Fairmore Medical Practice - Care Quality Commission

Background to this inspection

Updated 31 October 2016

Fairmore Medical Practice is registered with the Care Quality Commission (CQC) to provide primary medical services. The practice provides a range of services to approximately 5000 patients from three sites:

• Registered location: Rossendale Health Centre, 161 Bacup Road, Rawtenstall, Lancashire, BB4 7PL.

• Site 2: 211-213 Leeds Road, Nelson, Lancashire, BB9 8EH.

• Site 3: Padiham Health Centre, Station Road, Burnley, Lancashire, BB12 8EA.

The practice delivers services under an Alternative Provider Medical Services contract with NHS England, and is part of the NHS East Lancashire Clinical Commissioning Group (CCG).

The practice’s patient population consists of a higher proportion of younger people, with 28% being under the age of 18 (CCG average 22%, national average 21%), 13% aged between five to 14 years (CCG average 12%, national average 11%) and 11% aged less than five years (CCG and national averages both 6%). The practice also caters for a lower proportion of patients with a long-standing health condition at 48%, compared to the CCG average of 58% and national average of 54%.

Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.

The practice is staffed by two salaried GPs (one male and one female) and two regular sessional GPs. The GPs are supported by a practice nurse (PN) and a healthcare assistant (HCA). Clinical staff are supported by a practice manager, an office manager and 13 administration and support staff. In addition strategic and operational support is provided to the practice by the overarching provider organisation, Integral Healthcare Partnership Limited.

The three practice sites were open Monday and Friday between the hours of 8am and 7.30pm and Tuesday, Wednesday and Thursday between the hours of 8am and 6.30pm. Standard appointments times varied across the three sites as follows:

• Registered location – Rossendale Health Centre:

Monday 8.10am – 6.40pm, Tuesday and Wednesday 8.30am – 5.30pm, Thursday 8.30am – 2.40pm (HCA only) and Friday 8am – 6pm.

• Site 2 – Nelson: Monday 9am – 6.40pm, Tuesday 8.10am – 5.30pm, Wednesday 8.30am – 5.30pm, Thursday 8.10am – 3.30pm (PN only) and Friday 8.30am – 4.30pm.

• Site 3 – Burnley: Monday 9am – 2.40pm, Tuesday 9am – 2pm, Wednesday 3pm – 6.30pm, Thursday 8.30am – 2pm and Friday 8.10am – 5.50pm.

Overall inspection

Good

Updated 31 October 2016

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Fairmore Medical Practice, for one area within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was inspected on 17 May 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, within the key question safe, one area was identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 12 Safe care and treatment.

At the inspection in May 2016 we found that the system and arrangements in place to ensure abnormal blood test results or x-rays received into the practice was not sufficient to ensure the practice responded appropriately and in good time to peoples changing needs.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice