Letter from the Chief Inspector of General Practice

We had previously carried out an announced comprehensive inspection of Northern Moor Medical Practice in December 2015 when breaches of the Health and Social Care Act 2014 were found.

Overall at the inspection in December 2015 we rated the practice as requires improvement. After the inspection, the practice submitted an action plan detailing the action they intended to take to address the identified breaches of regulations.

We undertook this inspection at Northern Moor Medical Practice on 12 September 2016 to review the action taken.

Overall, the practice is now rated as Good.

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 in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

• Feedback from patients about their care was consistently positive.

We saw one area of outstanding practice:

The practice nurse had attended training with an external organisation that raised awareness of Forced Marriage and Honour Based Abuse and supported victims and survivors. This training provided knowledge and skills and was used to appropriately respond to requests from patients for help in relation to forced marriage and honour based abuse. Staff also had access to information about female genital mutilation (FGM) and various support groups patients at risk could be referred to.

The areas where the provider should make improvements are:

• Sharps bins should be dated when they are set up for use.

• A copy of the safeguarding flow chart should be displayed in all consulting rooms.

• Signage should be displayed on rooms where oxygen cylinders are stored

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We had previously carried out an announced comprehensive inspection of Northern Moor Medical Practice in December 2015 when breaches of the Health and Social Care Act 2014 were found.

Overall at the inspection in December 2015 we rated the practice as requires improvement. After the inspection, the practice submitted an action plan detailing the action they intended to take to address the identified breaches of regulations.

We undertook this inspection at Northern Moor Medical Practice on 12 September 2016 to review the action taken.

Overall, the practice is now rated as Good.

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 in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

• Feedback from patients about their care was consistently positive.

We saw one area of outstanding practice:

The practice nurse had attended training with an external organisation that raised awareness of Forced Marriage and Honour Based Abuse and supported victims and survivors. This training provided knowledge and skills and was used to appropriately respond to requests from patients for help in relation to forced marriage and honour based abuse. Staff also had access to information about female genital mutilation (FGM) and various support groups patients at risk could be referred to.

The areas where the provider should make improvements are:

• Sharps bins should be dated when they are set up for use.

• A copy of the safeguarding flow chart should be displayed in all consulting rooms.

• Signage should be displayed on rooms where oxygen cylinders are stored

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We met with four patients who attended Northern Moor Medical Practice on the day of our inspection. One patient said: "I can't praise them enough. They're excellent. I have never heard a bad word against the doctor."

Another patient said: "I am really impressed. I have no problem getting an appointment. The staff are always pleasant. The doctor explained everything. I didn't feel rushed at all. I have no complaints."

In general patients were satisfied with the quality of care they received, and the ease of making appointments at convenient times. We found that patients' rights were respected.

All staff had received training in safeguarding. We found that the practice was geared up to deal with any suspicions or allegations of abuse.

We found the premises were well maintained and suitable for use. There was a problem with confidentiality due to the reception desk being in the waiting area, but this could be overcome.

The practice had not recruited any new staff recently but we saw that there was a robust recruitment policy in place.

We found the practice had systems in place to monitor performance and generate continuous improvement.