Background to this inspection
Updated
4 September 2018
Acorn Medical Practice is located at 11 – 13 Wood Street, Mansfield, Nottinghamshire
NG18 1QA. The name of the registered provider is Dr KA Rahman and Dr J Dar.
Data contained within the report reflects the legal provider. We noted the current partnership took over from the previous provider in November 2016. The premises remains the same as do the majority of staff and patients.
Regulated activities include Diagnostic and screening procedures, Family Planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury.
Acorn Medical Practice is run by two GPs: Dr KA Rahman (male) and Dr J Dar (male) with a salaried GP Dr A Horsfield (female). The nursing team consists of a practice nurse, health care assistant and an advanced nurse practitioner will be joining the practice in August. Additional practice staff include the practice manager, business supervisor and the reception, administration team and cleaners.
The practice has approximately 3,020 patients and is open between 8am and 6:30pm Monday, Tuesday, Thursday and Friday and 8am to 5pm on Thursday. Patients are offered extended hours sessions from 6:30pm to 8:00pm on weekdays, from 7:15am on Thursday and from 8:00am to 12:00pm on Saturday. This is in conjunction with other local practices within the Kirby area. Patients can also access telephone consultations.
Patients and staff are able to use the car park adjacent to the practice and the practice building is accessible to patients with wheelchairs and those with restricted mobility.
The practice population contains lower numbers of people aged 65 and above (12.1%) compared to the national average of 17.3%. Income deprivation levels are higher both for children (26.1%) compared to the national average of 19.9% and for older people (21.1%); national average of 16.2%.
The practice lies within the NHS Mansfield and Ashfield Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.
Updated
4 September 2018
This practice is rated as Good overall. (This is the first inspection for this provider).
The key questions at this inspection 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 Acorn Medical Practice on 13 June 2018. This inspection was carried out as part of our inspection programme.
At this inspection we found:
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Patients we spoke with told us staff were caring and considerate and they were happy with the service the practice provided.
- Practice leaders worked hard to make improvements and routinely reviewed the services they were providing. Staff told us they wanted to expand, to make best use of the practice environment and improve patient experience by adding a new clinic room and waiting area.
- 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 although some significant events were not always recognised as such.
- 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect. We saw staff interacting with patients in a caring and considerate way.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. The Patient Participation Group (PPG) assisted the practice to carry out a patient survey on 3% of the patient list to make service improvements.
The areas where the provider should make improvements are:
- Further develop the significant event process and reporting so all significant events are reviewed, discussed and learnt from.
- Take action to improve cold chain security by adding a small back up fridge.
- Improve the recording of safeguarding meetings by keeping meeting minutes.
- Take action to improve and maintain prescription security in line with established guidelines.
- Improve clinical and sharps waste security by storing in a locked room.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.