Archived: Clay Lane Medical Centre

Updated 26 November 2015

Clay Lane Medical Centre is located close to the centre of Coventry. Car parking for patients with disabilities is available at the rear of the building. Pay-and-display parking is available opposite the practice. There is a ramp for wheelchair access at the rear of the building. The practice shares the premises with two other practices.

The practice has waiting areas, consultation and examination rooms and toilets on the ground floor.

The practice has a lead GP and a long standing locum GP. The lead GP is male and the locum GP is female providing patients with a choice of who they prefer to see. The practice has two part time practice nurses. The clinical team are supported by a practice manager, an assistant manager and two receptionists.

The practice has a newly formed patient participation group (PPG), a group of patients registered with a practice who work with the practice team to improve services and the quality of care.

The practice carries out minor surgery such as joint injections and tag removals.

The practice has a General Medical Services (GMS) contract with NHS England.

Data we reviewed showed that the practice was achieving results that were in line with national or Clinical Commissioning Group (CCG) averages in respect of most conditions and interventions.

The practice provided information about the telephone numbers to use for out of hours GP arrangements provided by NHS 111on their leaflet .The website is being developed by the new practice manager.

Updated 26 November 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Clay Lane Medical Centre on 4 August 2015. 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 to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

There were areas of practice where the provider needs to make improvements.

Importantly the provider should:

• Ensure that verbal complaints are logged to enable trends or learning needs to be identified.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 November 2015

The practice is rated as good for the care of people with long-term conditions. Practice nurses had lead roles in chronic disease management such as diabetes and patients at risk of unplanned hospital admission were identified as a priority. Longer appointments and home visits were available when needed. Such patients had a named GP and a structured annual review to check that their health and medicine needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver the care and treatment people needed.

Updated 26 November 2015

The practice is rated as good for the care of families, children and young people. The practice had systems to identify and follow up children living in disadvantaged circumstances and those who were at risk. For example, children and young people who had a high number of accident and emergency (A&E) attendances. Appointments were available outside of school hours and the premises were suitable for children and babies. Any patient who requested an appointment of a child aged 10 and under was assessed on the day. We saw good examples of joint working with school nurses and health visitors.

Updated 26 November 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in 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 and local incentive schemes for example; all patients over the age of 75 received a medication review. 100% of patients over 75 had been offered the flu vaccine. The practice offered a direct access phone number for all patients who were frail. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 26 November 2015

The practice is rated as good for the care of 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. Extended hours were offered from 6.30pm to 7.45pm on Mondays. The practice was developing online services as well as a full range of health promotion and screening services that reflected the needs for this age group.

Updated 26 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advanced care planning for patients living with dementia. The practice also participated in a Dementia Harmonisation scheme to support the increase in dementia diagnosis. Any patients considered at risk of having dementia were offered a full assessment.

Updated 26 November 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability. The practice carried out annual health checks for patients with a learning disability. It offered longer appointments for people with a learning disability.

Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.