Dr S W Redfearn & Partners …

1 ,informationfromourongoingmonitoringofda taaboutservicesandinformationgiventousfr omtheprovider,patients, Areservicessafe?Good Areserviceseffective?Good Areservicescaring?Good Areservicesresponsivetopeople sneeds?Good Areserviceswell-led?Good DrDrSSWWRR edfedfeearnarn&&PPartnerartnerssQualityR eportBirchwoodMedicalCentre15 BensonRoadBirchwoodWarringtonCheshireWA3 7 PJTel:Tel:01925823502 :12 May2015 Dateofpublication:30/07/20151Dr S W Redfearn & Partners Quality Report 30/07/2015 ContentsPageSummaryofthisinspectionOvera llsummary 2 Thefivequestionsweaskandwhatwefound 4 Thesixpopulationgroupsandwhatwefound 6

2 Whatpeoplewhousetheservicesay 9 Areasforimprovement 9 DetailedfindingsfromthisinspectionOurins pectionteam 10 BackgroundtoDrSWRedfearn& Partners 10 Whywecarriedoutthisinspection 10 Howwecarriedoutthisinspection 10 Detailedfindings

3 , , ,caring,effective, : ,monitored,appropriatelyreviewedandaddre ssed. Patients ,dignityandrespectandtheywereinvolvedint heircareanddecisionsabouttheirtreatment. Informationaboutservicesandhowtocomplain wasavailableandeasytounderstand. of findings2Dr S W Redfearn & Partners Quality Report 30/07/2015 , : (CBEFRCPFFPHFRCGP)ChiefInspectorofGenera lPracticeSummary of findings3Dr S W Redfearn & Partners Quality Report 30/07 , ,monitored, Areserviceseffective? Areservicescaring? ,staffwerecaring, Areservicesresponsivetopeople sneeds? (CCG) (PPG).Patientswereusuallyprovidedwiththe irownnamedGPprovidingcontinuityofcare, Summaryoffindings4Dr S W Redfearn & Partners Quality Report 30/07 , (PPG) , Summaryoffindings5Dr S W Redfearn & Partners Quality Report 30/07 ElderlyCareNurse toprovideaholisticapproachtohelpmeettheh ealthandsocialcareneedsoftheirover75year oldpatientsandtheir2% CarersChampion ,chronicobstructivepulmonarydisease(COPD ), ,forexample, Families,childrenandyoungpeopleThepracti ceisratedasgoodforthecareoffamilies, Summaryoffindings6Dr S W Redfearn & Partners Quality Report 30/07 (PART) (includingthoserecentlyretiredandstudent s)

4 Thepracticeisratedasgoodforthepopulation groupofworking-agepeople(includingthoser ecentlyretiredandstudents). ,onthedayappointmentsforurgentmedicalcon ditions, , , , Summaryoffindings7Dr S W Redfearn & Partners Quality Report 30/07 (includingpeoplewithdementia)Thepractice isratedasgoodforthecareofpeopleexperienc ingpoormentalhealth(includingpeoplewithd ementia).Thepracticeregularlyworkedwithm ulti-disciplinaryteamsinthecasemanagemen tofpeopleexperiencingpoormentalhealth, ;WarringtonImprovingAccesstoPsychologica lTherapiesService(IAPT service); Summaryoffindings8Dr S W Redfearn & Partners Quality Report 30/07 ,thosewithlongtermconditions, ,staffwerecaring, ,theytoldustheyhadenoughtimetodiscussthi ngsfullywiththeGPs,treatmentswereexplain ed,theyfeltlistenedto, , ,recordsanddiscussionswithrepresentative sfromthePatientParticipationGroup(PPG) ( )ofpracticerespondentssaidthelasttimethe ysaworspoketoaGP, ( ;surgerywaitingtimes;outofhour sappointments.)

5 S W Redfearn & Partners Quality Report 30/07/2015 OurinspectionteamOurinspectionteamwasled by:OurinspectionteamwasledbyaCQCinspecto randtheteamincludedaGPandapracticemanage r, , ;twofemalesalariedGPs;fourseniornurses;t wohealthcareassistants;apracticemanager; anassistantpracticemanager;withfoursecre taries; 'trainingpractice'. , ,prebookableconsultations,sameday(advanc edaccess) (Thisservicewasestablished2014bytheGPFed erationthroughthe PrimeMinistersChallengeFund (PMCF). , (PMS). ,tolookattheoverallqualityoftheservice, ,forexampleanyreferencetotheQualityandOu tcomesFrameworkdata, S W Redfearn & Partners Quality Report 30/07/2015 HowwecarriedoutthisinspectionTogettotheh eartofpatients experiencesofcareandtreatment,wealwaysas kthefollowingfivequestions: Isitsafe?)

