This practice is rated as Good overall. (Previous rating February 2018 – Requires improvement)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at The Bradford Moor Practice on 21 November 2018. We undertook this inspection because our previous inspection in December 2017 rated the provider as requires improvement. At the 2017 inspection, we rated the service as providing good services under safe, effective and well-led. However, we rated the provider as providing services that required improvement under caring and responsive. We rated all of the population groups as also requiring improvement.

There were not any breaches of regulation at our previous inspection, but we identified areas where they should make improvements:

• Continue to improve the identification rates of carers from amongst the practice population.
• Continue to review, act on and improve patient satisfaction in accessing services at the provider and in their interactions with clinical staff. Patient satisfaction in these areas was significantly below local and national averages.

Our most recent inspection found that significant improvements had been made in addressing previously identified issues:

• 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.
• The provider had devised a targeted campaign to improve the uptake of cervical screening across the practice population. The percentage of eligible women screened had increased from 50% in 2016 to 97% in November 2018 . However, the most recent data had not been published or verified.
• The number of identified carers had increased to 3% of the patient population and a range of resources were on offer to support them.
• An independently commissioned patient satisfaction survey had assured the provider that the majority of patients were satisfied with their care and treatment.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Most patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• 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:

• Continue to take action to increase the uptake of breast and bowel screening programmes across the practice population.
• Continue to explore and address lower than average levels of satisfaction reported in the annual national GP patient survey across the patient population.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Letter from the Chief Inspector of General Practice

This practice is rated as Requires Improvement overall.

The practice had been previously inspected on 19 November 2014 when it was rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Requires Improvement

Are services responsive? – Requires Improvement

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 – Requires Improvement

People with long-term conditions – Requires Improvement

Families, children and young people – Requires Improvement

Working age people (including those recently retired and students – Requires Improvement

People whose circumstances may make them vulnerable – Requires Improvement

People experiencing poor mental health (including people with dementia) - Requires Improvement

We carried out an announced comprehensive inspection at The Bradford Moor Practice on 8 December 2017. The inspection was carried out as part of our inspection programme.

At this inspection we found:

• 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.

• 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.

• Levels of cervical screening amongst the practice population had been significantly improved by a targeted campaign.

• Prescribing levels of antibiotics had been significantly reduced in line with local and national targets.

• Staff across the whole team were kind and caring. Patients told us they were treated with compassion, dignity and respect.

• Results from the national GP patient survey showed that the provider was performing significantly lower than the national average in terms of access and for consultations with clinical staff. The provider had drawn up a detailed action plan in response to this, however at the time of the inspection the impact of the changes proposed or made had not been fully assessed.

• Patients who were receiving end of life care were identified by the provider and visited at home by the lead GP and practice nurse on a regular basis.

• Patients sometimes found it difficult to access routine appointments. However, they told us that they were able to access urgent care when they needed it.

• 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:

• Continue to improve the identification rates of carers from amongst the practice population.

• Continue to review, act on and improve patient satisfaction in accessing services at the provider and in their interactions with clinical staff. Patient satisfaction in these areas was significantly below local and national averages.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice:

We carried

out an announced inspection visit on 19 November 2014 and the overall rating

for the practice was good. The inspection team found after analysing all of the

evidence that the practice was safe, effective, caring, responsive and well

led.

Our key findings were as follows

The

practice provided good, safe, responsive and effective care for all population

groups in the area it serves.

Where

incidents had been identified relating to safety, staff had been made aware of

the outcome and action taken where appropriate, to keep people safe.

All

areas of the practice were visibly clean.

Patients

received care according to best practice clinical guidelines. The practice had

regular information updates, which informed staff about new guidance to ensure

they were up to date with best practice. 

The

service was responsive and ensured patients received accessible, individual

care, whilst respecting their needs and wishes.

We saw areas of outstanding practice including:

To

remind patients, the day before a booked appointment they are either sent a text

or telephoned.

The

practice is working with the local hospital to screen patients for Hepatitis B

& C.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice