This practice is rated as Good overall. (Previous rating October 2014 - Good)

The key questions 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 of Colton Mill and The Grange Medical Centres on 30 October 2018 as part of our inspection programme.

At this inspection we found:

• The practice ensured clinical support arrangements were recorded, these records were documented formally.
• Management of significant events were recorded so that trends could be identified. We saw that the provider recognised and acted on significant events. When incidents did happen, the practice learned from them and improved their processes.
• All patients on high risk medicines had been reviewed in a timely manner and emergency medicines expiry dates were monitored.
• Safeguarding systems had been implemented to ensure relevant information was placed on patients records to alert clinicians when a child was subject to any part of the child protection process.
• A programme of clinical audits had been embedded in the practice to review the effectiveness of care and identify possible areas for improvement.
• The system for dealing with complaints was regularly monitored.
• There were regular clinical and team meetings and processes to improve communication in the practice.
• Patients said they were treated with dignity and trusted the staff.
• The provider had a good relationship with the wider multidisciplinary team members.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided and ensured that care and treatment was delivered according to evidence- based guidelines.
• The leadership team were effective and had a clear vision and purpose. There were systems in place to drive continuous improvement.
• The Patient Participation Group (PPG) engaged with patients during immunisation days and actively supported membership to include people from all backgrounds.
• The practice had developed a Measles outbreak action plan which was shared CCG wide.
• The practice has a dedicated self-check monitoring room which encouraged patient self-management. In the last year 350 patients had used this service. There was an electronic prescribing service for patients who had LTC (88% usage from primary care dashboard report July 18).
• Diabetes nurses were involved in co-producing the first peer review for diabetic foot screening due to high risks in the Leeds area. All nurses were trained on foot screening.
• The practice took part in the national diabetes prevention programme and the referral rates were the highest in Leeds for patients into the programme.
• The practice offered local training events for clinical staff led by lead nurse for respiratory and diabetes.
• The practice implemented the group consultation pilot as one of the locality innovations in Seacroft.
• The practice was the second highest user of ‘Leeds care record’ for accessing medical records for patients.
• The practice had developed a Measles outbreak action plan which was shared CCG wide.

The areas where the provider should make improvements are:

• Review and improve the processes in place for the cleaning and/or replacement of privacy curtains in line with the latest national infection prevention and control guidance.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

Dear Andrea Mann

Please find enclosed a copy of our report following our recent announced inspection on Tuesday 7 October 2014 of Colton Mill and The Grange Medical Centres. Please make this report readily available for people who use the service.

Our key findings were as follows:

• Information from NHS England and the clinical commissioning group (CCG) indicated that the practice had a good track record for maintaining patient safety.

• The staff made effective use of clinical audit tools, clinical supervision and staff meetings to ensure the practice worked collaboratively with other agencies to improve the service of people in the community.

• All the patients who completed CQC comment cards, and those we spoke with during our inspection, were complimentary about the care they received.

• The practice had an effective complaints policy and responded appropriately to complaints about the practice.

• The leadership team were effective and had a clear vision and purpose. There were systems in place to drive continuous improvement.

We found that people who worked had good access to the practice. There were good infection control processes. Patients were treated with kindness and respect and patients’ needs and effective communication with patients appeared to be the priority for the practice.

Sincerely,

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice