Clive Medical Practice

Updated 21 October 2016

Clive Medical Practice is located in Clive, Shropshire. It is part of the NHS Shropshire Clinical Commissioning Group. The total practice patient population is approximately 4,477. The practice has a higher proportion of patients aged 65 years and above than the practice average across England.

The staff team comprises two male GP partners and a female salaried GP. The practice team includes two practice nurses, a phlebotomist, a practice manager, practice manager assistant, receptionists, two administrative/secretarial support staff, dispensary staff and a cleaner, 19 staff in total. The practice recruited a practice manager who left in July 2016 and has recently recruited from within the practice team a new practice manager who commenced the role in July 2016.

The practice and dispensary are open Monday to Friday 8.30am to 6pm. The branch location at Roden Grove, Wem, Shropshire, is open Tuesday to Thursday 8.30am to 10:20am. The practice does not provide an out-of-hours service to its own patients but has alternative arrangements for patients to be seen when the practice is closed through Shropdoc, the out-of-hours service provider. The practice telephones switch to the out-of-hours service at 6pm each weekday evening and at weekends and bank holidays. The practice provides a number of clinics, for example long-term condition management including asthma, diabetes and high blood pressure. It also offers child immunisations, minor surgery, and travel vaccinations. The practice offers health checks and smoking cessation advice and support.

The practice has a General Medical Services (GMS) contract with NHS England. This is a contract for the practice to deliver general medical services to the local community or communities. They also provide some Directed Enhanced Services, for example, they offer minor surgery, the childhood vaccination and immunisation scheme.

Updated 21 October 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Clive Medical Practice on 8 December 2015. After the comprehensive inspection, the practice was rated as good overall with requires improvement in providing safe services. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Clive Medical Practice on our website at www.cqc.org.uk. We undertook a focussed follow up inspection on 11 August 2016 to check that improvements had been made. The practice is rated as good for providing safe services and rated good overall.

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

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 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. These included regular infection control audits and actions were taken/planned to address any improvements identified as a result.
• Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment. Training included safeguarding adults and children to the appropriate levels as well as basic life support.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• There was a written consent form process in place for minor surgical procedures.
• The provider was aware of and complied with the requirements of the duty of candour.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice ensured their recruitment arrangements included all members of staff including those classed as locums.
• Staff who provide a chaperone service were in receipt of chaperone training and had a Disclosure and Barring Service (DBS) check completed.
• The practice proactively sought feedback from staff including annual appraisals and patients, which it acted on.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 21 January 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in some chronic disease management, with the exception of diabetes and asthma and patients at risk of hospital admission were identified as a priority.

• Patients could access the visiting podiatry service at the practice premises on a regularly basis.

• Longer appointments and home visits were available when needed.

All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 21 January 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw good examples of joint working with midwives, health visitors and the local community.

Updated 21 January 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.

• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• The practice participated in the local CCG initiative of care co-ordinators who contacted patients by telephone and was able to signpost patients to external agencies who offered help and support.

Updated 21 January 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 21 January 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• < >

  The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• It carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support people with mental health needs and dementia.

Updated 21 January 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including travellers and those with a learning disability.

• It offered longer appointments for patients with a learning disability.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients.

• It had told vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out-of-hours.