White House Farm Medical Centre

Updated 9 April 2018

White House Farm Medical Centre is located in Armthorpe, Doncaster. The practice provides services for 6262 under the terms of the NHS General Medical Services contract. The practice is located in a purpose built building with patient facilities on the ground floor level. The practice catchment area is classed as within the group of the fifth more deprived areas in England. The age profile of the practice population is similar to other GP practices in the Doncaster Clinical Commissioning Group (CCG) area.

The practice has two GP partners, one male and one female. They are supported by three practice nurses, a healthcare assistant, finance manager, practice manager and a team of reception and administration staff.

The practice is open between 8am and 6pm Monday to Friday. Appointments with GPs, practice nursing staff and the healthcare assistant are available during the practice opening hours. When the practice is closed calls are answered by the out-of-hours service which is accessed via the surgery telephone number or by calling the NHS 111 service.

As part of the Care Quality Commission (Registration) Regulations 2009: Regulation 15, there was no registered manager in post. However, an application to add a new registered manager to the CQC registration had been submitted on 13 March 2018.

Updated 9 April 2018

We carried out an announced comprehensive inspection at White House Farm Medical Centre on 10 May 2016. The overall rating for the practice was good with requires improvement for being well-led. An announced focused follow up inspection was carried out on 19 January 2017. The overall rating for the practice was good with requires improvement for people experiencing poor mental health (including people living with dementia). The full comprehensive report for the inspection of 10 May 2016 and the focused follow up report of 19 January 2017 can be found by selecting the ‘all reports’ link for White House Farm Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced desk-based review carried out on 12 March 2018 to review in detail the actions taken by the practice to improve the quality of care for people experiencing poor mental health (including those living with dementia). This report covers our findings in relation to those areas identified and also additional improvements made since our last inspection.

Overall the practice is rated as good and good for people experiencing poor mental health (including those living with dementia).

Our key findings were as follows:

• The care provided to patients experiencing poor mental health (including those living with dementia) had been reviewed. A recall system had been implemented to ensure patients were offered an annual review of their care and this review was recorded in their medical record.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 22 June 2016

The practice is rated as good for the care of people with long term conditions.

• Practice nursing staff had lead roles in long term condition management and patients at risk of hospital admission were identified as a priority.
• Of those patients with diabetes, 85% last IFCC-HbA1c was 64 mmol/mol or less in the preceding 12 months. The national average is 78%.
• Longer appointments and home visits were available when needed.
• All these patients had structured annual review to check their health and medicines needs were being met.
• For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 22 June 2016

The practice is rated as good for the care of families, children and young people.

• 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 accident and emergency attendances. Immunisation rates were relatively 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.
• The percentage of patients with asthma on the register, who have had an asthma review in the preceding 12 months for the QOF 2014/15 year was 61% which was 14% below the national average of 75%.The practice shared with us the figures from 2015/16 which had improved to 78%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.

Updated 22 June 2016

The practice is rated as good for the care of older people.

• All patients had a named GP.
• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 22 June 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The age profile of patients at the practice is mainly those of working age, students and the recently retired but the services available did not fully reflect the needs of this group.
• The practice did offer appointments with GPs and practice nurses during the lunch hour twice a week.  Two patients reported access to appointments during office hours an issue. Patients could book appointments and order repeat prescriptions online.
• Health promotion advice was offered and accessible health promotion material was available through the practice.

Updated 9 April 2018

Updated 22 June 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.