those with life-limiting progressive conditions, were supported to receive coordinated care in innovative and efficient ways.The practice employed a care co-ordinator nurse to review and implement care plans for those patients whose circumstances may make them vulnerable. Initially, patients were assessed using a risk stratification tool which included review of patients living with dementia, learning difficulties, frailty, at risk of hospital admission, housebound, residing in care home or those with multiple long term conditions. The care co-ordinator had identified 140 patients at risk and 89% of these patients had consented to an enriched summary care record.
  • Staff encouraged and supported patients to be involved in monitoring and managing their health.For example, a GP encouraged a group of patients to establish a support group for people with fibromyalgia. (Fibromyalgia is a long term condition that causes pain all over a persons body). The group met monthly at the practice and people from other practices were invited. The GP would attend with updates about therapies and treatments.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice