Rainworth Surgery

Updated 30 May 2018

Rainworth Surgery () is registered with the CQC as a GP partnership with three GP partners. The registered provider’s name is Dr Huggard and partners. This inspection was undertaken as the partnership was newly registered with the CQC in May 2017 following a demerger with another local GP practice.

The practice has a population of approximately 6000 registered patients. Patients are predominantly of white British origin with only 2% of patients being from BME groups. The age profile of registered patients is mostly in line with local and national averages, but with a slightly higher percentage of older patients in comparison to national averages. The practice has 20% of their patients aged 65 and over, in comparison to a national average of 17%. The practice serves a population that is ranked in the fifth more deprived decile for deprivation. This is similar to the national figure but higher than across the wider CCG area. Rainworth is a former mining area which has contributed to a generally higher prevalence of long-term conditions, notably chronic obstructive airways disease. The practice has 62% of their patients with a long standing health condition in comparison to the CCG average of 56%, and the national average of 54%. However, recent and ongoing residential developments in the area are likely to create a move to a younger age profile.

Rainworth Surgery provides primary care medical services commissioned by NHS England and NHS Newark and Sherwood CCG. The practice is situated in the village of Rainworth in the north of Nottinghamshire. It operates from a purpose built primary care centre constructed in 2007 which includes an independent pharmacy and acts as a base for local community health services.

The clinical team consists of three full-time female GP partners, two practice nurses, and two healthcare assistants. The clinical team is supported by a practice finance manager, an administration manager, a location manager and a team of seven reception, secretarial and administrative staff.

Rainworth Surgery is not a training or teaching practice for medical or other health care students or post graduates.

The practice opens from 8am until 6pm Monday to Friday, with extended opening hours for pre-bookable appointments once a month on a Saturday morning from 8.30am until 12.30pm. Scheduled GP appointment times are available each morning from 8.30am to 12 noon and each afternoon 2pm to 5.30pm. Patients can access evening appointments between 6.30pm-8pm in extended access hubs at GP surgeries in Blidworth and Clipstone. These can be booked by Rainworth Surgery reception staff and are available for urgent GP appointments and pre-bookable appointments with a nurse or health care assistant.

The surgery closes for one afternoon on most months to facilitate staff training. When the practice is closed, patients are directed to the out of hours’ provider via the 111 service.

Updated 30 May 2018

This practice is rated as good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Rainworth Surgery on 17 April 2018. This inspection was undertaken following the partnership’s registration as a new provider with the Care Quality Commission (CQC) on 15 May 2017. The inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice mostly had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. The practice needed to ensure that all appropriate events, including near misses, were reported to maximise learning opportunities.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were mostly able to access care when they needed it. Patients provided positive feedback on the GP triage system which had been introduced in 2016.
• Staff appraisals were up to date and staff were encouraged and supported to develop their skills and enhance their role.
• The practice had a higher proportion of patients with a long-term condition and older patients. We saw that the practice achieved good outcomes for these patient groups, demonstrated for example by their performance on the Quality and Outcomes Framework (QOF).
• Staff told us that it was a good place to work and that they felt valued and supported. They said that GP partners and managers were visible and approachable.
• The practice had recently completed a demerge process with another GP practice, and we saw this had been managed well with no disruption to patients.
• The partnership had considered future succession planning arrangements for the practice. They worked with their Clinical Commissioning Group (CCG) to consider forward planning to meet the needs of their patients.
• Healthcare professionals who worked with the practice provided us with positive experiences about their interactions with the practice team and told us they were caring, responsive and patient focused.
• Staff had the skills, knowledge and experience to carry out their roles effectively although the practice was not able to easily evidence this by means of an up to date training matrix. The practice finance manager was working to update this.

The areas where the provider should make improvements are:

• Review the practice training programme and ensure that staff have completed the training modules required for their roles and updates are undertaken at specified intervals.
• Promote the uptake of incident reporting, including near misses and positive event reporting, to all team members.

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018

Updated 30 May 2018