Background to this inspection
Updated
7 September 2018
Enderby Medical Centre provides primary medical services to approximately 6,400 patients. The services are provided from Enderby Medical Centre, Shortridge Lane, Enderby, Leicestershire LE19 4LY.
The practice consists of four part time GP partners (two male and two female), one full time physicians associate, one full time nurse practitioner, two part time pharmacists, two part time practice nurses and one part time health care assistant. The clinicians are supported by a practice manager, an assistant practice manager and a team of receptionists and administration staff.
Enderby Medical Centre was registered to provide the following regulated activity from the location: Treatment of disease, disorder or injury, Diagnostic and screening procedures, Family planning, Maternity and midwifery services and surgical procedures.
The practice has more patients under the age of 65 than the national average and less patients 65 years or over than the national average. Deprivation levels in the area were the least deprived in the country.
The practice’s services are commissioned by East Leicestershire and Rutland Clinical Commissioning Group (CCG). The practice has a General Medical Services contract (GMS). The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.
The practice is open between 8am and 6.30pm Monday to Friday and offered extended hours on Wednesday from 7.15am to 8am and 6.30pm to 7.15pm. The practice offers appointments between 8.15am and 5.45pm in the practice. The practice also offered telephone consultations and home visits for patients who were housebound.
When the practice is closed patients are asked to contacted NHS 111 for out-of-hours GP care.
Updated
7 September 2018
This practice is rated as Good overall. (Previous rating May 2017 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Enderby Medical Centre on 8th August 2018 as part of our inspection programme to ensure the improvements we had seen in May 2017 had been maintained. The practice was inspected in May 2016 and found to be inadequate in safe and well led and placed in special measures. When we inspected in May 2017 we found that it was good overall.
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 was organised and efficient with effective governance processes and was forward thinking on delivering care services in the future.
- The practice had a culture of raising awareness of local services available to patients and organised a health fair to promote all health care services in the area. Patients were able to have blood pressure readings, sign up for screening procedures or find out more information about local services available to them. The practice management had also developed a locality hub with four other practices and other agencies such as Blaby District Council, which held monthly meetings to promote awareness of the locality and offer support where required.
We saw one area of outstanding practice:
- The practice had purchased a machine to provide testing for inflammatory markers which are present when a patient is infected. This could be done at the practice to identify patients who would benefit from antibiotics from a small blood sample. The practice published a study on the effectiveness of this showing it reduced antibiotic prescribing and hospital admissions for respiratory tract infections.
The areas where the provider should make improvements are:
- Review the buddy system for receiving test results and correspondence is effective.
- Review the process for summarising patient records to enable them to be completed in a timely manner.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.