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Dr Pilkington and Partners, Newcastle Upon Tyne.

Dr Pilkington and Partners in Newcastle Upon Tyne is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 1st May 2019

Dr Pilkington and Partners is managed by Drs Turner Antoun and Partners.

Contact Details:

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2019-05-01
    Last Published 2019-05-01

Local Authority:

    Newcastle upon Tyne

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.

26th March 2019 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out an announced focused inspection at Drs Turner Antoun and Partners on 26 March 2019. This was as part of our ongoing inspection programme and to check the practice had made the improvements we said they should when we last inspected the practice in April 2018.

At the last inspection on 20 April 2018 we rated the practice as requires improvement for providing safe services because:

  • The practice did not always follow up on actions identified through their own audits and risk assessments to keep people safe.
  • They did not always carry out full checks during the recruitment process to check the conduct of staff during previous employment.
  • They did not keep clear records to demonstrate the action they had taken in response to patient and medicine safety alerts.

At this inspection, we found that the provider had satisfactorily addressed these areas.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We rated this practice as good overall. (Previous rating April 2018 – Good). We rated the practice as good for providing safe services because:

  • The practice had improved the way they followed up risks identified through their own audits and risks assessments.
  • Improved the way they checked conduct of staff in previous employment.
  • Kept clear records of the action they had taken in response to patient and medicines safety alerts.

At our previous inspection in April 2018, there were other areas where we told the practice they should improve. During this inspection, the practice demonstrated they had addressed the concerns. This included:

  • Improving the approach to clinical audit and quality improvement. The practice had implemented a clinical audit strategy for the financial year, which included planned audits for prescribing of antipsychotics for patients diagnosed with dementia; two-week wait referrals for patients with symptoms of suspected cancer; and prescribing of pregabalin. There were also other medicine audits planned by the pharmacy hub within the practice. The practice provided us with a completed (two-cycle) audit of women of childbearing age prescribed sodium valproate and the first cycle audit for the audit of prescribing of antipsychotics for patients diagnosed with dementia.
  • Increasing the identification of patients who were also carers and developing the support for carers. In March 2019, we found the practice had increased the number of carers identified from 0.7% (72 carers) of the patient list to 1.27% (131 carers). They had achieved this by publicising information for carers within the practice; holding carer awareness events; and, using opportunities. such as influenza vaccination clinics, to flag up where patients had caring responsibilities. The practice told us they continued to liaise with the local carers organisation to help them identify and meet the needs of carers. They also offered influenza vaccinations to all carers.
  • Improving the approach to meeting the Accessible Information Standards to help tailor their communication methods to meet the needs of all those patients who might benefit from this. In March 2019, we found the practice had implemented a register of patients with additional communication needs. They had also implemented changes to the new registration process to capture communication needs at an early stage. They had put in place arrangements to meet the communication needs of patients in line with the Accessible Information Standards.
  • In March 2019, we found the practice now directed patients to contact the public health services ombudsman if they remained unsatisfied with the outcome of their complaint.

In March 2019, we also found the practice had tried to improve the arrangements for the patient participation group, to increase membership. They continued to promote the group, both in the practice waiting area and on their website. They had encouraged new members to join during an event to celebrate the birthday of the NHS and during the influenza vaccination clinics. However, these initiatives had not supported the practice to recruit any new members. They told us they used other sources of patient feedback, such as surveys, the NHS friends and family tests, complaints and compliments to inform service improvements.

The area where the provider should make improvements is:

  • Continue to develop the approach to recording of staff immunity level for measles, mumps, chickenpox and rubella in line with The Green Book Immunisation against infectious disease where staff are uncertain or do not hold information about their level of immunity.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

20th April 2018 - During a routine inspection pdf icon

This practice is rated as Good overall. (Previous inspection December 2014 – Requires Improvement and October 2015 – 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 Drs Turner Antoun and Partners on 20 April 2018. This was as part of our ongoing inspection programme.

