Letter from the Chief Inspector of General Practice
This practice is rated as Requires Improvement overall.
The practice had been previously inspected on 19 November 2014 when it was rated as Good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Requires Improvement
Are services responsive? – Requires Improvement
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those recently retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people with dementia) - Requires Improvement
We carried out an announced comprehensive inspection at The Bradford Moor Practice on 8 December 2017. The inspection was carried out as part of our inspection programme.
At this inspection we found:
-
The practice had clear 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 routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
-
Levels of cervical screening amongst the practice population had been significantly improved by a targeted campaign.
-
Prescribing levels of antibiotics had been significantly reduced in line with local and national targets.
-
Staff across the whole team were kind and caring. Patients told us they were treated with compassion, dignity and respect.
-
Results from the national GP patient survey showed that the provider was performing significantly lower than the national average in terms of access and for consultations with clinical staff. The provider had drawn up a detailed action plan in response to this, however at the time of the inspection the impact of the changes proposed or made had not been fully assessed.
-
Patients who were receiving end of life care were identified by the provider and visited at home by the lead GP and practice nurse on a regular basis.
-
Patients sometimes found it difficult to access routine appointments. However, they told us that they were able to access urgent care when they needed it.
-
There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
-
Continue to improve the identification rates of carers from amongst the practice population.
-
Continue to review, act on and improve patient satisfaction in accessing services at the provider and in their interactions with clinical staff. Patient satisfaction in these areas was significantly below local and national averages.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice