Old Mill Surgery in Nuneaton 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 19th January 2018
Old Mill Surgery is managed by Old Mill Surgery.
Contact Details:
Address:
Old Mill Surgery Marlborough Road Nuneaton CV11 5PQ United Kingdom
Letter from the Chief Inspector of General Practice
This practice is rated as Good overall.
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
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Old Mill Surgery on 21November 2017 as part of our inspection programme.
At this inspection we found:
Patients’ needs were assessed and care delivered in line with current guidelines. Staff had the appropriate skills, knowledge and experience to deliver effective care and treatment.
Urgent same day patient appointments were available when needed. All patients we spoke with and those who completed comment cards before our inspection said they were always able to obtain same day appointments and access care when needed.
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.
Results from the July 2017 annual national GP patient survey showed high levels of patient satisfaction with all aspects of the practice and patient care.
Patients said GPs gave them enough time and treated them with dignity and respect.
The practice took the needs of the local population into account. For example, with an increased demand for patient access, the practice had developed the role of practice nurses. They had received additional training to enable them to manage patients with long term conditions to reflect this.
The practice had a dedicated telephone line for patients receiving end of life (palliative) care and their families and carers to use. This was also available when the practice was closed.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Old Mill Surgery on 11 August 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
Information about how to complain was available and easy to understand.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
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). Changes had been made to the telephone system, with further changes planned so that patients had improved access to appointments.
The practice had good facilities and was well equipped to treat patients and meet their needs.
Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
The practice held an open evening at the practice at which stands were available providing information and guidance for patients on a range of topics such as Age UK, Guideposts, smoking cessation and a diabetic specialist team from the nearby George Eliot Hospital. Feedback from patients, agency representatives and staff was very positive and the practice planned to hold a further open evening over the winter period.
A range of support services was offered for younger patients. This included contraception advice; a website page with information specifically for younger patients; chlamydia screening with packs available in the waiting room for patients to collect; younger patient vaccination clinics with particular focus on university meningitis vaccinations; online appointments, prescribing and patient summary; and text messaging.
However, there were areas of practice where the provider needs to make improvements.
Importantly the provider should:
Ensure that their consent policy and procedure is followed specifically where the policy states that written consent should be obtained and recorded for invasive treatments.
Ensure that best practice guidance is followed that advises a nurse should be in attendance when GPs fit contraceptive devices.
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