6 Isiteffective? Isitcaring? Isitresponsivetopeople sneeds? Isitwell-led? : Olderpeople Peoplewithlong-termconditions Families,childrenandyoungpeople Workingagepeople(includingthoserecentlyr etiredandstudents) Peoplewhosecircumstancesmaymakethemvulne rable Peopleexperiencingpoormentalhealth(inclu dingpeoplewithdementia) , , , ;heldameetingwithmembersofthepatientpart icipationgroup; ;registeredmanager;GPs;seniornurse s; findings11Dr S W Redfearn & Partners Quality Report 30/07 , , sdetailsbeinginadvertentlyattachedtoanot herpatient ,knewhowtoraiseanissueforconsiderationat themeetingsandtheyfeltencouragedtodosoan dinanopen, (MHRA).TheGP sdescribedarecentalertfromMHRA inregardtothemedication, , , , , ; (DBS) (CCG) 12Dr S W Redfearn & Partners Quality Report 30/07 , (suchasgloves) (Legionellaisabacteriumthatcangrowincont aminatedwaterandcanbepotentiallyfatal.)

7 , :forexampleweighingscales;ECGmachine;vac cinerefrigerators;thermometers;spiromete rs;medicalscales;cauterymachine; :proofofidentification;references;qualif ications;registrationwiththeappropriatep rofessionalbody;professionalindemnityins uranceandcriminalrecordschecksthroughthe DisclosureandBarringService(DBS) 13Dr S W Redfearn & Partners Quality Report 30/07 , ,processesandpoliciesinplacetomanageandm onitorriskstopatients, ,theenvironment,medicinesmanagement,staf fing, codered ,oxygenandequipmentwereavailableincludin gaccesstoanautomatedexternaldefibrillato r(usedtoattempttorestartaperson sheartinanemergency).Emergencymedicinesi ncludedthoseforthetreatmentofcardiacarre st, , 14Dr S W Redfearn & Partners Quality Report 30/07 (NICE) ,muscularskeletalandrespiratorydiseasesa ndthepracticenursessupportedthiswork, ,forexample, , ,schedulingclinicalreviews,reviewinghosp italadmissions, , RoyalCollegeofGeneralPractitioners (RCGP) (Patientsfirstseenwithin14daysofGPurgent suspectedcancerreferral.)

8 ( ).Forexamplethemostrecentresultsfor2014 (forexample,treatmentiseffective)Good 15Dr S W Redfearn & Partners Quality Report 30/07 (EveryGPisappraisedannually, ). , , :basiclifesupport;firesafety;healthandsa fety; :PaediatricAsthma;COPDM anagement; , ,Xrayresults,andlettersfromthelocalhospi talincludingdischargesummaries, ,documentandmanagepatients ,andcommentedpositivelyaboutthesystem ; (forexample,treatmentiseffective)Good 16Dr S W Redfearn & Partners Quality Report 30/07/2015understandingofGillickcompeten cies.(Thesehelpclinicianstoidentifychild renagedunder16whohavethelegalcapacitytoc onsenttomedicalexaminationandtreatment). ,vaccinationprogrammes,children simmunisations, (QOF) (QOF) :inprovidingfluvaccinationstohighriskpat ientsandprovidingotherpreventativehealth checks/ , , (forexample,treatmentiseffective)Good 17Dr S W Redfearn & Partners Quality Report 30/07/2015 OurfindingsRespect,dignity, privacyanddignityweremaintainedduringexa minations, , , ( )ofpracticerespondentssaidthelasttimethe ysaworspoketoaGP, , CarersChampion whoseroleinvolvedbeingthepointofcontactf orcarersandinrespectofsignpostingthemtoc arer 18Dr S W Redfearn & Partners Quality Report 30/07/2015 OurfindingsRespondingtoandmeetingpeople (CCG) (PPG).

9 ThepurposeofthePatientParticipationGroup wastomeetwithpracticestafftoreviewtheser vicesprovided,developapracticeactionplan , , , :telephoneconsultations,prebookableconsu ltations, , sneeds?(forexample,tofeedback?)Good 19Dr S W Redfearn & Partners Quality Report 30/07/2015 OurfindingsVisionandstrategyThepracticeh adaclearvisionanditsstatementofpurposese tstheseoutas:- saretreatedwithrespectandthatthereisaman agedhealthcareenvironmentwhichminimisest heriskofinfectiontopatients, ,reflectingonperformance,workingwithothe rprofessionalsintheprimarycaresettingand bymanagingtheinterfacewithsecondarycare, buttakinganadvocacyroleforthepatientwhen itisneeded. :Healthandsafety;Consent; (QOF) , , Practicemakesperfect.

10 , ,opennessandtransparencyAlthoughtherewas nowrittenprotocoltodescribetheleadership structure, ,forexample,safeguardingandinfectioncont rolandclinicalstafftooktheleadfordiffere ntclinicalareas,forexample;diabetes; , (forexample,aretheywell-managedanddoseni orleaderslisten,learnandtakeappropriatea ction)Good 20Dr S W Redfearn & Partners Quality Report 30/07/2015 Practiceseeksandactsonfeedbackfromitspat ients,thepublicandstaffPatientfeedbackwa sobtainedthroughcarryingoutsurveys, (FFT) , ProductiveGeneralPracticeProgramme , , , (forexample,aretheywell-managedanddoseni orleaderslisten,learnandtakeappropriatea ction)Good 21Dr S W Redfearn & Partners Quality Report 30/07/2015