Aire Valley Surgery

Updated 9 January 2020

Aire Valley Surgery was created following the merger of two local practices Yeadon Tarn Medical Centre and Rawdon Surgery on 1 April 2019. The practices had been working closely together prior to this date, to engage with patients and staff and prepare for a smooth transition.

Aire Valley Surgery is located at Silver Lane Surgery, Silver Lane, Yeadon, Leeds, West Yorkshire, LS19 7JN. There is also a branch site, Rawdon Surgery, 11 New Road Side, Rawdon, Leeds, West Yorkshire, LS19 6DD. The surgeries both have on-site parking, with dedicated spaces for those with mobility issues and co-located pharmacies on site. We visited both sites as part of our inspection.

The provider is registered with CQC to deliver the following Regulated Activities from both sites;

• Diagnostic and screening procedures
• Family planning
• Maternity and midwifery services
• Surgical procedures
• Treatment of disease, disorder or injury

Aire Valley Surgery is situated within the NHS Leeds Clinical Commissioning Group (CCG) and provides services to 14,517 patients under the terms of a general medical services (GMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.

The practice also provides the following additional services; minor surgery and joint injections, coils and implants and an in-house dermatology service.

The National General Practice Profile states that 97% of the practice population is from a white British or Irish Origin and a further 2% from an Asian background. The remainder of the population is originating from black, mixed or other non-white ethnic groups. Information published by Public Health England shows that the level of deprivation in the practice is rated as seven, on a scale of one to ten. Level one represents the highest level of deprivation, and level ten the lowest.

The average life expectancy for patients at the practice is 79 years for men and 84 years for women, compared to the national average of 79 years and 83 years respectively.

The service is provided by a partnership consisting of five partners (three female and two male). The partners are supported by nine salaried GPs (seven female and two male), two advanced nurse practitioners (one female and one male), three female practice nurses (two of which are qualified prescribers) and two health care assistants (female).

The practice is a training practice and at the time of our inspection they had two GP registrars working alongside them. A GP registrar is a qualified doctor who is training to become a GP.

The clinical team is supported by an experienced managerial, reception and administrative team.

The practice is part of a local primary care network (PCN) to collaborate on care for patients across the Yeadon, Menston and Guiseley area. The PCN is made up of three local practices, serving approximately 35,300 patients.

Updated 9 January 2020

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Effective and Well Led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Safe, Caring and Responsive

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 have rated this practice as good overall and good for all population groups.

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.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The practice had a clear organisational structure and regular formal meetings to ensure effective communication.
• Managers and leaders were aware of challenges faced by the practice and were proactively taking steps to overcome these.
• Staff reported they felt very supported, motivated and happy to work at the practice.

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

• Improve the processes for managing emergency medication.
• Submit an application to cancel provider registration with the Care Quality Commission for Rawdon Surgery.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Updated 21 March 2016

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

• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. The practice nurses had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Longer appointments and home visits were available when needed.
• The practice had appointed Clinical Care Co-ordinators to liaise with other health care professionals and families to support the needs of the patient.
• Patients who required palliative (end of life) care were provided with support and care as needed, in conjunction with other health care professionals.

Updated 21 March 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 accident and emergency (A&E) attendances.
• Patients and staff told us children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies. All children who required an urgent appointment were seen on the same day as requested.
• The practice worked with midwives, health visitors and school nurses to support the needs of this population group. For example, ante-natal, post-natal and child health surveillance clinics.

Updated 21 March 2016

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

• The practice provided proactive, responsive and personalised care to meet the needs of the older people in its population. Home visits and urgent appointments were available for those patients with enhanced needs.
• The practice had appointed Clinical Care Co-ordinators to liaise with other health care professionals and families to identify the needs of the patient.
• Health checks were offered for all patients over the age of 75 who had not seen a clinician in the previous 12 months.

Updated 21 March 2016

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

• The needs of these patients 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 together with other practices in the area offered access to appointments in the evenings, weekends and Bank Holidays.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group. For example, cervical screening and annual health checks.

Updated 21 March 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 multidisciplinary teams in the case management of people in this population group, for example the local mental health team. Patients and/or their carer were given information on how to access various support groups and voluntary organisations, such as Carers Leeds.
• The practice 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.
• 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.
• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 21 March 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 and regularly worked with multidisciplinary teams in the case management of this population group.
• Information was provided on how to access various local support groups and voluntary organisations.
• Longer appointments were available for patients as needed.
• Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They 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.
• Any patients known to be at risk of abuse were assigned to a specific GP to ensure the practice were fully aware of their circumstances.
• The practice had appointed Clinical Care Co-ordinators to liaise with other health care professionals and families to support the needs of the patient.