Archived: Weelsby View Health Centre - Drs Chalmers and Meier

Updated 14 March 2017

Weelsby View Health Centre, Drs Chalmers and Meier practice is in a purpose built building on Ladysmith Road in Grimsby. The building is shared with a number of other GP practices. Drs Chalmers and Meier’s practice provides Personal Medical Services to approximately 4,500 patients living in the Hainton and Heneage area of North East Grimsby.

The practice has two male GP partners. The practice has three practice nurses and a healthcare assistant. They are supported by a team of management, reception and administrative staff.

The practice is in a relatively deprived area and has a higher than average proportion of its population who are classed as deprived. It also has a higher than average number of patients who have a long-standing health condition.

The practice is open between 8.00am and 6.30pm Monday to Friday. It provides appointments between 8.00am to 12.00am, and 4.00pm to 6.30pm on Monday, Tuesday, Wednesday and Friday and between 8.00am to 12.00am on Thursday. Extended hours appointments are offered

between 6.30pm and 7.45pm on a Monday. The practice provides Out of Hours services from 6.30pm through the Grimsby Area Primary Care Emergency Centre.

The practice also offers enhanced services including childhood vaccination and immunisation scheme, extended hours, timely diagnosis for people with dementia, improving patient online access, learning disabilities, rotavirus and shingles immunisations and unplanned admissions

Updated 14 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 19 May 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014:

Fit and proper persons employed

How the regulation was not being met:

Recruitment arrangements did not include all necessary employment checks for all staff.

Regulation 19(3)(a) schedule 3

This inspection was a desk-based review carried out on 21 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 19 May 2016. This report covers our findings in relation only to those requirements.

The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Bartholomew Medical Group on our website at www.cqc.org.uk.

Overall the practice is rated as good.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 August 2016

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Nationally reported data for 2014/2015 showed that the practices performance across a range of diabetes related indicators was similar to the national average for some of the indicators. For example 90% of their patients with diabetes had received an influenza injection compared to the national average of 94%. However, performance was worse than the national averages for the measurement of cholesterol and recording of foot examinations. Longer appointments and home visits were available when needed. All these patients had a named GP and 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 11 August 2016

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 living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were high for all standard childhood immunisations. Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals. Nationally reported data for 2014/2015 showed that the practice was in line with national averages for rates of cervical screening. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw examples of joint working with midwives, health visitors and school nurses.

Updated 11 August 2016

The practice is rated as good for the care of older people. The GPs in the practice had personal lists and would whenever possible ensure continuity of care with patients seeing the same GP. The practice offered proactive, personalised care to meet the needs of the older people in its population. The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 11 August 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).  The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice offered online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 11 August 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 84% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which was comparable to the national average. Overall the practice performance across a range of mental health related indicators was comparable to the national averages. The practice worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 11 August 2016

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 offered longer appointments for patients with a learning disability and regularly worked with other health care professionals in the case management of vulnerable patients. It informed vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how 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 in normal working hours and out of hours.