Background to this inspection
Updated
14 January 2019
Mark Street Surgery, 2 Mark Street, Rochdale, OL12 9BE provides commissioned services under the General Medical Services (GMS) contract within the Heywood, Middleton and Rochdale Commissioning Group (CCG) area.
The practice website is www.markstreetsurgery.co.uk
The practice is responsible for providing treatment to approximately 8925 registered patients and offers services that include meningitis provision, the childhood vaccination and immunisation scheme, facilitating timely diagnosis and support for people with dementia, influenza and pneumococcal immunisations, patient participation, rotavirus and shingles immunisation, unplanned admissions, minor surgery and contraceptives.
Regulated activities include surgical procedures, family planning, treatment of disease, disorder or injury, diagnostic and screening and maternity and midwifery.
Data shows that the age profile of the practice population is broadly in line with the CCG and national averages and that 68% of patients are from a white ethnic group and 29% are from an Asian ethnic group.
Information taken from Public Health England placed the area in which the practice is located as one on the deprivation scale of one to ten. (The lower the number the higher the deprivation). In general, people living in more deprived areas tend to have greater need for health services.
At the time of the inspection the practice consisted of three GP partners (two male and one female), one female salaried GP, two advanced nurse practitioners in training (one male and one female), one nurse practitioner, two practice nurses and one health care assistant. The clinical team is supported by a practice manager, business manager, office manager and a team of administration and reception staff.
Mark Street Surgery is a training practice to doctors who are undergoing training to specialise in General Practice. At the time of the inspection there were two trainee GPs at the practice.
Updated
14 January 2019
This practice is rated as Good overall. (Previous rating February 2015 – Good)
The key questions at the inspection in February 2015 were rated as:
Are services safe? – Good
Are services effective? – Outstanding
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Mark Street Surgery on 20 November 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 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.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- The practice strongly supported staff in their career development.
- The practice, with other practices in the Clinical Commissioning Group and the wider NHS, had receptionists who were trained as care navigators who signposted patients to the right person at the right time across a variety of health services.
We saw areas of outstanding practice:
- The practice carried out an ongoing workforce assessment to keep up to date with fluctuations in staff and the quantity and type of work that they required to do.
- They invested heavily in both clinical and non- clinical staff training and development with one of the results of increasing clinical sessions and appointments available to patients.
The areas where the provider should make improvements are:
- The practice should carry out a risk assessment and consider its emergency drug stock.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.