Archived: Dr Vipin Mittal Also known as Crestfield Surgery

Updated 15 October 2015

Crestfield Surgery is a long established practice located in the Halesowen area of Dudley. There are approximately 1550 patients of various ages registered and cared for at the practice. Services to patients are provided under a General Medical Services (GMS) contract with NHS England. The practice has expanded its contracted obligations to provide enhanced services to patients. An enhanced service is above the contractual requirement of the practice and is commissioned to improve the range of services available to patients which included minor surgical procedures, such as joint injections.

The clinical team includes a GP and an advanced nurse prescriber. The GP and the practice manager form the practice management team and they are supported by a team of three receptionists who cover reception and administration duties.

The practice opening times are from 8:00am to 6pm Monday to Friday and the practice closes for half day on a Thursday at 1pm. Appointments are available with the GP from 9am to 10:30am and 4pm to 6pm on weekdays, except for Thursdays when appointments are available from 9am to 10:30am. The practice offers extended hours between 6:30pm and 7:30pm on a Monday.

Nurse appointments are available from 8:30am to 1pm and 3pm to 6pm on Mondays, from 8:30 am to 1pm on Tuesdays and Wednesdays. On Thursdays and Fridays nurse appointments are available from 9:30am to 12pm. Patients requiring a GP outside of normal working hours are advised to contact the GP out of hours service.

Updated 15 October 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Crestfield Surgery on 18 August 2015. Overall the practice is rated as good.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Recruitment checks were in place.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• The practice had regular multidisciplinary meetings and practice meetings.
• Patients said they found it easy to make an appointment, that there was continuity of care, with urgent appointments available the same day.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The practice had good facilities and was equipped to treat patients and meet their needs. However, we identified that the hearing loop within the practice had been broken for some time. We discussed the possible risks associated with this and found that the practice responded positively; we were assured that this would be addressed as a priority and documented as part of their risk assessment checks.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 15 October 2015

The practice is rated as good for the care of people with long term conditions. Patients with long term conditions had a six monthly review with either the GP or the nurse to check that their health and medication needs were being met. Patients were encouraged to manage their conditions and were referred to other services for support with dietary advice, weight management and smoking cessation.

Updated 15 October 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children who were at risk such as children and young people who had a high number of A&E attendances. The practice met with the health visitor on a weekly and monthly basis to discuss any safeguarding issues as well as those children who had long term conditions. Immunisation rates were in line with local and national averages for all standard childhood immunisations. Home visits and telephone consultations were offered to all new mothers within the first two weeks of birth.

Updated 15 October 2015

The practice is rated as good for the care of older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and offered home visits and rapid access appointments for those with enhanced needs. The practice had regular contact with district nurses and participated in weekly and monthly meetings with other healthcare professionals to discuss any concerns.

Updated 15 October 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). Results from the National GP Patient Survey from July 2015 showed that patient’s satisfaction with opening hours was above local and national averages. 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 15 October 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). All patients experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

Updated 15 October 2015

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 those with a learning disability. It had carried out annual health checks and longer appointments were available for people with a learning disability. Staff had been trained to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies. The practice engaged with the local Clinical Commissioning Group (CCG) and was part of a pilot scheme in the area to help to provide social support to their patients who were living in vulnerable or isolated circumstances.