The Care Quality Commission
  • Doctor
  • GP practice

Dr J.A. Gilby & Alyson Turner Also known as Brook Medical Centre

Overall: Good read more about inspection ratings

98 Chell Heath Road, Bradeley, Stoke On Trent, Staffordshire, ST6 7NN (01782) 838355

Provided and run by:
Dr J.A. Gilby & Alyson Turner

All Inspections

15 November 2023

During a routine inspection

We carried out an announced comprehensive at Dr K Parkinson and Dr J.A. Gilby on 15 November 2023. Overall, the practice is rated as good. We rated the key questions:

Safe - good

Effective - good

Caring - good

Responsive - good

Well-led - good

Following our previous inspection on 17 January 2016, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr K Parkinson and Dr J.A. Gilby on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

The focus of the inspection included:

  • The safe, effective, caring, responsive and well led domains.
  • The ‘shoulds’ identified in previous inspection.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (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.
  • A site visit.
  • Staff questionnaires
  • Information provided to the Care Quality Commission by other stakeholders, such as patient feedback, Healthwatch and the local Integrated Care Board.

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.

Whilst we found no breaches of regulations, the provider should:

  • Review and action our clinical searches in respect of the potential for missed diagnoses of diabetes.
  • Implement a strategy to improve cervical screening uptake.
  • Consider implementing in house appraisals for salaried GPs.
  • Continue to assess, review, evaluate and embed changes made in response to patient feedback on access.

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

07/01/2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr K Parkinson and Dr J.A. Gilby on 7 January 2016. Overall the practice is rated as good, with outstanding care in services for patients with long-term conditions.

Our key findings were as follows:

  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about how to complain was available and easy to understand.
  • Data showed that patients found it difficult to contact the practice by telephone, although the practice had taken action to improve in this area.

We saw an areas of outstanding practice:

  • The practice had developed a model of using Advanced Nurse Practitioners (ANPs) at the forefront of providing services. The ANPs had comprehensive oversight, and undertook in-depth regular monitoring, of patients with long-term conditions. An example of the care given was that patients with diabetes, Chronic Obstructive Pulmonary Disease (COPD) had regular reviews of their condition which lasted for one hour.

There were areas of practice where the provider should make improvements:

  • Consider the arrangements/medicines in place for patients who experience a prolonged convulsion (seizure) and mitigate them.

  • Continue to adapt the system in place for contacting the practice by telephone, measured by the improvement in patient satisfaction rates.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice