Archived: Jarvis Medical Practice - GPCC

Updated 13 July 2020

Jarvis Medical Practice – GPCC is located at Glodwick Primary Care Centre, 137 Glodwick Road Oldham, OL4 1YN. The surgery has good transport links and there is a pharmacy located nearby.

The provider is registered with CQC to deliver the regulated activities diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.

Jarvis Medical Practice – GPCC is a member of Oldham Clinical Commissioning Group (CCG) and provides services to approximately 5,079 patients under the terms of a general medical services (GMS) contract. This is a contract between general practices and NHS England for delivering services to the local community.

The provider is a partnership between the GP and the practice manager. The practice manager is the CQC Registered Manager. There are usually locum GPs at the practice but locum GPs had rarely been used since Covid-19 lockdown. There is a part-time practice nurse and a part-time nurse practitioner. There is also a business manager and administrative and reception staff.

There is a higher than average number of patients under the age of 38, and fewer patients aged over 75 than the national average. The National General Practice Profile states that 64% of the practice population is from an Asian background with a further 4% of the population originating from black, mixed or other non-white ethnic groups. Information published by Public Health England, rates the level of deprivation within the practice population group as one, on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Male life expectancy is 75 years compared to the national average of 79 years. Female life expectancy is 80 years compared to the national average of 83 years.

Updated 13 July 2020

We carried out an announced comprehensive inspection at Jarvis Medical Practice - GPCC on 1 March 2019 as part of our inspection programme. The practice had previously been inspected on 4 March 2015 and had been rated good in all areas at that inspection.

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 requires improvement overall and requires improvement for all population groups.

We rated the practice as requires improvement for providing safe services because:

• Not all staff had completed safeguarding training and the safeguarding policy had not been fully personalised.
• There were gaps in staff recruitment checks. For example, we saw no evidence that a full work history was always obtained or that gaps in employment history were not queried.
• The infection control audit stated that all staff had received training in infection control, but this was not the case.
• Significant events were not managed in a consistent way.
• The practice health and safety risk assessment had not been completed, although the building management team had completed a separate one.
• A two week wait referral from five working days prior to the inspection had not been actioned.

We rated the practice as requires improvement for providing effective services because:

• There were gaps in staff training, including mandatory training.
• Training information for locum GPs was not routinely kept. Training information for the business manager, who started work at the practice over two years ago, was in the form of a letter from their previous employer.
• Although appraisals had been carried out it was difficult to tell when this had been done and there was limited input from some staff in their appraisals.
• Where audits had identified a decrease in performance this was not explored, and further audit dates not arranged.

We rated the practice as good for providing caring services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.

We rated the practice as good for providing responsive services because:

• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We rated the practice as requires improvement for providing well-led services because:

• Governance procedures were not always effectively managed. For example, the practice’s health and safety risk assessment had not been completed, the safeguarding policy was not personalised to the practice, and the business plan was for a different practice.
• Clinical audits were not always effective or repeated appropriately.
• The procedure for managing significant events did not ensure learning took place. Significant events were not reviewed at a later date.
• Training was not up to date and training information for the locum GPs was not sought.

These areas affected all population groups so we rated all population groups as requires improvement.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure recruitment procedures are established and operated effectively so only fit and proper persons are employed. Ensure specified information is available regarding each person employed.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Updated 23 April 2019

Updated 23 April 2019

Updated 23 April 2019

Updated 23 April 2019

Updated 23 April 2019

Updated 23 April 2019