Archived: Church View Medical Centre

Updated 28 November 2016

The area covered by Church View Medical Centre is predominantly the Sunderland West area. The practice provides services from Church View Medical Centre, Silksworth Terrace, Sunderland, SR3 2AW.

The surgery is located in the Silksworth area of Sunderland. The surgery is purpose built. Facilities for patients are located on the ground floor and there is disabled access including designated parking bays and disabled toilet facilities.

The practice has three salaried GPs, of which one GP is the lead, two are full-time and one part time, (two male and one a female doctor). There are three practice nurses and one nurse practitioner. There are two health care assistants. There is a practice manager and there are nine administrative staff and a domestic assistant.

The practice provides services to approximately 6,000 patients of all ages. The practice is commissioned to provide services within a Personal Medical Services (PMS) agreement with NHS England. The provider of the service is City Hospitals Sunderland NHS Foundation Trust (the Trust).

The practice is open Monday to Friday 8am to 6pm and appointments could be made during this time. Patients were able to book appointments either on the telephone, at the front desk or using the on-line system.

The service for patients requiring urgent medical attention out of hours is provided by the NHS 111 service and Vocare, known locally as Northern Doctors Urgent Care Limited (NDUC).

Updated 28 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection at Church View Medical Centre on 24 October 2016.

We had previously carried out an inspection of the practice on 8 September 2015 when a breach of legal requirements was found. The practice could not demonstrate their approach to audit supported them to improve either clinical outcome for patients or improved clinical practice.

After the inspection on 8 September 2015 the practice wrote to us to say what they would do to meet the legal requirements set out in the Health and Social Care Act (HSCA) 2008.

In October 2016 we undertook a focused inspection where we asked the Trust to send us information to evidence that they now met legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Church View Medical Centre on our website at www.cqc.org.uk.

Our key findings were as follows:

• The practice had taken action in relation to the requirement notice we issued at the last inspection and were no longer in breach of regulations. The practice had increased focus on clinical audit. There was a clinical audit plan in place and there was evidence this was discussed regularly through clinical and team meetings. The Trust provided us with several examples of completed clinical audit cycles.
• The practice had also addressed those areas we told them they should consider improving. They had carried out a formal legionella risk assessment. (Legionella is a term for a particular bacterium which can contaminate water systems in buildings). They had updated their complaints leaflet to detail the arrangements for external resolution.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 22 October 2015

The practice is rated as good for the care of people with long-term conditions. Patients with long term conditions were reviewed every twelve months with a co-ordinated approach to multiple long term conditions. The lead practice nurse had overall responsibility for this. There were arrangements in place for repeat prescriptions. Staff were alerted if a patient was overdue a medication review. For those people with the most complex needs, the practice worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 22 October 2015

The practice is rated as good for the care of families, children and young people. The practice had identified the needs of families, children and young people and put plans in place to meet them. The practice had a dedicated GP as the lead for safeguarding vulnerable children. There was a safeguarding children policy. Missed appointments for a child were followed up by the practice nurse. There were regular multidisciplinary team meetings involving child care professionals such as health visitors. This covered safeguarding and families who required support. The practice offered child health and ante-natal clinics. A full range of immunisations for children, in line with current national guidance were offered.

Updated 22 October 2015

The practice is rated as good for the care of older people. The practice was responsive to the needs of older people, the over 75s had a named GP and were offered annual health checks. Patients were offered flu and shingles vaccines and the practice nurses could carry these out at a home visit if appropriate. The practice maintained a palliative care register and end of life care plans were in place for those patients it was appropriate for. The practice had strong links to the local carers centre.

Updated 22 October 2015

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 and flexible. There were open access clinics for the patients to see the practice nurse and a phlebotomy clinic on a daily basis. There were telephone consultations available with both GPs and practice nurses. The practice participated in a CCG initiative at a local primary care centre from 6 until 8pm for patients who could not attend appointments during normal opening hours. NHS health checks were offered to patients between the ages of 40 and 74.

Updated 22 October 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice worked closely with mental health services. There was a lead GP at the practice for mental health. Patients experiencing poor mental health received annual health reviews. The nurse practitioner was the lead nurse for dementia and carried out annual reviews.72.7% of patients experiencing dementia had received annual reviews, the local CCG average is 77.5% and the England average is 77.9%. The practice proactively tried to identify patients with dementia by trying to identify concerns on routine reviews and opportunistically during consultations.

Updated 22 October 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients with a learning disability. The practice had effective working relationships with multi-disciplinary teams in the case management of vulnerable people. 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 and out of hours. The practice carried out annual health reviews of patents with learning disabilities. Patients with caring responsibilities were identified and there were links to the local carers support group.