Redfern Health Centre was inspected on Wednesday 1 October 2014. This was a comprehensive inspection.
Redfern Health Centre provides primary medical services to people living in the town of Salcombe, Devon and the surrounding areas. The practice provides services to a homogeneous population group and is situated in a rural location.
At the time of our inspection there were approximately 4,450 patients registered at the service with a team of three GP partners. GP partners held managerial and financial responsibility for running the business. In addition there were three state registered nurses, a phlebotomist, a practice manager, and seven administrative and reception staff.
Patients who use the practice have access to community staff including district nurses, community psychiatric nurses, health visitors, physiotherapists, mental health staff, counsellors, chiropodist and midwives.
We rated this practice as good.
Our key findings were as follows:
The practice was clean, well organised, had well maintained facilities and was well equipped to treat patients. There were robust infection control procedures in place. Patients had relatively easy access to appointments at the practice and liked having a named GP which improved their continuity of care.
Feedback from patients about their care and treatment was positive. The practice encouraged a non-discriminatory, patient centred culture. Practice staff were trained and experienced. They provided compassionate care to their patients. External stakeholders were very positive about the practice.
The practice was well-led and had a clear leadership structure in place. Checks were in place to improve quality and identify risk and systems to manage emergencies.
Patient’s needs were assessed and care planned and delivered in line with current legislation. This includes assessment of a patient’s mental capacity to make decisions about their care and treatment, and the promotion of good health.
Recruitment of staff, pre-employment checks, induction and appraisal processes were effective. Staff had received training appropriate to their roles and further training needs had been identified and planned.
Information about the practice provided evidence that the practice performed comparatively with all other practices within the clinical commissioning group (CCG) area.
Patients felt safe in the hands of the staff and confident in clinical decisions made. There were effective safeguarding procedures in place.
Evidence showed that significant events, complaints and incidents were investigated. Improvements made following these events were discussed and communicated with staff.
Staff told us homeless patients could access the practice as there was no requirement for patients registered at the practice to have a fixed home address.
We saw an area of outstanding practice:
- The practice provided joint GP and health visitor appointments for mothers with babies. This joined up approach enabled effective care of mothers and their babies, direct joint working between health professionals promoted an holistic approach and provided a convenient service to mothers with babies who would otherwise need separate appointments to see either a GP or a health visitor.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice