Updated
14 September 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 3 November 2015. A breach of legal requirement was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet this legal requirement in relation to the regulatory breach of the Health and Social Care Act 2008 (Regulated Activities) 2014, Regulation 12 safe care and treatment.
We undertook this focused desktop inspection on 29 July 2016 to check that they had followed their plan and to confirm they now met the legal requirement. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Foxhill Medical Centre on our website www.cqc.org.uk.
Overall the practice is rated Good. Specifically, following the focused desktop inspection we found the practice to be good for providing safe services.
Our key findings across all the areas we inspected were as follows:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
21 January 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. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multi-disciplinary package of care.
Families, children and young people
Updated
21 January 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. Data showed immunisation rates were higher than the Clinical Commissioning Group (CCG) average for all standard childhood immunisations. The practice told us that children under five were seen the same day as requested and we observed the premises were suitable for children and babies, with a breast feeding room, baby changing facilities and a childrens play area in the waiting room.
Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.
Updated
21 January 2016
The practice is rated as good for care of older people. The practice offered personalised care to meet the needs of the older people in its population. It was responsive to the needs of older people and offered home visits when needed. The practice provided services for patients who resided in a local care home. Patients aged over 75 who had not been seen for over a year were invited in for a health check. The practice helped facilitate health walks from the practice in conjunction with a local charity to improve the health of patients and to prevent isolation.
Working age people (including those recently retired and students)
Updated
21 January 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 offered telephone advice appointments and extended hours one evening a week. 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. The practice had an occupational health advisor for patients with work related health issues to obtain further advice and offered students the immunisations recommended for this age group.
People experiencing poor mental health (including people with dementia)
Updated
21 January 2016
The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia). The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those living with dementia. It carried out advance care planning for patients living with dementia. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. The practice helped facilitate a weekly Art Group available to all patients but particularly focussed on those patients living with dementia and patients experiencing poor mental health, learning disabilities or vulnerable patients living in isolation.
Staff had a good understanding of how to support people with mental health needs and dementia. The practice had their own in-house counsellor and also hosted an Improving Access to Psychological Therapies programme (IAPT) to support patients’ needs.
People whose circumstances may make them vulnerable
Updated
21 January 2016
The practice is rated as good for care of people whose circumstances may make them vulnerable. The practice offered longer appointments for people with a learning disability. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. The health development nurse visited patients in their own home and vulnerable patients were told how to access various support groups and voluntary organisations. 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.