Archived: Carrfield Medical Centre

Updated 3 October 2017

Carrfield Medical Centre is situated in central Sheffield with a current list size of 1,278 patients. The practice catchment area is classed as within the group of the third more deprived areas in England. The practice are is registered with CQC as a single handed practice and Dr. Manish Singh is the sole partner and registered manager.

The premises are currently owned by the GP and previous partner.  The surgery is purpose built with a large car park at the front of the building. All patient facilities are on the ground floor

Practice staff include; one salaried GP (female), a advanced nurse practitioner (female), a healthcare assistant (female), a business manager, a practice manager and three reception staff.

The practice is open for appointments between 7.30am until 6pm on Monday and Tuesday; 8am until 6pm on Wednesday and Fridays and from 8am until midday on Thursdays. Early morning appointments are available on Monday and Tuesday.  

In addition to pre-bookable appointments that could be booked up to two weeks in advance, urgent appointments were also available for people that needed them. A counselling service is available with the IAPT service one day each week and there is a practice pharmacist.   . 

When the practice is closed calls were answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

Updated 3 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Carrfield Medical Centre on 16 August 2017. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was a system in place for reporting and recording significant events.
• 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.
• Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Staff felt supported by management.
• The provider was aware of and implemented the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements

The areas where the provider should make improvement are:

• Review the systems for checking emergency medications in the treatment room and the GP emergency bag.
• Check emergency equipment on a weekly basis as per the Resuscitation Council guidelines (2015).​
• Address actions from Infection Prevention and Control audits and add completion dates.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 3 October 2017

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in long-term disease management and patients at risk of hospital admission were identified as a priority.
• Outcomes for those with heart failure were 3% above the CCG average and 2% above the national average.
• The practice followed up on patients with long-term conditions discharged from hospital and ensured that their care plans were updated to reflect any additional needs.
• There were emergency processes for patients with long-term conditions who experienced a sudden deterioration in health.
• All these patients had a named GP and there was a system to recall patients for a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. 

Updated 3 October 2017

The practice is rated as good for the care of families, children and young people.

• From the sample of documented examples we reviewed we found there There were systems to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of accident and emergency (A&E) attendances.
• Immunisation rates were relatively high for all standard childhood immunisations.
• Patients told us, on the day of inspection, that children and young people were treated in an age-appropriate way.
• Appointments were available outside of school hours and the premises were suitable for children and babies. 

Updated 3 October 2017

The practice is rated as good for the care of older people.

• Staff were able to recognise the signs of abuse in older patients and knew how to escalate any concerns.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice followed up on older patients discharged from hospital and ensured that their care plans were updated to reflect any extra needs.

Updated 3 October 2017

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these populations had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care, for example, the practice offered early morning appointments on Monday and Tuesday.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 3 October 2017

The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• The practice carried out advance care planning for patients living with dementia.
• Outcomes for people living with dementia were 3% above the CCG and national average.
• The practice specifically considered the physical health needs of patients with poor mental health and dementia. For example the practice offered a weekly IAPT (Improving Access to Psychological Therapies) service and was working in collaboration with Age UK to undertake Dementia Buddy training leading to registration as a safe place for those living with dementia.
• The practice had a system for monitoring repeat prescribing for patients receiving medicines for mental health needs.
• Outcomes for mental health were 0.8% above the CCG average and 0.3% above the national average.
• The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.
• Patients at risk of dementia were identified and offered an assessment.
• The practice had information available for patients experiencing poor mental health about how they could access various support groups and voluntary organisations.
• Staff interviewed had a good understanding of how to support patients with mental health needs and those living with dementia.

Updated 3 October 2017

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 offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice had information available for vulnerable patients about how to access various support groups and voluntary organisations.
• Staff interviewed knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable.