Rustlings Road Medical Centre

Updated 30 March 2017

Rustlings Road Surgery is situated in Sheffield city centre.The practice provides services for 4,500 patients under the terms of the NHS Personal Medical Services contract. The practice catchment area is classed as within the group of the tenth less deprived areas in England. The age profile of the practice population is similar to other GP practices in the Sheffield Clinical Commissioning Group (CCG) area.The practice has three GP partners two female and one male, one nurse practitioner (who is a nurse prescriber),one practice nurse and one healthcare assistant. They are supported by a team of practice management staff and an administration team. The practice is open between 8.30 am and 6.00 pm Monday to Friday. Appointments with staff are available at various times throughout the day.When the practice is closed calls are answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

Updated 30 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 20 June 2016. The practice was rated as requires improvement for ‘well led’. Following the inspection, the practice sent us an Action Plan in September 2016 to state what they would do to improve their service.

This inspection was an or carried out on 28 February 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 20 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.  

• We saw evidence that the practice had introduced a rolling programme of clinical audit and re-audit to improve patient outcomes and services.
• The practice had developed a Disclosure and Barring policy.
• We saw evidence that all practice policies had front cover sheets which identified implementation and review dates.
• We saw a schedule of regular staff meetings was in place.
• The practice had difficulty in attending the CCG protected learning sessions however w We saw evidence of regular in house learning sessions. These were well attended by all staff groups.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 August 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• The percentage of patients with diabetes, on the register, who had an influenza immunisation in the preceding 12 months was 99% and comparable to the CCG (96%) and national average of 94%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and an annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. 

Updated 4 August 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.
• The percentage of women aged 25-64 whose notes record that a cervical screening test has been performed in the preceding five years was 93% and higher than the CCG average of 89% and the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies. 

Updated 4 August 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 people in its population.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs. 

Updated 4 August 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 ensured 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 4 August 2016

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

• 100% of patients diagnosed with dementia had their care reviewed in a face to face meeting in the last 12 months, which is higher than the CCG average of 86% and the national average of 84%.
• The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who had a comprehensive, agreed care plan documented in the record in the preceding 12 months was 100% and higher than the CCG average of 90% and the national average of 88%.
• The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• The practice carries out care planning for those patients living with dementia but did not carry out care planning for those patients living with learning disability but the practice has signed up for the Learning Disability Local Enhanced Service from April 2016 with this in mind.

Updated 4 August 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 homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• 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.