Archived: Long Catlis Road Surgery

Updated 10 September 2015

Long Catlis Road Surgery is a GP practice located in the Parkwood area of Rainham Kent. It provides care for approximately 3000 patients. The practice is in an urban area.

The practice is part of a larger GP provider in the area called the Minster Medical Group. There are five partners in this group and locations within the group share some functions such as human resources, policies and governance. There are two GP partners who work regularly at Long Catlis Road Surgery and there are two regular locum GPs who work there. There are male and female GPs. There are two practice nurses, both female.

The population the practice serves is close to the national averages. There are marginally more young people (aged less than 18 years) and slightly more older people (aged more than 65 years). Income deprivation and unemployment are low being about half and one third of the national figures respectively.

The practice has a general medical services (GMS) contract with NHS England for delivering primary care services to local communities. The practice is not a full training practice. It is involved in the training of doctors under the foundation year 2 scheme (FY2). This is a scheme whereby newly qualified doctors move onto a programme structure designed to give experience of managing patients in various environments including general practice.

The practice is open between 8.30am and 6pm Monday to Friday, save half day closing, at 1.30pm, on Wednesdays. Appointments are from 8.40am to 11am every day save Wednesday when the morning session ends at 11.30am. Afternoon sessions are Monday and Tuesday 4.20pm until 5.30pm, Wednesday closed, Thursday 4pm until 5.30pm and Friday 3pm until 5pm. The practice is closed at weekends. When the practice was not open during the core hours, 8am to 6.30pm cover was provided by another practice within the Minster Medical Group or by the out of hours service.

The surgery building is a purpose built health centre. The practice shares the building with other providers such as, another GP practice and community services. There are two consulting rooms, a treatment room and administrative rooms.

The practice has opted out of providing out-of-hours services to their own patients. This is provided by Medway on Call Care (MedOCC) . There is information for patients on how to access the out of hours service when the practice is closed.

Updated 10 September 2015

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Long Catlis Road Surgery on 20 May 2014. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and training was planned.
• 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.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• 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.

.

There was one area of practice where the provider needs to make improvements.

Importantly the provider should

• Review its auditing activity to help ensure its effectiveness and to more closely reflect the population it served.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 10 September 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. These patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 10 September 2015

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 A&E attendances. Immunisation rates were very high and consistently above the national standards 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. Appointments were available outside of school hours and the premises were suitable for children and babies. There was a mother and baby clinic each Thursday at the practice and this was advertised to that patient group.

Updated 10 September 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, preventing unplanned admissions. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 10 September 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and were met with continuity of care. The practice was proactive in offering online services, such as text message reminders, as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 10 September 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). All of the people experiencing poor mental health had received an annual physical health check. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency (A&E) where they may have been experiencing poor mental health. Some clinical and administrative staff had received training on how to care for people with mental health needs.

Updated 10 September 2015

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 such as those with a learning disability. It had carried out annual health checks for people with a learning disability.