Background to this inspection
Updated
24 May 2018
Mile Oak Medical Centre is situated in Portslade, on the outskirts of the city of Brighton and Hove, East Sussex and operates from:
Chalky Rd
Portslade
Brighton
BN41 2WF
The practice provides services for approximately 8,100 patients living within the local area. The practice holds a general medical services (GMS) contract and provides GP services commissioned by NHS England. (A GMS contract is one between the practice and NHS England where elements of the contract such as opening times are standard.) The practice population has a slightly higher than average number of patients under the age of 18 and a higher percentage of patients with health related problems in daily life. The practice has more patients in employment or full-time education and lower levels of unemployment. Around 93% of patients registered at the practice are of white British ethnicity. The practice has registered a number of Syrian refugees.
Mile Oak Medical Centre is purpose built and shares its premises with a pharmacy. Separate organisations providing midwifery, health visiting, a chronic fatigue service, audiology, podiatry, musculoskeletal, dermatology and stoma clinics rent rooms in the same premises.
As well as a team of four GP partners and three salaried GPs (six female and one male), the practice also employs an advanced nurse practitioner, three practice nurses, a health care assistant and a pharmacy technician. There is a business manager, an organisation manager and a team of receptionists, administrative and housekeeping staff.
The practice is a training practice for post qualifying doctors.
Mile Oak Medical Centre is open between 8am to 6pm on weekdays, apart from Thursdays when the surgery is open from 8am to 8pm. After 6pm the phones are answered by an out of hours provider (IC24). The practice offers a triage system where patients are given an initial phone appointment with a GP who will then allocate a face to face appointment with the most appropriate clinician as necessary. Same day and pre-bookable appointments with GPs and nurses are also available.
The practice offers a shared out of hours service on rotation with two other practices in the locality. This service operates from 6.30pm to 9pm on weekdays, from 8am to 2pm on Saturdays and from 9am to 12pm every other Sunday.
The practice is registered to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder and injury; maternity and midwifery services; family planning and surgical procedures.
Updated
24 May 2018
Mile Oak Medical Centre was previously inspected on 21 July 2015 and was rated as good overall and for safe, effective, caring, responsive and well-led services.
At this inspection on 20 March 2018 the practice is rated as good overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) – Good
At this inspection we found:
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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.
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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.
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Staff involved and treated patients with warmth, compassion, kindness, dignity and respect.
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Patients said they were able to book an appointment that suited their needs. Pre-bookable, on the day appointments, home visits and phone consultation services were available. Urgent appointments for those with enhanced needs were also provided the same day.
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There was an active patient participation group in place. The practice had made improvements to services as a result of feedback from patients
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There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice worked closely with other services in order to provide and improve care for their patient populations.
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Staff were positive about working in the practice and were involved in planning and decision making.
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Patient survey results were positive and higher than average in a number of areas.
The area where the provider should make improvement is:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
24 May 2018
People experiencing poor mental health (including people with dementia)
Updated
24 May 2018
People whose circumstances may make them vulnerable
Updated
24 May 2018