Clifton Medical Centre

Updated 24 March 2017

Clifton Medical Centre is situated within a purpose built surgery in Rotherham Health Village. There is a branch surgery at Wickersley Health Centre, Poplar Glade, Wickersley, Rotherham, S66 2JQ. We visited the branch surgery as part of this inspection.

The practice provides Personal Medical Services (PMS) for 13,400 patients across the two sites in the NHS Rotherham Clinical Commissioning Group (CCG) area. The practice catchment area has been identified as being one of the third most deprived areas nationally. The age of the practice population mostly reflects the national average but with a slightly higher than average four years and under age group.

There are four GP partners and two salaried GPs, four male and two female. There are twelve practice nurses, four of who are independent nurse prescribers, three health care assistants and a phlebotomist who work across the two sites. There is a large administration team led by two practice managers.

The practice is open from 7am to 6pm, Monday to Friday at the Rotherham Health Village site and telephones are open from 8am to 6pm. The branch surgery is open 8am to 5pm, Monday to Friday, and also has a late surgery from 6.30pm to 8pm on a Tuesday.

Out of hours services are provided by Care UK, (the company providing out-of-hours care for NHS Rotherham's patients). Calls are diverted to this service when the practice is closed. NHS Rotherham also provides a Walk-in Centre to deal with minor ailments, illnesses and injuries.

Updated 24 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Clifton Medical Centre on 17 February 2016. The overall rating for the practice was good but with requires improvement for safety. The full comprehensive report for the 17 February 2016 inspection can be found by selecting the ‘all reports’ link for Clifton Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 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 17 February 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good.

Improvements had been made since our last inspection on 17 February 2016. Our key findings were as follows:

• The practice had obtained all the necessary staff recruitment checks to ensure employees were of good character prior to employment.

• Storage arrangements had been improved to ensure all flooring areas were free from clutter and could be cleaned appropriately.  

PProfessor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 11 April 2016

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

• The practice had a dedicated long term conditions (LTC) team led by a GP who had dedicated time for this area of practice. The team also included a nurse with specific training in this area.

• They had identified the top 5% of patients, just over 600 patients, at the most risk of unplanned hospital admissions using a recognised risk tool. These patients had detailed assessments and care plans which included carer’s assessments. Care needs were monitored and reviewed regularly by the multidisciplinary team. The practice had good systems in place to monitor patients with long term conditions, for example, the hospital discharge letters were collated with the LTC register. A search was conducted twice a week to check if any patients on the LTC register had been discharged from hospital.

• All these patients had a named GP.

• Performance for diabetes related indicators was 83%, which was the same as the CCG average but below the national average of 90%.

• Longer appointments and home visits were available when needed.

Updated 11 April 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.

• In the last 12 months 73% of patients diagnosed with asthma had received a review of their care, which was the same as the CCG average and 2% below the national average.

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

• The practice’s uptake for the cervical screening programme was 78%, which was comparable to the CCG average of 82% and the national average of 81%.

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

• We saw positive examples of joint working with midwives, health visitors and school nurses.

• The practice had ensured young people had access to information about services which was relevant to their needs.

Updated 11 April 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 11 April 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 reflected the needs for this age group.

Updated 11 April 2016

• In the last 12 months 94% of patients diagnosed with dementia had received a face to face review of their care, which was 9% above the CCG and national average.

• Performance for mental health related indicators was 100%, which was better than the CCG average of 91% and national average of 93%.

• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• The practice carried out advance care planning for patients with dementia.

• Patients experiencing poor mental health had been advised 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 and had received training in this area.

Updated 24 March 2017

The practice is now rated as outstanding for the care of people whose circumstances may make them vulnerable. The provider had resolved the concerns for safety identified at our inspection on 17 February 2016 which applied to everyone using this practice, including this population group. This population group rating has been updated to reflect this. At the last inspection on the 17 February 2016 the practice was rated as outstanding for providing effective and caring services for people whose circumstances may make them vulnerable.