Background to this inspection
Updated
8 December 2016
Leen View Surgery provides primary medical services to approximately 8,700 patients, through a
general medical services contract (GMS). This is a locally
agreed contract with NHS England.
The practice is located in Bulwell, which is approximately 4.5 miles from Nottingham. The practice is in an area of high deprivation, and has a higher than national average elderly population as well as children under 14 years of age.
Leen View Surgery is managed by three
partners. Two of the partners are GPs (1 male,1 female) and one is an advanced nurse practitioner (female). The clinical team also includes two salaried GPs (1 male, 1 female), two long-term locum doctors, a practice pharmacist, one trainee advanced nurse practitioner, an assistant practitioner, two practice nurses and two phlebotomists
.
The non-clinical team includes a practice manager, an office manager and a team of reception, clerical and administrative staff.
The practice is open Monday to Friday from 7am to 6.30pm. Appointments are available
from 7am to 6.30pm on
Monday, Tuesday, Wednesday and Friday and from 7am to 12pm on Thursday.
The practice has opted out of proving out-of-hours services to its patients. This service is provided by Nottingham Emergency Medical Services, and
is accessed via the NHS 111 telephone number.
The provider's certificate of registration issued by the Care Quality Commission includes two partners. The third partner is in the process of applying to be added to the provider's registration.
Updated
8 December 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Leen View Surgery on 12 April 2016. During that inspection we found that non-clinical staff who undertook chaperone duties had not received a disclosure and barring service (DBS) check, and a risk assessment had not been completed to determine whether this was required.
Also, the recruitment policy did not include reference to all information required by law when recruiting new members of staff. The practice had not obtained assurances that locum doctors who worked there had undergone all required recruitment checks through their employment agency. Effective systems were not in place to oversee and improve some aspects of the quality and safety of the services provided.
Overall the practice was rated as good with are services safe and well-led requiring improvement in view of the above.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Leen View Surgery on our website at www.cqc.org.uk.
After the comprehensive inspection, the practice told us what action they had, and were taking to meet the legal requirement in relation to the breaches.
We undertook a focused inspection on 27 October 2016 to check that the provider had completed the required action, and now met the legal requirements. We visited the practice as part of this inspection.
This report covers our findings in relation to the above requirements.
This inspection found that the provider had taken appropriate action to meet the legal requirements.
- All staff carrying out chaperone duties had received a disclosure and baring service check. (These checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with vulnerable children or adults).
- Effective recruitment procedures were followed to ensure the practice obtained the required information and checks prior to new staff working at the practice.
- A protocol was in place to obtain assurances that locum doctors who work at the practice had undergone required recruitment checks through their employment agency. Two locum doctors files we checked contained copies of the required checks and information.
-
Effective systems were in place to oversee and improve the quality and safety of the services provided, and to reduce risks to patients.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.
Families, children and young people
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.
Working age people (including those recently retired and students)
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.
People experiencing poor mental health (including people with dementia)
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.
People whose circumstances may make them vulnerable
Updated
8 December 2016
The practice was rated as requires improvement for safe and well-led at the last inspection. The issues identified affected the ratings of all six population groups.
The practice is rated as good for safe and well-led at this inspection. In view of the improvements all six population groups are rated as good.