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Springfield House, Oldham.

Springfield House in Oldham 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 25th January 2019

Springfield House is managed by Springfield House.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-01-25
    Last Published 2019-01-25

Local Authority:

    Oldham

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

23rd November 2018 - During a routine inspection pdf icon

We carried out an announced comprehensive inspection at Springfield House on 23 November 2018 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Implement a formal system to follow up patients with poor mental health who failed to attend or collect their medicines.
  • Risk assess the need for specific emergency medicines.
  • Log prescriptions when they are returned by GPs.
  • Improve coding so that it is clear when medicine reviews have been carried out.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

18th March 2015 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Springfield House Medical Centre on 18 March 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing caring and responsive services. We found the practice to require improvement for providing effective and well-led services. We found the practice inadequate in relation to providing safe services. It also required improvement for providing services for all the population groups that we assess.

Our key findings were as follows:

  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs

  • Patients were at risk of harm because systems and processes were not in place to keep them safe. For example appropriate recruitment checks on staff had not been undertaken prior to their employment.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff were clear about reporting incidents, near misses and concerns, however there was insufficient evidence of learning and communication with staff and issues had not been notified to relevant authorities.
  • Patients were positive about their interactions with staff and said they were treated with compassion and dignity.
  • The practice had no clear leadership structure, staff lacked understanding of the aims and vision and there were limited formal governance arrangements.
  • Information about services and how to complain was available and easy to understand.
  • The practice had a number of policies and procedures to govern activity, but these were several years old and had not been reviewed. The practice did not hold regular governance meetings and issues were discussed at ad hoc meetings.

The provider must:

  • Ensure recruitment arrangements include all necessary pre-employment checks for all staff.
  • Ensure an effective infection control regime is in place.
  • Ensure there are formal governance arrangements in place including systems for assessing and monitoring risks.
  • Ensure safeguarding adults training is provided.
  • Ensure safe and effective medications management is in place.
  • Ensure equipment is calibrated, tested and within manufacturers recommended usage date.

The areas where the provider should make improvements are:

  • Clarify the leadership structure and ensure there is leadership capacity to deliver all improvements
  • Ensure serious adverse incidents notifications are made to CQC and CCG.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1st January 1970 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Springfield House on 18 March 2015. The overall rating for the practice following this inspection was requires improvement.

On 30 September 2016 we carried out an announced comprehensive follow up inspection to check the required improvements had been carried out. The improvements had not been carried out and the overall rating for the practice was inadequate. The practice was placed in special measures.

The full comprehensive reports on the March 2015 and September 2016 inspections can be found by selecting the ‘all reports’ link for Springfield House on our website at www.cqc.org.uk.

This inspection was undertaken following the period of special measures and was an announced comprehensive inspection on 30 June 2017. Overall the practice is now rated as good.

Our key findings across all the areas we inspected on 30 June 2017 were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had clearly defined systems to minimise risks to patient safety, and these were reviewed to ensure they were embedded.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Information about services and how to complain was available.
  • Patients we spoke with said they sometimes found it difficult to make an appointment with a GP but we saw appointments were available. They said there was continuity of care.
  • 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
  • Changes had been made to the staffing structure since our previous inspection. Staff worked well as a team and communication had improved.

The areas where the provider should make improvement are:

  • Action plans should be in place to address the lower patient satisfaction levels following the most recent national GP patient survey.

  • Systems should be in place to respond to the needs of patients with mental health issues.

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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