Background to this inspection
Updated
11 June 2018
Falkland House Surgery is located in a converted house and accepts patients from postcode S11 in Sheffield. The practice provides services for 3,975 patients under the terms of the NHS Personal Medical Services contract. It also offers a range of enhanced services such as childhood vaccination and immunisations.
Public Health England data shows the catchment area is classed as within the tenth least deprived area in England. The age profile of the practice population is broadly similar to the other GP practices in the Sheffield Clinical Commissioning Group (CCG) area with a higher than average number of patients aged 65 to 85 years. Further information can be found on the practice website: www.falklandhousesurgery.co.uk
The practice has two male GP partners and one female GP registrar, a practice nurse, two phlebotomists, practice manager, acting/assistant practice manager and a team of reception and administration staff.
The practice is open 8.30am to 6.30pm Monday to Friday and 7am to 8.30am Tuesday and Thursday mornings. Morning and afternoon appointments are offered daily Monday to Friday. Out of hours care can be accessed by calling the NHS 111 services.
Updated
11 June 2018
This practice is rated as Good overall (Previous inspection 21 April 2016 - 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 Falkland House Surgery on 24 April 2018 as part of our inspection programme.
At this inspection we found:
- The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice took action and improved their processes.
- The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- There was a clear leadership structure and staff told us they felt respected, supported and valued. They felt part of a team and were proud to work in the practice.
The areas where the provider should make improvements are:
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Review the documenting processes for completing actions identified within risk assessments.
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Develop a programme of clinical audit to identify new topics and ensure second cycles of existing audits are completed.
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Encourage learning from feedback and events is shared with all staff.
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Monitor systems and processes to support good governance more closely to ensure they are completed in a timely manner.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
11 June 2018
People experiencing poor mental health (including people with dementia)
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11 June 2018
People whose circumstances may make them vulnerable
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11 June 2018