At this inspection we found:

  • The practice had some 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. However, there were some areas where the practice should make improvements to processes. This included infection control, recruitment and patient safety and medicine alerts.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it 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 were able to access care when they needed it.
  • 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:

  • Keep a full record for staff of their immunity level for measles, mumps, chickenpox and rubella in line with The Green Book Immunisation against infectious disease.
  • Follow up and maintain evidence that there is a check on the conduct of new staff in previous employment through the recruitment process.
  • Follow up and maintain a record of action taken following the practice annual infection control audit.
  • Maintain records to ensure a clear audit of actions taken as a result of patient safety and medicine alerts.
  • Continue to develop the approach to clinical audit and quality improvement.
  • Develop a system to increase identification of patients who are also carers and continue to develop support for carers.
  • Assess how the practice meets the Accessible Information Standard to help tailor their communication methods to meet the needs of all those patients who might benefit from this.
  • Review the arrangements for the patient participation group to encourage and act upon feedback from the group.

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

29th October 2015 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced inspection of this practice on 9 December 2014. Breaches of legal requirements were found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

  • Regulation 10 HSCA 2008 (Regulated Activities) Regulations 2010 Assessing and monitoring the quality of service (which corresponds to Regulation 17 of the HSCA 2008 (Regulated Activities) Regulations 2014);

  • Regulation 12 HSCA 2008 (Regulated Activities) Regulations 2010 Cleanliness and infection control (which corresponds to Regulation 12 (2) (h) of the HSCA 2008 (Regulated Activities) Regulations 2014);

  • Regulation 13 HSCA 2008 (Regulated Activities) Regulations 2010 Management of medicines (which corresponds to Regulation 12 (f) & (g) of the HSCA 2008 (Regulated Activities) Regulations 2014);

  • Regulation 21 HSCA 2008 (Regulated Activities) Regulations 2010 Requirements relating to workers (which corresponds to Regulation 19 of the HSCA 2008 (Regulated Activities) Regulations 2014);

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Drs Turner Antoun and Partners on our website at www.cqc.org.uk.

Our key findings were as follows:

  • The practice had addressed the issues identified during the previous inspection.

  • Medicines were managed appropriately and the correct guidelines were followed.

  • Systems to manage and monitor the prevention and control of infection were in place and improvements had been made.

  • Disclosure and Barring Service checks (DBS) had been completed for all staff.

  • Additional staff had been recruited to alleviate staffing concerns, including a GP, practice nurse and administration staff.

  • Arrangements were in place to manage fire safety, other than a fire risk assessment which the practice were still to address.

  • The practice had started to make improvements to their clinical audit system. They had carried out a two cycle audit and two first cycle audits. Clinical and prescribing audits were being carried out.

  • Staff had received the appropriate training required for their role and an appraisal in the last year.

  • There were governance arrangements in place which included structured staff meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

9th December 2014 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Drs Turner Antoun and Partners on 9 December 2014. We inspected the main surgery at Cruddas Park and the branch surgery at Hillsview.

We have rated the practice overall as requires improvement, although there were some areas where we rated the practice as good.

Our key findings were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. There were opportunities for learning from incidents.
  • Patients reported good access to the practice , with urgent appointments available on the same day;
  • Patients said and our observations confirmed, they were treated with kindness and respect;
  • Patient outcomes were in line with the locality.
  • The practice was involved in a quality improvement programme for care homes.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Ensure systems and processes which are in place to assess and monitor the quality of service, and ensure there are sufficient systems in place to identify, assess and manage risks relating to health, welfare and safety of patients and staff.
  • Ensure the systems in place to assess the risk of and prevent, detect and control the spread of infection.
  • Ensure blank prescription forms are stored securely.
  • Ensure relevant checks are carried out on staff, in relation to disclosure and barring checks (DBS).

In addition the provider should:

  • Review systems for training and appraisal.
  • Review systems in place for monitoring the temperatures of the vaccine refrigerators in the practice.
  • Review staffing levels to ensure there is enough staff to meet the needs of the patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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