The Care Quality Commission
  • Doctor
  • GP practice

Gilberdyke Health Centre

Overall: Good read more about inspection ratings

The Health Centre, Thornton Dam Lane, Gilberdyke, Brough, Humberside, HU15 2UL (01430) 440225

Provided and run by:
Gilberdyke Health Centre

All Inspections

6 September 2023

During an inspection looking at part of the service

We carried out an announced focused inspection at Gilberdyke Health Centre on 4 – 6 September 2023. Overall, the practice is rated as good.

The ratings for the key questions are as follows:

Safe - Good

Effective – Not inspected, rating of Good carried forward from previous inspection

Caring – Not inspected, rating of Good carried forward from previous inspection.

Responsive - Not inspected, rating of Good carried forward from previous inspection.

Well-led - Not inspected, rating of Good carried forward from previous inspection.

Following our previous inspection on 3 November 2022, the practice was rated Good overall and Requires Improvement for Safe.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Gilberdyke Health Centre on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a focused inspection following a rating of Requires Improvement in Safe.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice had significantly improved their governance around safeguarding systems and processes.
  • The practice had improved its medicines management, especially how structured medicine reviews were undertaken and how patients on direct oral anticoagulants (DOAC) medicine were monitored.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients in a kind and respectful way and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

3 November 2022

During an inspection looking at part of the service

We carried out an announced focused inspection at Gilberdyke Health Centre on 1st – 3rd November 2022. Overall, the practice is rated as requires improvement.

Safe - Requires improvement

Effective - Good

Caring – Not inspected, rating of good carried forward from previous inspection

Responsive – Not inspected, rating of good carried forward from previous inspection

Well-led - Good

Following our previous inspection on 27th January 2017, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Gilberdyke Health Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We found that:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • Staff felt well supported by managers and leaders.
  • There was a clear leadership development programme in place which included a succession plan.
  • The practice did not have a fully embedded system for safeguarding patients.
  • There was not a robust system in place for managing newly registered patients
  • There was not an embedded system in place for managing safety alerts.

Whilst we found no breaches of regulations, the provider should:

  • Continue fully embedding the recently introduced systems for safeguarding patients.
  • Monitor and evaluate the updated system in place for managing newly registered patients
  • Embed the system for dealing with and managing safety alerts.
  • Complete the work identified by their own audit to address the issues linked to the previous use of a remote pharmacy service.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

20 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Gilberdyke Health Centre on 20 September 2016. The practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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 able to get same day appointments and pre bookable appointments were available.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of and complied with the requirements of the Duty of Candour.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Complete all pre-employment checks before the start date for new staff.

  • Carry out fire risk assessments and fire evacuation drills at required frequencies.

  • Implement a process for staff to complete mandatory training at required intervals.

  • Review action plan templates so they include all required information.

  • Review dispensary Standard Operating Procedures and ensure they have been read and signed by all relevant staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice