Stickney Surgery

Background to this inspection

Updated 17 October 2017

Drs Busch, Rhys-Davies & Rajput, known as Stickney Surgery provides primary medical services to approximately 5,300 patients from a single surgery situated in the village of Stickney, Lincolnshire.

Public transport links are poor and there are pockets of rural deprivation and isolation. The practice is in the fifth decile of deprivation scores.

At the time of our inspection the practice healthcare was provided by three male GP partners, one female salaried GP (whole time equivalent WTE 0.6), one nurse practitioner (whole time equivalent WTE 0.5), two practice nurses (WTE 1.6) and one health care assistant (WTE 1.0). They are supported by a team of dispensers, management, administration, reception and housekeeping staff.

The practice is located within the area covered by NHS Lincolnshire East Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GP’s and experienced health professionals to take on commissioning responsibilities for local health services.

The practice is registered to provide the regulated activities of Surgical procedures; Maternity and midwifery services; Diagnostic and screening procedures; Treatment of disease, disorder or injury.

The practice has a General Medical Services (GMS) contract which is a contract between the GP partners and the CCG under delegated responsibilities from NHS England.

It is a dispensing practice to eligible patients.

The surgery is open from 8am to 6.30pm Monday to Friday.

The practice has opted out of providing out-of-hours services to their own patients. The out-of-hours service is provided by Lincolnshire Community Health Services NHS Trust and is accessed by NHS111.

Overall inspection

Good

Updated 17 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stickney Surgery on 24 November 2016. The overall rating for the practice was requires improvement. Specifically we found the practice to be requires improvement in safe, effective and responsive and inadequate in well led. It was rated as good in the caring key question. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Drs Busch, Rhys-Davies & Rajput on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 3 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 24 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

There was an open and transparent approach to safety and a system in place for reporting and recording significant events and to ensure learning was cascaded to staff.
There was an effective system was in place to record, analyse and prevent dispensing errors.
There were effective systems in place to ensure all clinical staff were kept up to date with guidelines from the National Institute for Health and Care Excellence and all types of patient safety alerts.
Information about services and how to complain was readily available and there was an effective system to ensure learning from complaints was cascaded to staff.
Data from the Quality Outcomes Framework showed the practice to have significantly improved performance across a wide range of clinical indicators.
There was an effective system to ensure patients with long term conditions were recalled for review.
Staff had been recruited only after all the relevant checks had been undertaken to help ensure their suitability.
All staff had received annual appraisal of their work and performance.
New staff received a comprehensive induction.
A notice informing patients of the availability of chaperones was clearly displayed.
The practice had taken steps to significantly increase the number of identified carers since our last inspection.
Staff we spoke with praised the new management and management structure and told us they felt empowered to perform and improve the service.

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

The practice should continue to support and encourage the Friends of Stickney Surgery with a view to the body becoming an effective patient participation group.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice