Penistone Group PMS Practice

Updated 28 December 2017

Penistone Group PMS Practice is situated within a purpose built surgery on the High Street in Penistone. The practice provides Personal Medical Services (PMS) for approximately 16,816 patients (8,328 male, 8,488 female) in the NHS Barnsley Clinical Commissioning Group (CCG) area. The practice is situated in an area of low deprivation.

The practice has two branches, which were visited as part of this inspection:-

• Silkstone Health Centre, High Street. , Silkstone. , Barnsley. ,South Yorkshire. , S75 4JN

• Thurgoland Surgery, 1 Roper Land, Sheffield, S35 7AA

There are 15 GPs, seven male and eight female who are supported by seven practice nurses and three health care assistants. There is a large reception and administration team led by a the practice and busiiness manager. This is a training practice for undergraduate doctors and for qualified doctors who wish to undertake the postgraduate qualifications to become a GP. Locum GPs are used as required to support the practice.

• Penistone surgery is open Monday 8.15am to 8pm, Tuesday to Friday 8.15am to 6.30pm

• Silkstone Health Centre is open Monday and Friday 8am to 11am, Wednesday 8.30am to 11.30am and 4pm to 8 pm.

• Thurgoland Surgery is open Monday, Thursday and Friday 8.30 am to 12.30pm and 1.30pm to 6.30pm, Tuesday 8.30 am to 12.30pm and 1.30pm to 8pm and Wednesday 8.30 am to 12.30pm.

When the practice is closed patients who call the surgeries are referred to the Barnsley out of hours service.

Pennistone Group Practice was previously inspected by CQC on 2 December 2014. The overall quality rating for the practice was found to be Good.

Updated 28 December 2017

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection December 2014 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out a comprehensive inspection of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider continues to meet the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had good systems in place to ensure the protection of vulnerable adults and children.

• The practice had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the practice learned from them and improved their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.

• The practice carried out a range of clinical and management audits to improve the service.

• The practice allocated a doctor to review all discharges from hospital each day, so that the practice could provide a home visit earlier in the day if needed.

• The practice was above average for its satisfaction scores on consultations with GPs and nurses. For example 94% of patients said the GP gave them enough time compared to the CCG and national average of 86%.

• Staff treated people with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care at the right time.

• The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• Leaders had the capacity and skills to deliver high-quality, sustainable care.

The areas where the provider should make improvements are:

• The provider should review the complaints procedure to ensure it follows the NHS Complaints Policy Guidance.

• The provider should review the practices policies and procedures to ensure they accurately reflect staff practices and contain enough information for staff to provide a consistent approach.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 8 May 2015

The practice is rated as good for the care of patients with long-term conditions. Each patient had a hand held treatment record. This was individualised and had health promoting information to support patients with self-care and health improvement. There were emergency processes in place and referrals were made for patients whose health deteriorated suddenly. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 May 2015

The practice is rated as good for the care of families, children and young patients. 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, and we saw evidence to confirm this. Appointments were available outside of school hours and the premises were suitable for children and babies. Joint appointments were given to all post-natal mothers and their babies for their appropriate health checks. We saw good examples of joint working with midwives, health visitors and school nurses. We saw evidence of how information was shared when vulnerable young children were placed out of the area. Emergency processes were in place and referrals were made for children and pregnant women whose health deteriorated suddenly. The practice provided contraceptive and sexual health support at specific women’s health clinics. There were two named GPs who ensured continuity of treatment and care to these patients.

Updated 8 May 2015

The practice is rated as good for the care of older people. The practice offered proactive, personalised care to meet the needs of older people. Nationally reported Quality Outcomes Framework

(QOF) data showed the practice had good outcomes for conditions commonly found amongst older people. The practice was responsive to the needs of older people, understanding the impact of the rural environment meant they offered home visits and annual health checks for elderly patients who may or may not be housebound. In addition they provided weekly visits and annual health checks for patients living in residential care homes and also follow up health checks for those who had been discharged from hospital.

Updated 8 May 2015

The practice is rated as good for the care of working-age patients (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. Late surgeries were available at all of the branches and as patients were registered with the practice and not a surgery, they were able to access timely appointments to meet their specific needs. This included late dispensary services. The practices were proactive in offering online appointment booking and repeat prescription requests and intended to include SMS texting appointment reminders. There was a full range of health promotion leaflets and health screening which met the needs for this age group. This included NHS health checks for identified groups.

Updated 8 May 2015

The practice is rated as good for the care of patients experiencing poor mental health (including patients 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 patients experiencing poor mental health, including those with dementia. The practice had successfully bid for a CCG innovation fund award to enable a named GP to review and audit identified patients’ records. The audit had identified not all patients had a definitive diagnosis. These patients were referred to ensure appropriate diagnosis was linked to their current treatment. There was advanced care planning for patients with dementia.

Updated 8 May 2015

The practice is rated as good for the population group of patients whose circumstances may result in them being vulnerable. Links had been made with local health and social care teams and joint monthly patient review meetings took place to discuss the most vulnerable patients. The practice held a register of patients with learning disabilities and offered them annual health checks and longer appointment times. Information in large print and easy read formats was available. Staff knew how to recognise signs of abuse in vulnerable adults and children. They were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies.