Archived: Brookdale Surgery

Updated 5 July 2018

Brookdale Surgery is the registered provider and provides primary care services to its registered list of 2,577 patients.

The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures; maternity and midwifery services and treatment of disease, disorder and injury.

Regulated activities are delivered to the patient population from the following address:

202 Droylsden Road

Newton Heath

Manchester

M40 1NZ

The practice has a website that contains information about what they do to support their patient population and the in house and online services offered:

The practice is situated in an area at number one on the deprivation scale (the lower the number, the higher the deprivation). People living in more deprived areas tend to have greater need for health services.

Updated 5 July 2018

This practice is rated as inadequate overall. (Previous inspection November 2017 – Inadequate)

The key questions are rated as:

Are services safe? – Inadequate

Are services effective? – Inadequate

Are services caring? – Inadequate

Are services responsive? – Inadequate

Are services well-led? - Inadequate

We carried out an announced comprehensive inspection at Brookdale Surgery on 3 May 2018. The practice had been previously placed in special measures on 11 April 2017 and re inspected on the 2 November 2017.

At this inspection we found:

We identified continuing breaches of regulation from the previous inspections with no actions taken to provide safe and effective clinical care to patients, and significant concerns remained: For example:

• There were insufficient day to day clinical structures in place. This left both patients and staff at risk. We identified eight occasions where patients had no access to a GP, leaving staff unsupervised and patients without access to any services.
• There was insufficient nurse cover to manage long term conditions of patients safely and effectively. For example, long term condition reviews and assessments of the care needs for patients were not being carried out systematically or collaboratively.
• The practice did not routinely review the effectiveness and appropriateness of the care it provided. There was a lack of understanding of what a care plan was by the lead GP and to meet patient’s individual needs or reflect their individual preferences.
• The safeguarding lead was unaware of the children at risk within the practice, with the adult safeguarding policy not reflecting current guidelines.
• The practice had recently invited another practice to help govern activity within practice. However this arrangement had been in place for six weeks with more intense support taking place just two weeks prior to the inspection. The lead GP was not aware of the changes being implemented by the management team within the practice.
• The monitoring of care and treatment was not taking place. We found no process to review and check referrals, with one patient at serious risk of harm due to a referral not being sent.
• There was no process to summarise patient’s notes taking place, placing both patients and staff at risk, we identified serious conditions not being documented in the patient’s electronic records.
• We identified 600 letters had been sent to patients, the week prior to the inspection, inviting them to attend the practice for an NHS health check. There had been no forward planning or clinical staff to support the potential uptake from patients and ensure there was sufficient capacity to deal with the response.
• We identified 246 letters had been sent to patients the week prior to the inspection, inviting them to attend the practice for a medication review, the week prior to the inspection. There had been no forward planning or clinical staff to support the potential uptake from patients and ensure there was sufficient capacity to deal with the response.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients.
• Ensure patients are protected from abuse and improper treatment.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

This inspection follows previous inspections to this location where the quality of service was also found to be inadequate. The provider has not made improvements required which placed patients at risk. The Care Quality Commission has taken action to prevent the provider from operating at this location and cancelled their registration. The provider is no longer providing care or treatment at Brookdale Surgery.

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

Updated 5 July 2018

Updated 5 July 2018

Updated 5 July 2018

Updated 5 July 2018

Updated 5 July 2018

Updated 5 July 2018