Boughton Medical Group, Hoole Lane, Boughton, Chester.
Boughton Medical Group in Hoole Lane, Boughton, Chester is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 20th December 2016
Boughton Medical Group is managed by Boughton Medical Group.
Contact Details:
Address:
Boughton Medical Group Boughton Health Centre Hoole Lane Boughton Chester CH2 3DP United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Boughton Medical Group on 18th October 2016.
Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
There were systems in place to reduce risks to patient safety, for example, premises and equipment checks, medication management and the management of staffing levels.
Patients’ needs were assessed and care was planned and delivered following best practice guidance.
Staff felt well supported. They had access to training and development opportunities and had received training appropriate to their roles.
Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment. We saw staff treated patients with kindness and respect.
Services were planned and delivered to take into account the needs of different patient groups.
Access to the service was monitored to ensure it met the needs of patients.
Information about how to complain was available. There was a system in place to manage complaints.
There were systems in place to monitor and improve quality and identify risk.
We saw areas of outstanding practice:
The practice had been identified as a beacon practice for on-line patient access by NHS England and had made a video for use throughout English GP practices to encourage patients to register for this service. The practice had worked together with their Patient Participation Group (PPG) to develop this service and promotional material for on-line access. The practice had approximately 26% of their patient population registered for on-line access. The practice and the PPG had also linked up with local services to provide computer training and set up email accounts to enable patients to use on-line access.
The practice had developed and recently implemented its own autism protocol. This acted as an aide memoire to staff when booking appointments for patients with suspected or diagnosed autism and suggested reasonable adjustments to be made when attending the practice. It also stressed the importance of good communication with patients and their families or carers.
The practice website and newsletter had sections specifically for young people which included information on common health questions, abuse prevention, sexual health and smoking and links to health and social care support organisations.
The practice had been involved in a number of community engagement projects in the last two years. For example, members of the clinical and management team collaborated with a local supermarket to deliver lifestyle advice and carry out patient health checks in a specially adapted vehicle owned by the supermarket and located in its car park. The practice team visited a local pre-school to explain to children about what to expect when visiting their GP. The practice also promoted student health by providing information about the practice and the services offered at the Fresher's Fayre.
Two nurses from the practice had undertaken a study between 2012 and 2014 with the aim of assessing the effectiveness of early diagnosis of dementia and how this impacts on individuals and carers. The conclusions and recommendations included reducing waiting times for diagnosis and that the benefits of earlier diagnosis should continue to be promoted. As a consequence of the findings the practice had been involved in and developed services. Opportunistic screening for dementia took place. Following on from this the practice also offered an in-house dementia care assessment led by a nurse. This involved a 30 minute assessment of the patient and symptoms, followed by a memory assessment. If further investigations were needed the patient was referred on to specialist services. The practice had been part of the nurse led Vulnerable Housebound Adult Service pilot. The aim of this pilot was to improve the experience and outcomes for housebound, vulnerable, frail and elderly patients by advanced care planning and management. Dementia screening and review was included within this service provision. This included a full holistic assessment, an assessment of the patient’s carer to ensure they were receiving sufficient support and sign posting for support service services and referrals to health and social care services as necessary.
The areas where the provider should make improvements are:
Ensure there is a daily record of the minimum and maximum thermometer readings for vaccine fridges.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Boughton Medical Group on 18th October 2016.
Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
There were systems in place to reduce risks to patient safety, for example, premises and equipment checks, medication management and the management of staffing levels.
Patients’ needs were assessed and care was planned and delivered following best practice guidance.
Staff felt well supported. They had access to training and development opportunities and had received training appropriate to their roles.
Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment. We saw staff treated patients with kindness and respect.
Services were planned and delivered to take into account the needs of different patient groups.
Access to the service was monitored to ensure it met the needs of patients.
Information about how to complain was available. There was a system in place to manage complaints.
There were systems in place to monitor and improve quality and identify risk.
We saw areas of outstanding practice:
The practice had been identified as a beacon practice for on-line patient access by NHS England and had made a video for use throughout English GP practices to encourage patients to register for this service. The practice had worked together with their Patient Participation Group (PPG) to develop this service and promotional material for on-line access. The practice had approximately 26% of their patient population registered for on-line access. The practice and the PPG had also linked up with local services to provide computer training and set up email accounts to enable patients to use on-line access.
The practice had developed and recently implemented its own autism protocol. This acted as an aide memoire to staff when booking appointments for patients with suspected or diagnosed autism and suggested reasonable adjustments to be made when attending the practice. It also stressed the importance of good communication with patients and their families or carers.
The practice website and newsletter had sections specifically for young people which included information on common health questions, abuse prevention, sexual health and smoking and links to health and social care support organisations.
The practice had been involved in a number of community engagement projects in the last two years. For example, members of the clinical and management team collaborated with a local supermarket to deliver lifestyle advice and carry out patient health checks in a specially adapted vehicle owned by the supermarket and located in its car park. The practice team visited a local pre-school to explain to children about what to expect when visiting their GP. The practice also promoted student health by providing information about the practice and the services offered at the Fresher's Fayre.
Two nurses from the practice had undertaken a study between 2012 and 2014 with the aim of assessing the effectiveness of early diagnosis of dementia and how this impacts on individuals and carers. The conclusions and recommendations included reducing waiting times for diagnosis and that the benefits of earlier diagnosis should continue to be promoted. As a consequence of the findings the practice had been involved in and developed services. Opportunistic screening for dementia took place. Following on from this the practice also offered an in-house dementia care assessment led by a nurse. This involved a 30 minute assessment of the patient and symptoms, followed by a memory assessment. If further investigations were needed the patient was referred on to specialist services. The practice had been part of the nurse led Vulnerable Housebound Adult Service pilot. The aim of this pilot was to improve the experience and outcomes for housebound, vulnerable, frail and elderly patients by advanced care planning and management. Dementia screening and review was included within this service provision. This included a full holistic assessment, an assessment of the patient’s carer to ensure they were receiving sufficient support and sign posting for support service services and referrals to health and social care services as necessary.
The areas where the provider should make improvements are:
Ensure there is a daily record of the minimum and maximum thermometer readings for vaccine fridges.
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