• Doctor
  • GP practice

Archived: Wetherby Surgery

Overall: Good read more about inspection ratings

Wetherby Health Centre, Hallfield Lane, Wetherby, West Yorkshire, LS22 6JS (01937) 585669

Provided and run by:
One Medicare Ltd

Latest inspection summary

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Background to this inspection

Updated 6 March 2018

Wetherby Surgery is part of One Medical Group Ltd. It is one of four practices operated by One Medical Group Ltd in the Leeds area. In addition to the four GP practices, One Medical Group Ltd also deliver a walk in centre service and a primary care co-location service based in two Leeds hospitals.

Wetherby Surgery is located in Wetherby Health Centre, Hallfield Lane, Wetherby, West Yorkshire, LS22 6JS. There is also a branch site, Harewood Surgery, 69 The Square, Harewood, Leeds, LS17 9LQ. The branch site is situated in a more rural location and as such is a dispensing site. We visited both sites as part of our inspection.

The provider has developed a ‘One Leeds’ model which includes access to clinical and non-clinical resources from within One Medical Group Ltd as and when needed and supports the appointment system across the Leeds locations. As such, incoming calls from patients were handled by a central administration team located off-site, in Leeds City Centre. We visited this site on 5 December 2017 to look at the systems and processes in place.

Wetherby Surgery is housed in a modern, purpose built premises with on-site parking facilities. The practice is accessible to those patients with limited mobility, or those patients who use a wheelchair.

Harewood Surgery is located in a converted residential building with limited on-site parking facilities. The surgery is located over two floors, however all clinical rooms are located on the ground floor to support patients with limited mobility.

At the time of our inspection there were 3,584 patients registered on the practice list. The practice provides General Medical Services (GMS) under a locally agreed contract with NHS England.

The Public Health National General Practice Profile shows the majority of the practice population to be of white British origin; with approximately 4% of the population to be mixed ethnic groups. The level of deprivation within the practice population is rated as nine, on a scale of one to ten. Level one represents the highest level of deprivation, and level ten the lowest.

The average life expectancy for patients at the practice is 82 years for men and 86 years for women, compared to the national averages of 79 years and 83 years respectively. Twenty seven percent of the practice population are aged over 65 years compared to the CCG average of 16% and the national average of 17%.

The practice offers a range of enhanced services which include childhood vaccination and immunisation, influenza and pneumococcal immunisations.

The practice has four salaried GPs (three male and one female) with the support of a regular locum GP. The clinical team is completed by a locum advanced nurse practitioner (ANP), a practice nurse, two regular locum practice nurses, and a health care assistant. We were informed that the provider was in the process of recruiting an additional six sessions of GP cover and four sessions of advanced nurse practitioner cover to support the existing clinical team.

Working to support the clinical team is a practice co-ordinator, a head administrator, four dispensers and a range of secretarial and administrative staff.

The practice also hosts a clinical pharmacist, a ‘connect well’ advisor, an alcohol support worker and a midwife. Connect Well is a social prescribing service which works with primary care to direct people to services and support groups within the local community.

Wetherby Surgery is open between 8am and 6pm Monday to Friday. Appointments are available between 8.30am and 11.30am in the morning, and 1.30pm to 6pm in the afternoon.

Harewood Surgery is open between 8.30am and 12.30pm daily with the exception of Tuesdays when the surgery is open between 3.30pm and 6pm.

Out of hours care is provided by Local Care Direct, which is accessed by calling the surgery telephone number, or by calling the NHS 111 Service.

Overall inspection

Good

Updated 6 March 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. This was the first inspection of the practice under the current provider.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

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 – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

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

We carried out an announced comprehensive inspection at Wetherby Surgery on 11 January 2018. This inspection was carried out as part of our inspection programme and was the first inspection under the current provider.

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.
  • There was a clear system in place for acting upon and cascading drug safety alerts.
  • All the practice’s policies and procedures were embedded and easily accessible to all staff.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • Staff involved patients in their care, and treated them with compassion, kindness, dignity and respect.

We saw one area where the provider should make improvements:

  • The provider should carry out regular balance checks of controlled drugs in line with the latest guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice