Background to this inspection
Updated
18 January 2019
Awburn House Medical Practice is the registered provider and provides primary care services to its registered list of approximately 7100 patients. They deliver commissioned services under a General Medical Service (GMS) contract and is a member of Tameside and Glossop Clinical Commissioning Group (CCG).
The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities. The practice offers direct enhanced services that include meningitis provision, the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, learning disabilities, minor surgery and rotavirus and shingles immunisation.
Regulated activities (Family planning, Diagnostic and screening procedures, Treatment of disease, disorder or injury and Maternity and midwifery services) are delivered to the patient population from the following address:
Mottram Moor
Mottram
Hyde
Cheshire
SK14 6LA
The practice has a website that contains comprehensive information about what they do to support their patient population and the in-house and online services offered: www.awburnhouse.co.uk
At the time of our inspection there were three GP partners (two male, one female), a salaried GP (female), a practice nurse and a health care assistant. Clinical staff are supported by a practice manager and eight other staff in the reception and administration team.
The age profile of the practice population is broadly in line with the CCG averages, however they have an above average percentage of patients over 65 years old (22%, of which 9% were over 75 and 2% aged 85 years and over) and patients with long term conditions. The practice ethnicity profile showed 97% of patients were White British. Information taken from Public Health England placed the area in which the practice is located as the fifth most deprived (from a possible range of between 1 and 10). In general, people living in more deprived areas tend to have greater need for health services.
Updated
18 January 2019
This practice is rated as Good overall (Previous rating October 2015 Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Outstanding
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Awburn House Medical Practice on 5 December 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice had clear systems in place to safeguard children and vulnerable adults from abuse and support vulnerable patients.
- 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect. We saw a strong culture of providing person centred care demonstrated by all staff, this was also supported by data seen from patient surveys and comment cards received.
- Patients found the appointment system easy to use and valued the morning open surgery. Feedback from patients in relation to access was very positive for example, the percentage of respondents to the GP patient survey who responded positively to how easy it was to get through to someone at their GP practice on the phone (01/01/2018 to 31/03/2018) was 99% compared to the England average of 70%.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw some outstanding features within the practice:
- There was a strong, visible person-centred culture where staff were motivated and inspired to offer care that was kind, respectful and promoted people’s dignity and independence. They worked in partnership with patients, carers and other health and social care providers to develop services and we were provided with numerous examples of how the positive attitude towards patients and carers impacted on people.
- The practice funded a physiotherapy and podiatry team to provide services in house and could offer a falls assessment service, pulmonary rehabilitation and treat musculoskeletal injuries. Data provided by the practice showed patients were routinely seen and assessed within two weeks and achieved positive outcomes. Feedback from patients was positive with 100% of patients felt their practitioner had helped them.
- Supporting patients with learning disabilities. This work was led by the practice nurse who not only invited adults in for health checks but had also developed a scheme to invite children and their carers with learning disabilities in for reviews. Initial feedback from patients and their carers was positive as they felt it helped children familiarise themselves with the practice and staff, but also helped staff get to know the needs of patients.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice