During an assessment under our new approach
Date of Assessment: 4 March to 5 March 2025. Hull Family Practice is a GP practice and delivers service to 37,870 patients under a contract held with NHS England. At the time of the assessment the Hull Family Practice had 3 branch sites within a 2-mile radius of the main site. The provider also had an additional and separate location registered with CQC called Sydenham Group Practice. After this assessment Sydenham Group Practice was deregistered and became a branch site of Hull Family Practice. This additional site was not included in this assessment. The National General Practice Profiles states that the patient population is 95% white, 2% Asian, 1% Black, 1% Mixed and 1% other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the second decile (2 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report. The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. However, not all safety incidents had been reported, recorded or investigated and staff had not always had feedback about reported incidents. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and most risks had been mitigated. There were enough staff with the right skills, qualifications and experience but not all recruitment checks had been completed prior to staff commencing work. Managers made sure staff received training. New systems for regular appraisals to maintain high-quality care needed to be embedded into practice. The service did not always make sure that medicines and treatments were safe. The service did not always ensure medicines were safely and securely stored. People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice although some patients with long term conditions were not always identified to ensure they received appropriate care and had not always received the required reviews and monitoring. . Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity. People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing. People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas. We found breaches of regulation in relation to safe care and treatment and fit and proper persons employed. We have asked the provider for an action plan in response to the concerns found at this assessment.