Background to this inspection
Updated
15 May 2018
St. Mary’s Surgery is situated in Bloxwich, Walsall and provides primary medical services; with a registered patient list size of approximately 2900 patients. The practice is part of NHS Walsall Clinical Commissioning Group (CCG).
The practice holds a General Medical Services (GMS) contract with NHS England. A GMS contract ensures practices provide essential services for people with health issues including chronic disease management and end of life care.
The practice is located in a purpose built health and social care centre and shares the facilities with other NHS Services, including five other GP practices. The demographic area served by the practice is ranked as one of the highest deprived areas compared to England as a whole and is ranked as one out of 10, with 10 being the least deprived.
The practice staffing comprises of:
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Two GP partners (both male)
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One salaried GP (female)
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One independent nurse prescriber
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One practice nurse
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One phlebotomist
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One practice manager, and four administration staff who share the responsibilities for reception and administrative tasks
The practice is open between 8am to 6.30pm Mondays, Tuesdays, Wednesdays and Thursdays and on Fridays 8am to 1pm. Extended opening hours are available from 7.30am on Tuesdays and Wednesdays. GP telephone consultations are available from 6.30pm and 7pm on Tuesdays. On the last Wednesday of every month, the surgery is closed at 1pm for staff training.
The practice has opted out of providing out of hours cover for their patients. WALDOC provides the practice out of hour’s service. Patients are advised to call NHS 111for medical advice when the surgery is closed.
Additional information about the practice is available on their website:
www.stmarys-surgery.co.uk
Updated
15 May 2018
This practice is rated as Good overall. We previously carried out an announced comprehensive inspection at St Mary’s Surgery in December 2016 and rated the practice as Good overall with requires improvement for the population group people whose circumstances may make them vulnerable. The practice had displayed their ratings in a prominent place within the surgery.
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
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 – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at St Mary’s Surgery on 13 March 2018 as part of our inspection programme.
At this inspection we found:
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The practice had worked to improve the support offered to people with a learning disability. The number of health reviews offered to people with a learning disability had significantly increased.
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The practice was above average for its satisfaction scores on consultations with GPs and nurses. Results from the national GP patient survey also showed patients responded positively to questions about their involvement in planning and making decisions about their care and treatment. Results were higher than local and national averages.
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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.
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There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse.
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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.
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Staff had the skills, knowledge and experience to carry out their roles.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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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:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
15 May 2018
Families, children and young people
Updated
15 May 2018
Working age people (including those recently retired and students)
Updated
15 May 2018
People experiencing poor mental health (including people with dementia)
Updated
15 May 2018
People whose circumstances may make them vulnerable
Updated
15 May 2018