Hazelmere Medical Centre

Updated 14 June 2017

Hazelmere Medical Centre is a GP practice, which provides primary medical services to approximately 7,324 patients predominately living in Blaby and surrounding areas. All patient facilities are accessible. East Leicestershire and Rutland Clinical Commissioning Group (EL&RCCG) commission the practice’s services.

The practice has two GP partners (one male and one female) and three salaried GPs. The nursing team consists of two practice nurses and a health care assistant. The practice also employs a pharmacist and is supported by a practice manager and a team of administrative and reception staff.

The practice is open between 8am and 6pm Monday to Friday, however telephone lines are closed from 12noon to 6pm on Thursdays and calls are transferred to the out of hours service. In addition to pre-bookable appointments that can be booked up to seven days in advance, urgent appointments and telephone consultations are also available for people that need them.

The practice has opted out of the requirement to provide out of hours GP services which is provided by Derbyshire Urgent Care Ltd which can be accessed through NHS 111.

The practice also provides details for the nearest urgent care centres, as well as accident and emergency departments.

The practice is an approved training practice.

Updated 14 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hazlemere Medical Centre on 11 October 2016. The overall rating for the practice was good. The full comprehensive report on the 11 October 2016 inspection can be found by selecting the ‘all reports’ link for Hazelmere Medical Centre on our website at www.cqc.org.uk.

However at that inspection we found that:

• Staff members acting as a chaperone had not had a risk assessment or a Disclosure and Barring Service (DBS) check as required.

We issued the provider with a requirement notice for a breach of Regulation 19(1)(a)(2)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The practice was rated as ‘requires improvement’ in the safe key question.

This inspection was a desk-based review carried out on 24 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulation that we identified in our previous inspection on 11 October 2016. This report covers our findings in relation to those requirements.

The practice is now rated as ‘Good’ for providing safe services.

Our key findings were as follows:

• The practice had in place clear and effective standing operating procedures to ensure that staff who were required to perform chaperoning duties had either been subject to a thorough risk assessment or subject of a Disclosure and Barring Service check.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 8 December 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 had additional support from nurse specialists.

• Patients at risk of hospital admission were identified as a priority and care plans were implemented as appropriate.

• 77% of those diagnosed with diabetes had a blood test to assess diabetes control (looking at how blood sugar levels have been averaging over recent weeks) compared to the national average of 78%.

• Longer appointments, home visits and telephone consultations were available when needed.

• All these patients had a named GP and were offered 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 8 December 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 relatively high for all standard childhood immunisations.

• The practice’s uptake for the cervical screening programme was 81%, which was comparable to the CCG average of 78% and the national average of 74%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives and health visitors.

• The practice offered contraception clinics, as well as pre-conception, ante-natal and post-natal care.

Updated 8 December 2016

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.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

• All patients over the age of 75 had a named GP.

• The practice had identified those patients that were housebound to ensure appropriate care and treatment was offered.

Updated 8 December 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. This included the provision of early morning extended hours.

• The practice was proactive in offering online services, including online appointment booking and prescription requests.

• Patients were able to access medical record summary information online.

•  A full range of health promotion and screening was offered that reflected the needs for this age group.

Updated 8 December 2016

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

• 96% of those with a diagnosis of schizophrenia, bipolar affective disorder or other had a comprehensive and agreed care plan in place, compared to the national average of 89%.

• 79% of patients with a diagnosis of dementia had their care reviewed in a face-to-face review, compared to the national average of 84%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia and implemented care plans as appropriate..

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations, including the Let’s talk wellbeing service.

• 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.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 8 December 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.

• The practice offered longer appointments for patients with a learning disability, as well as annual health checks.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice 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 and had received training relevant to their role.