Archived: Park Road Surgery

Updated 31 March 2015

Park Road Surgery is registered with CQC to provide primary care services, which includes access to GPs, family planning, surgical procedures, treatment of disease, disorder or injury and diagnostic and screening procedures. It provides GP services for patients living in the Little Horton area of Bradford. A second surgery, The Medical Centre, provides the same service in the Buttershaw area of Bradford and was also visited as part of this inspection. The two sites had a single patient list, so patients could be seen at either practice depending on which was more convenient for them. The practice had six GP partners, two registrar GPs, a management team, practice nurses, healthcare assistants and administrative staff.

Park Road Surgery was open from 8am to 6:30pm Monday to Friday and 8am to 1:15pm on a Saturday. The Medical Centre was open at the same times and closed on a weekend. Patients could book appointments in person, via the phone and online. When the practice was closed patients accessed the out of hours NHS 111 service.

The practice was part of NHS Bradfords City CCG. It was responsible for providing primary care services to 10,532 patients. The female patient population of the practice makes up 49% of the practice population and 19% of all patients are over 60 years of age. The practice was meeting the needs of an increasingly elderly patient list size.

The CQC intelligent monitoring placed the practice in band 2. The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework (QOF) and the National Patient Survey. Based on the indicators, each GP practice has been categorised into one of six priority bands, with band six representing the best performance band. This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place.

Updated 31 March 2015

Letter from the Chief Inspector of General Practice

We carried out an inspection of Park Road Surgery on 11 November 2014 as part of our comprehensive programme of inspection of primary medical services.

We have rated the practice as providing a good service overall. Details of these findings are in the following report, but in summary our key findings were as follows:

• Information from NHS England and the clinical commissioning group (CCG) indicated that the practice had a good track record for maintaining patient safety.

• The staff made effective use of clinical supervision and staff meetings to ensure the practice worked collaboratively with other agencies to improve the service of people in the community.

• All the patients who completed CQC comment cards, and those we spoke with during our inspection told us that the staff demonstrated a supportive attitude, fairness and respect. Patients were treated with kindness and patients’ needs and effective communication with patients appeared to be the priority for the practice.

• The practice had an effective complaints policy and responded appropriately to complaints about the practice.

• The leadership team were effective and had a vision and purpose for the practice. There were systems in place to drive continuous improvement.

• There were good infection control processes and the practice was visibly clean and well kept.

Sincerely,

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 March 2015

The practice is rated as good for the population group of people with long term conditions. Emergency processes were in place and referrals made for patients in this group that had a sudden deterioration in health. When needed longer appointments and home visits were available. Patients had a named GP and structured annual reviews to check their health and medication needs were being met. For those people with the most complex needs the named GP worked with health and care professionals to deliver a multidisciplinary package of care.

The practice also scheduled clinics to help this population group e.g. Vascular clinics on a regular basis.

Updated 31 March 2015

The practice is rated as good for the population group of families, children and young people. Systems were in place for identifying and following-up children living in disadvantaged circumstances and those who were at risk. Patients told us and we saw evidence that children and young people were treated in an age appropriate way and recognised as individuals. Appointments were available outside of school hours and the premises was suitable for children and babies. We were provided with good examples of joint working with midwives and health visitors. Emergency processes were in place and referrals made for children and pregnant women who had a sudden deterioration in health.

Updated 31 March 2015

The practice is rated as good for the care of older people. Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example in dementia care. The practice was responsive to the needs of older people, including offering home visits.

Updated 31 March 2015

The practice is rated as good for the population group of the working-age people including those recently retired and students. The needs of the working age population, those recently retired and students, 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 was proactive in offering online services as well as a full range of health promotion and screening which reflects the needs for this age group.

Updated 31 March 2015

The practice is rated as good for the population group of people experiencing poor mental health including people with dementia. Eighty percent (80%) of people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health including those with dementia. The practice had in place advance care planning for patients with dementia.

The practice had a system in place to follow up on patients who had attended accident and emergency where there may have been mental health needs. Staff had received training on how to care for people with mental health needs and dementia.

Updated 31 March 2015

The practice is rated as good for the population group of people whose circumstances may make them vulnerable. The practice held a record of patients living in vulnerable circumstances including homeless people, travellers and those with learning disabilities. The practice offered longer appointments for people with learning disabilities.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. The practice had sign-posted vulnerable patients to various support groups and third sector organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out of hours.