The Care Quality Commission
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Archived: Sharrow Lane Medical Centre

Overall: Good read more about inspection ratings

129 Sharrow Lane, Sheffield, South Yorkshire, S11 8AN 0845 123 8891

Provided and run by:
Sharrow Lane Medical Centre

All Inspections

15 March 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Sharrow Lane Medical Centre on 6 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 6 July 2016 inspection can be found by selecting the ‘all reports’ link for Sharrow Lane Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on Wednesday 15 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 6 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • The practice had improved their practice governance and the management of quality and performance. For example, we saw a practice development plan for the management of diabetes and a range of clinical and non-clinical audits had been carried out.
  • We saw evidence of regular practice meetings which identified that significant event reporting was taking place across the practice team to drive quality improvement.
  • We saw an evidence table which identified that all staff had received an appraisal.
  • The practice had reviewed and updated their policy and documentation to support the complaints process.
  • There had been practice development for staff in relation to information technology and read coding.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Sharrow Lane Medical Centre on 6 July 2016. Overall the practice is rated as requires improvement.

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

  • There was an approach to safety and a system in place for reporting and recording significant events however these were not shared across the wider practice team to drive improvement.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion and dignity and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available.
  • Most patients said they found it easy to make an appointment with a named GP and 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.
  • Staff felt supported by management. The practice sought feedback from staff and patients.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Data showed patient outcomes were low compared to the national average. Although some audits had been carried out, we saw some evidence that audits were driving improvements to patient outcomes.

The areas where the provider must make improvement are:

  • Improve practice governance and the management of quality and performance.
  • Share significant event reporting across the whole practice team to drive improvement.

The areas where the provider should make improvement are:

  • Ensure that all staff have access to regular appraisals.
  • Review documentation used to support their complaints process.
  • Consider the development of practice learning around information technology and read coding.
  • Review performance for diabetes related indicators and consider a strategy to address this situation.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

26 November 2013

During a routine inspection

During our inspection we spoke with six people using the service and various members of staff including the practice manager, the GPs, the nursing staff, reception and administrative staff. We also looked at staff files.

People that we spoke with were positive about the practice and the staff. Some comments included 'I'm happy. Brilliant. Fantastic. I have a lot of health needs and they are fantastic with me.'

All the people spoken with told us that they felt comfortable whilst being examined by the clinical staff and did not have any concerns.

We saw that the practice was well organised and clean and tidy. Some comments included 'It's always clean' and 'Very nice, very clean.'

All the staff spoken with told us that they enjoyed working at the practice and that they could ask for support when they needed to. People that we spoke with were positive about the staff and their abilities. Some comments from people included 'Nice polite staff and doctors. Staff are fine. They are like family. Reception staff are really friendly.

We found that there were effective systems in place to ensure quality such as complaint handling, audit and significant event reporting.