Drs Frost, Hall, Rushforth and Cooper Also known as Foundry Lane Surgery

Updated 15 June 2016

The practice is located in one of the most deprived areas of Leeds. It has a patient list size of approximately 6467 with a higher than national average of patients who are under the age of 34.

The practice is located in a two storey purpose built building and all clinical services are provided from the ground floor. The practice is accessible for wheelchairs and has toilets suitable for disabled people.

The practice has good working relationships with local health, social and third sector services to support provision of care for its patients, some of which are co-located in the building. For example; the South Seacroft One Stop Centre. This offered a number of services such as the Jobshop, pharmacy and benefits advice.

The service is provided by three GP partners (two male and one female) and three salaried GPs. The GPs are supported by two practice nurses and a health care assistant. The clinical staff are supported by a practice manager and experienced team of administrative and secretarial staff.

The practice is a training practice both for medical students and GP registrars (doctors specialising in becoming a GP). At the time of our inspection there was a GP registrar working at the practice.

The practice is open from 8.30am to 6pm Monday to Friday, with a range of appointments available from 8.30am to 5.30am. Patients can book appointments on the day and can also book appointments up to six weeks in advance.

When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

Personal Medical Services (PMS) are provided under a contract with NHS England.

Updated 15 June 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Foundry Lane Surgery on 12 January 2016. Overall the practice is rated as good for providing safe, effective, caring, responsive and well-led care for all of the population groups it serves.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system was in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• The practice held a register of the 2% of patients who were vulnerable or housebound and at risk of an unplanned hospital admission.
• The practice was in the process of signing up to the Year of Care Initiative. This initiative was aimed at encouraging patients with long term conditions to understand their condition and select their own personal health and lifestyle targets.
• The practice had a process in place to follow up patients who had attended accident and emergency (A&E) and those patients who had unplanned hospital admission.
• Patients said they were treated with compassion, dignity and respect and were involved in care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• There was a clear leadership structure and staff were supported by management.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw two areas of outstanding practice:

• The practice were leading on work with the Seacroft Health Improvement Group looking at a new package of care on hospital discharge in order to reduce re-admission.
• The practice had introduced a system of home blood pressure monitoring systems for patients. This enabled the patient to carry out tests at home, which helped to reduce the stress of undertaking tests in a clinical environment, and supported management of self-care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 June 2016

The practice is rated as good for the care of people with long term conditions.

• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. The practice nurses 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.
• Patients who required palliative care were provided with support and care as needed, in conjunction with other health care professionals.
• The practice had designed chronic disease templates to support assessment and care.
• The practice had introduced a system of home blood pressure monitoring systems for patients. This enabled the patient to carry out tests at home, which helped to reduce the stress of undertaking tests in a clinical environment, and supported management of self-care.
• The practice was in the process of signing up to the Year of Care Initiative. This initiative was aimed at encouraging patients with long term conditions to understand their condition and select their own personal health and lifestyle targets.

Updated 15 June 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 accident and emergency (A&E) attendances.
• Patients and staff told us children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours and the premises were suitable for children and babies. All children who required an urgent appointment were seen on the same day as requested.
• The practice hosted Community Midwife clinics three days each week and a drop in baby clinic twice a week.
• The practice worked with health visitors and school nurses to support the needs of this population group, for example, ante-natal, post-natal and child health surveillance clinics.
• Sexual health and contraceptive and cervical screening services were provided at the practice.

Updated 15 June 2016

The practice is rated as good for the care of older people.

• The practice provided proactive, responsive and personalised care to meet the needs of the older people in its population. Home visits and urgent appointments were available for those patients with enhanced needs.
• The practice held bi-monthly meetings with the district nurses, community matron and palliative care nurse.
• The practice worked closely with other health and social care professionals, such as the district nursing team and community matron to reduce hospitalisation for these patients.
• The practice had a register of the 2% of patients who were vulnerable or housebound and at risk of an unplanned hospital admission, of which 50% were aged 75 years and over.
• The practice were involved in the carers project, signposting carers of those over the age of 60 to support services, for example; social services and South Seacroft Friends and Neighbours.
• The practice were aware of the issues faced by older people and had a dedicated lead for safeguarding adults.
• The practice manager was leading on work with the Seacroft Health Improvement Group looking at a new package of care on hospital discharge to reduce re-admission.

Updated 15 June 2016

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these patients 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 online services as well as a full range of health promotion and screening that reflected the needs for this age group, for example, cervical screening, NHS health checks for patients between the ages of 40 and 74.
• The practice produced a regular newsletter providing details of activities, events and courses.
• The practice offered a range of appointments such as book on the day, book in advance and telephone consultations.

Updated 15 June 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice regularly worked with multidisciplinary teams in the case management of people in this population group, for example the local mental health team. Patients and/or their carer were given information on how to access various support groups and voluntary organisations, such as Carers Leeds.
• The practice carried out mental health reviews which included physical health and lifestyle.
• The practice carried out dementia screening on patients at risk of developing dementia.
• The practice had produced an information sheet which directed patients to local resources. Patients were also referred through the single point of access for community mental health service.
• The practice were in negotiations with Forward Leeds to reinstate an in-house worker for people with alcohol dependency problems and this was scheduled to be in place by early 2016.

Updated 15 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances and regularly worked with multidisciplinary teams in the case management of this population group.
• Information was provided on how to access various local support groups and voluntary organisations.
• Longer appointments were available for patients as needed.
• Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.
• The practice referred to drug and alcohol clinics as appropriate to ensure patients were getting the support they needed and offer intervention.
• Domestic violence signposting was displayed in consulting rooms, with information also being available in the toilets for patients to take away with them.
• The practice had a good relationship with the co-located One Stop Centre and directed patients for support with issues such as homelessness and benefits problems.