Archived: Woodroyd Centre - Longfield

Updated 6 February 2017

Woodroyd Centre - Longfield is registered with the Care Quality Commission (CQC) and is a member of the NHS Bradford District Clinical Commissioning Group (CCG). General Medical Services (GMS) are provided under a contract with NHS England. They offer a range of enhanced services, which include:

• extended hours access
• improving patient online access
• delivering childhood and influenza vaccinations
• facilitating timely diagnosis and support for people with dementia
• identification of patients with a learning disability
• identification and follow up of patients who had an unplanned hospital admission, reviewing and coordinating their care needs

The practice is located at:

Woodroyd Road

West Bowling

Bradford

BD5 8EL

The building is situated next to a pharmacy with a dedicated car park and some on street parking. There is a reception area with a patient waiting area. There was disabled access.

The practice currently has a patient list size of 4,500 which is predominantly white British. The practice catchment area is classed as being within one of the lesser deprived areas in England. The patient demographics deviate from local and national averages in some areas.

The partners consist of two GPs (one female, one male) and a practice manager (female). Other clinical staff include two practice nurses, a pharmacist and a health care assistant (all female). Clinicians are supported by a team of reception, administration and secretarial staff who are managed by a site supervisor.

The practice is open as follows:

Monday, 7am to 8pm

Tuesday to Friday 8am to 6:30pm

When the practice is closed out-of-hours services are provided by Local Care Direct, which can be accessed via the surgery telephone number or by calling the NHS 111 service.

The practice has good working relationships with local health, social and third sector services to support provision of care for its patients. (The third sector includes a very diverse range of organisations including voluntary and community groups.)

The practice supports graduate doctors, who are in their second year of a foundation programme (FY2), to gain experience in general practice. (This is a transition period of practice between being a student and undertaking more specialised training.)

When we returned for this inspection, we checked and saw that the previously awarded ratings were displayed as required in the premises and on the practice’s website.

Updated 6 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Woodroyd Centre - Longfield on 20 September 2016. Overall the practice is rated as good, and for providing effective, caring, responsive and well-led care for all of the population groups it serves. The practice is rated as requires improvement for providing safe services.

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

• Patients’ needs were assessed and care was planned and delivered following local and national care pathways and National Institute for Health and Care Excellence (NICE) guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients had good access to appointments, which included extended hours early morning, and in the evening.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. National GP patient survey results showed patient satisfaction rates for the majority of the questions were at the local CCG and national rates.
• There were effective safeguarding systems in place to protect patients and staff from abuse. There was evidence of shared learning with a wider team.
• There was a clear leadership structure, staff were aware of their roles and responsibilities and told us the GPs were accessible and supportive.
• We saw that systems and processes for medicines management and prescribing were not in place to keep patients safe. We found several examples where essential medicines had not been prescribed in a timely manner. We also found examples where some medicines had been prescribed in excess of recommended levels.

The area where the provider must make improvements is:

• The management of medicines within the practice was not always safe. The practice must have safe and effective systems in place to support the monitoring of prescribing patterns and the issuing of repeat prescriptions.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 25 October 2016

The practice is rated as good for the care of people with long term conditions.

• The practice maintained a register of patients who were at high risk of an unplanned hospital admission. Care plans and support were in place for these patients.
• Longer appointments were available as needed.
• In line with best practice, six monthly or annual reviews were undertaken to check patients’ health care and treatment needs were being met. For example:
• 90% of patients diagnosed with COPD had received a review in the last 12 months (CCG average 90%, national average 90%)
• 76% of newly diagnosed diabetic patients had been referred to a structured education programme in the preceding 12 months (CCG average 79%, national average 76%)
• 75% of patients diagnosed with asthma had received a review in the last 12 months (CCG and national average 75%)
• The practice had appointed a clinical pharmacist to work one day a week. Part of their role was to review patients who were prescribed medicines.
• The practice clinical staff had regular updates for long term conditions. Updates were recorded on the shared drive. Staff were emailed details of all available study days and updates, and provision was made for them to attend and have protected learning time.

Updated 25 October 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 accident and emergency (A&E) attendances.
• Staff told us children and young people were treated in an age-appropriate way and were recognised as individuals.
• Appointments were available outside of school hours, including Monday evenings. Children were given priority access to on the day appointments.
• Babies who were prescribed specialist infant formulae were regularly reviewed. Feeding advice was offered during these consultations.
• We saw evidence of monthly meetings between the health visitor and lead GP for safeguarding, to discuss vulnerable children and those with complex needs. The health visitor was informed of all new children under the age of five who registered with the practice.
• The practice worked with midwives to support ante-natal and post-natal care.
• Uptake rates for all standard childhood immunisations were between 88% and 100%.
• Sexual health, contraceptive and cervical screening services were provided at the practice.
• 82% of eligible patients had received cervical screening in the preceding five years (CCG average 75% and national average 82%).

Updated 25 October 2016

The practice is rated as good for the care of older people.

• Proactive, responsive care was provided to meet the needs of the older people in its population.
• Registers of patients who were aged 75 and above and also the frail elderly were in place to ensure timely care and support were provided. Yearly health reviews were offered for these patients and all had a named GP.
• All 75’s and over will be offered same day appointments from 1st November 2016.
• Any patient who had not attended the practice in the preceding 12 months, was also invited for a health check.
• The practice worked closely with other health and social care professionals, such as the district nursing team, to ensure housebound patients received the care and support they needed.
• Patients were signposted to other local services for additional support, such as ‘carers resource’, a local organisation which supported carers and helped them to combat the isolation and loneliness sometimes associated with caring for a family member or friend.

Updated 25 October 2016

The practice is rated as good for the care of working age people (including those recently retired and students).

• The needs of these patients 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 provided appointments from 8am to 6:30pm, with 7am to 8pm opening on Mondays. The practice also provided telephone consultations, online booking of appointments and ordering of prescriptions.
• The practice offered a range of health promotion and screening that reflected the needs of this age group. This included screening for early detection of COPD (a disease of the lungs) for patients aged 35 and above who were known to be smokers or ex-smokers.
• NHS health checks were offered to patients over 40 who did not have a pre-existing condition.
• The practice offered sexual health advice and a full range of contraceptive services, including the fitting and removal of long-acting reversible contraceptives (LARC).
• Travel health advice and vaccinations were available.

Updated 25 October 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice regularly worked with multidisciplinary teams in the case management of people in this population group, for example the local mental health team.
• Patients and/or their carer were given information on how to access various support groups and voluntary organisations.
• 88% of patients diagnosed with dementia and 94% of patients who had a complex mental health problem, such as schizophrenia, bipolar affective disorder and other psychoses, had received a review of their care in the preceding 12 months. These were both comparable to the CCG and national averages of 84% and 90% respectively.
• Staff had received dementia friendly training and good demonstrate a good understanding of how to support patients with dementia or mental health needs.
• Patients who were at risk of developing dementia were screened and support provided as necessary.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• The practice offered fortnightly disability clinics.

Updated 25 October 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• Staff knew how to recognise signs of abuse in children, young people and adults whose circumstances may make them vulnerable. They 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.
• Patients were signposted to other agencies for additional care and support as needed. We saw there were notices displayed in the patient waiting area informing patients how they could access various local support groups and voluntary organisations.
• The practice held a register of patients living in vulnerable circumstances including those who had a learning disability and patients who act in the capacity of a carer.