Background to this inspection
Updated
4 July 2018
City Health Practice Ltd Marfleet (also known as Marfleet Lane Surgery) is a GP practice situated in the middle of a large inner city housing estate in Hull. It has approximately 3369 patients mainly from a white British background. Approximately 4% of the practice population are non-English speaking. The practice is in an area measured as having high levels of deprivation and is scored as one on the indices of deprivation. Practices with high levels of deprivation typically have more need for health care services. The practice website can be found at http:
City Health Practice Ltd Marfleet operates with a sister practice in the area. Both practices have recently become part of a larger organisation City Health Care Partnership CIC. The aim of this collaboration is to develop their practice, increase access for their patients and benefit from working in partnership with other practices by pooling resources and back office functions. City Health Practice Ltd Marfleet has a service level agreement in place with City Health Care Partnership CIC for supportive backroom functions and senior management support from the General Manager for City Health Care Partnership CIC.
The practice has one full time GP (male) and one regular locum GP (female) who works one day per week. The practice has a Practice Manager, Practice Nurse (female), Health Care Assistant (female) and six reception staff. The practice is currently advertising for a GP and a Nurse Practitioner.
City Health Practice Ltd Marfleet has a car park at the side of the building. Disabled parking is available. A disabled patient’s toilet is provided and there is wheelchair access. There is also an induction loop for patients with hearing impairment. The surgery is served by several regular bus routes.
The practice is open between 8am and 8.20pm on Monday and 8am and 6.30pm Tuesday to Friday. Morning appointments are from 9am to 11.30am on Tuesdays, Thursdays and Fridays, 9am to 1pm on Mondays and 9am to 12pm on Wednesdays. Afternoon appointments are from 4pm to 8pm on Mondays, 1pm to 3pm on Tuesdays and Wednesdays, 1pm to 5.30pm on Thursdays and 1pm to 4.30pm on Fridays. Extended hours appointments were offered on Mondays from 6.30pm to 8.15pm.
When the practice is closed patients are advised to contact the Out of Hours service (111) provided by City Health Care Partnership CIC.
The practice provides surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
4 July 2018
This practice is rated as Good overall. (Previous inspection May 2017 – Good overall and Requires improvement in well-led)
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
We carried out an announced comprehensive inspection at City Health Practice Ltd - Marfleet
On 9 May 2018. At our previous inspection on 3 May 2017 the overall rating for the practice was good and requires improvement for well-led. The full comprehensive report from the May 2017 inspection can be found by selecting the ‘all reports’ link for City Health Practice Ltd - Marfleet on our website at . This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014. We found improvements had been made.
At this inspection we found:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- The practice had systems in place to minimise risks to patient safety.
- 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.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
- Some patients told us they had had some difficulty in making an appointment. The practice was aware of this and had put measures in place to address it.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice had several policies and procedures to govern activity.
- 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.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice