Background to this inspection
Updated
22 February 2018
The registered provider for the practice is Cockhedge Medical Centre Limited, 7-8 Cockhedge Way, Cockhedge Shopping Centre, Warrington, Cheshire, WA1 2QQ. The provider’s website can be reached at; www.cockhedgemedicalcentre.co.uk
The location from which the regulated activities are provided is Cockhedge Medical Centre Ltd at the provider’s address as above.
Cockhedge Medical Centre Ltd is based in Cockhedge Shopping Centre in Warrington. The practice treats patients of all ages and provides a range of medical services.
The medical centre is led by Dr Whitenburgh and the staff team includes a business manager, a
practice nurse who is also trained as a nurse practitioner, a healthcare assistant and a team of reception and administrative staff.
The practice is open Monday to Friday from 7.30am to 6.30pm. The practice offers open access (no appointment needed) every morning alongside pre-bookable appointments. In the afternoon pre-bookable appointments and book on the day appointments are available. Patients can book
appointments in person, on-line or via the telephone. The practice provides telephone consultations and home visits to patients who are housebound or too ill to attend the practice.
Patients at this practice can also access a GP at a Health and Wellbeing Centre in the centre of Warrington during evenings and weekends by pre-booked appointment.
Outside of practice hours patients can access the Bridgewater Trust for primary medical services by calling the NHS 111 service.
The practice is part of Warrington Clinical Commissioning Group. It is responsible for providing primary care services to approximately 3,069 patients. The practice is situated in an area that has higher than average levels of deprivation. The practice has a smaller than average percentage of older patients and a larger than average patient population between the ages of 25 to 39 years.
The practice has a Personal Medical Services (PMS) contract.
Updated
22 February 2018
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection 5 May 2015 – Good)
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 Cockhedge Medical Centre Limited on 9 January 2018 as part of our inspection programme.
At this inspection we found:
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Staff understood and fulfilled their responsibilities to raise concerns and report incidents.
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Significant events had been investigated and action had been taken as a result of the learning from events.
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Systems were in place to deal with medical emergencies and staff were trained in basic life support.
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There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and on equipment used.
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Staff assessed patients’ needs and delivered care in line with current evidence based guidance and the provider routinely reviewed the effectiveness and appropriateness of the care provided.
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Data showed that outcomes for patients at this practice were similar to outcomes for patients locally and nationally.
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Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
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Feedback from patients about the care and treatment they received from clinicians was positive. Patients told us they were treated with dignity and respect and they were involved in decisions about their care and treatment.
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Patients said they found it easy to make an appointment and there was good continuity of care. The appointments system was flexible to accommodate the needs of patients.
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The practice had good facilities, including disabled access. It was well equipped to treat patients and meet their needs.
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Information about services and how to complain was available. Complaints had been investigated and responded to in a timely manner.
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There was a clear leadership and staff structure and staff understood their roles and responsibilities.
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The staff team had a clear vision to provide a safe and good quality service.
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Patient views were sought and acted upon. This included the practice having and consulting with a patient participation group (PPG).
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There was a focus on learning and improvement at all levels.
The areas where the provider should make improvements are:
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Monitor all referrals to secondary care made under the two week wait rule.
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Review the arrangements for maintaining privacy and patient confidentialty during consultations in clinical areas.
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Carry out a risk assessment and plan to mitigate the risks associated with the use of floor mats.
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Actively identify carers to ensure they are offered appropriate support.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
Families, children and young people
Updated
22 February 2018
Working age people (including those recently retired and students)
Updated
22 February 2018
People experiencing poor mental health (including people with dementia)
Updated
22 February 2018
People whose circumstances may make them vulnerable
Updated
22 February 2018