Letter from the Chief Inspector of General Practice
Ashworth Street Surgery was inspected on 12 February 2015. This was a comprehensive inspection. This means we reviewed the provider in relation to the five key questions leading to a rating on each on a four point rating scale. We rated the practice as good overall, outstanding in relation to being responsive and good in respect of being safe, effective, caring and well-led.
Our key findings were as follows:
The practice had a system in place for reporting, recording and monitoring significant events. Significant incidents and events were used as an opportunity for learning and improving the safety of patients, staff and other visitors to the practice.
Feedback from patients we spoke with, or who provided written comments, was complimentary and positive about the quality of the care and treatment provided by the staff team at the practice. There was no evidence of discrimination of any sort in relation to the provision of care or treatment.
Patients informed us that their privacy and dignity was always respected particularly during physical or intimate examinations. All patient appointments were conducted in the privacy of an individual consultation room.
The practice team had planned and implemented a service that was responsive to the needs of the local patient population. The practice actively engaged with commissioners of services, local authorities, other providers, patients and those close to them to support the provision of coordinated and integrated pathways of care that meet patient’s needs.
The practice had gathered feedback from patients through the yearly practice patient survey and through comments and complaints received. We looked at the results of the January 2015 GP patient survey and the last survey conducted by the practice. Both of these reflected high levels of satisfaction with the care, treatment and services provided. However if issues were identified action had been taken to address them.
We saw areas of outstanding practice including:
A primary prevention initiative was also in place aimed at providing specific health screening for the practice’s younger Asian population to detect early signs of disease that had a higher prevalence in this group than the rest of the population. The initiative included staff going into local schools to promote the importance of such screening.
There was a strong, visible, person-centred culture. Staff were motivated and inspired to offer care that was responsive to people’s needs, was kind and promoted people’s dignity. Relationships between patients, those close to them, and staff were strong, responsive and supportive. These relationships were highly valued by all staff and promoted by the practice management team. We observed practice staff to be respectful, pleasant and helpful with patients and each other during our inspection visit. In 2014 one of the GPs received a special memorial award at the Heywood, Middleton and Rochdale Clinical Commissioning Group (special thanks and recognition) Awards. Two other clinicians at the practice had also been nominated. Awards are made by local people and patients nominating local GP practice staff who are thought to deserve special thanks and recognition.
To improve patient access to services the practice opened a branch surgery at nearby Norden in 2012. Surgeries are provided from Monday to Friday by two GPs. The branch surgery had been developed in response to the views of patients and the patient participation group (PPG). It has greatly improved access to the practice for older and less mobile patients who live in the Norden area of Rochdale.
The practice had a very pro-active patient participation group (PPG) which has been in existence since October 2011. They provided a regular presence at the surgery to engage with their fellow patients to establish their views and promote various health initiatives in partnership with the practice team. The group had also actively supported the vaccination clinics for flu and shingles and the bi-annual health events that were held (on Saturdays) to target patients who seldom attended the practice. They had also been supporting another local practice in the development of their own PPG.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice