Red Lion Surgery

Updated 23 November 2018

Red Lion Surgery is registered with the Care Quality Commission (CQC) as a GP partnership provider in Cannock, Staffordshire. The practice is part of the Cannock Chase Clinical Commissioning Group. The practice holds a Primary Medical Services (PMS) contract with NHS England. A PMS contract is a locally agreed contract between NHS England and the general practice and offers variation in the range of service which may be provided by the practice.

The practice area is one of lower deprivation when compared with the national and local indicators.

At the time of our inspection the practice 3973 patients were registered at the practice. The practice has a lower than average number of patients aged 0 to 39 years and a higher than average number of patients aged 40 years and over.

Red Lion Surgery is located on the lower ground floor of Cannock Chase hospital, alongside other services provided by a local NHS Trust. The practice is situated within a communal area; with both patients and staff accessing other services, walking through the practice and their reception area.

The practice staffing comprises two male GP partners and a regular male locum doctor. Three, part-time female nurses; one, part-time female health care assistant; one, part-time practice manager; one, part-time advanced clinical pharmacist, funded by NHS England. One part-time senior receptionist and a team of five, part-time reception, admin and secretarial staff.

The provider is registered to provide the following regulated activities:

Diagnostic and screening procedures, family planning, maternity and midwifery, surgical procedures and treatment of disease, disorder or injury.

The practice is open from 8 am to 6.30 pm Monday to Friday.The practice has opted out of providing cover in the out of hours period. During this period services are provided by Staffordshire Doctors Urgent Care via NHS 111.

The provider is registered to provide the following regulated activities: Diagnostic and screening procedures, family planning, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury.

Additional information about the practice is available on their website: www.redlionsurgery.nhs.uk

Updated 23 November 2018

This practice is rated as Good overall. (Previous rating August 2017 – Good overall). The practice was rated as requires improvement for providing safe services. A breach of legal requirement was found and a requirement notice was served in relation to safe care and treatment. The full comprehensive report on the August 2017 inspection can be found by selecting the ‘all reports’ link for Red Lion Surgery on our website at www.cqc.org.uk.)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Red Lion Surgery on 11 October 2018. This was to follow up on breaches of regulations and confirm the practice had met the legal requirement in relation to the breach in regulation that we had previously identified.

At this inspection we found:

• The practice leaders had used the findings from the previous CQC inspection to improve the services provided and patient safety and care. The breach in regulation had been addressed and most of the best practice recommendations we made at the previous inspection had been addressed.

• 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.

• The practice had effective systems, processes and practices in place to protect people from potential abuse and staff had received safeguarding training appropriate to their role.

• There were systems in place for identifying, assessing and mitigating risks to the health and safety of patients and staff. The system for managing patient safety alerts had improved, but had not been effectively sustained. The practice had reviewed this and were in the process of reinstating the planned improvements.

• The practice routinely reviewed the effectiveness and appropriateness of the care provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

  Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they could access care when they needed it.

• The practice actively worked with the patient participation group (PPG) to meet the needs of their patients and had increased the membership of the PPG.

• Systems had been put in place to monitor the use of prescriptions to include prescriptions pads (as recommended in the previous report).

• The practice had pro-actively identified and increased the number of carers registered and were preparing to formalise the support they could offer to carers.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Update all core business plans which relate to the running of the service.
• Further develop clinical audit to promote quality improvement.
• Develop a written vision and strategy for the service.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 23 November 2018

Updated 23 November 2018

Updated 23 November 2018

Updated 23 November 2018

Updated 23 November 2018

Updated 23 November 2018