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Appleby Medical Practice, Chapel Street, Appleby in Westmorland.

Appleby Medical Practice in Chapel Street, Appleby in Westmorland is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 30th October 2019

Appleby Medical Practice is managed by Appleby Medical Practice.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-10-30
    Last Published 2018-08-15

Local Authority:

    Cumbria

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

13th November 2014 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We inspected Appleby Medical Practice on 13 November 2014 and visited the surgery in Appleby. We inspected this service as part of our new comprehensive inspection programme.

Overall, we rated the practice as good. Our key findings were as follows:

  • The practice covered a large geographical and rural area; services had been designed to meet the needs of the local population.
  • Feedback from patients was positive; they told us staff treated them with respect and kindness.
  • Staff reported feeling supported and able to voice any concerns or make suggestions for improvement.
  • The practice was visibly clean and tidy.
  • The practice learned from incidents and took action to prevent a recurrence of the incident.

We saw the following areas of outstanding practice:

  • Staff within the practice knew their local population very well and delivered a service which reflected local needs. For example, the practice was flexible with regard to appointments for patients who worked away or for visitors to the area. We saw many examples where staff had ‘gone the extra mile’ for their patients.
  • The practice had effective arrangements to deliver end of life care.

However, there was also an area of practice where the practice should make improvements. 

The practice should:

  • Ensure robust arrangements are put into place for the GPs to check any changes made to patients’ prescriptions following receipt of hospital letters.
  • Ensure medicines reviews are carried out on a timely basis.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7th May 2014 - During a routine inspection pdf icon

Appleby Medical Practice is near the centre of Appleby. It is operated by a sole partner and three salaried general practitioners (GP), a practice manager, two practice nurses, a nursing assistant and administration staff. It has strong relationships with the community nursing staff, health visitors and midwives whose offices were located in the same building.

Below is a summary of what we found during our inspection. The summary is based on our observations during the inspection, speaking to patients, relatives and staff and looking at some records.

We found in November 2013 the practice had a change of management and new quality assurance systems were developed to ensure the practice was safe, effective, responsive and well led. However, at our inspection many of the systems were in the process of being introduced or had not been embedded so staff were not always following them robustly. Areas where we found improvements were needed were medicines management, infection control, safety of equipment and quality assurance.

Patients we spoke with during our inspection told us they were satisfied with their care and treatment, the staff always listened to their views. They told us they had no complaints about the service.

1st January 1970 - During a routine inspection pdf icon

This practice is rated as Good overall. (Previous inspection November 2014 – Good)

The key questions are rated as:

Are services safe? – Requires improvement

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 Appleby Medical Practice on 17 May 2018, as part of our inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice recorded them and staff knew how to record or report incidents. However it was not clear from records that learning points and actions had been identified and carried out.
  • We found that safeguarding procedures and communications were not clearly documented. Staff received safeguarding and safety training appropriate to their role. They knew how to identify and report concerns.
  • The practice carried out some review of the effectiveness and appropriateness of the care provided, although clinical audit was limited and did not always clearly demonstrate improvements in patient care and outcomes.
  • Staff involved and treated patients with compassion, kindness, dignity and respect. Patients spoke positively of the caring service they received. Staff had good local and personalised knowledge of patients, and saw themselves as an integral part of the community.
  • Patients found the appointment system easy to use and reported that they were generally able to access care when they needed it. National GP Patient Survey results showed results that were either comparable to or better than local and national averages for how easy patients found it to access the service
  • Practice staff told us of an open, supportive culture, where feedback was valued.

The areas where the provider should make improvements are:

  • Improve recording of actions and learning points arising from significant events.
  • Continue to develop systems to ensure all patients have their medication reviewed in a timely fashion.
  • Develop a process of systematic review, dissemination and discussion of new clinical guidelines.
  • Develop a planned and structured approach to carrying out clinical audits.
  • Continue to develop systems so that safeguarding documents and communications are fully recorded, stored and attributable to the individual patient, such that they are easily available and accessible by clinicians who may need to take over the patient’s care.
  • The practice should continue in its efforts to establish a patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP

 

 

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