Background to this inspection
Updated
9 March 2015
The practice provides GP services for patient living in Hunmanby, Filey, Flamborough and surrounding areas. The practice has 2 GP partners, 1 male and 1 female. The practice also provides care to temporary patients during the summer holiday period which adds additional work load pressure to the practice. Appointments are managed to adjust to the seasonal demand.
The practice opening times are from 8.00am – 6.00pm. In addition there are extended hours appointments available on a Wednesday evening from 18.30 – 19.50. The practice does not provide an out-of-hours service to their own patients directly and patients are automatically diverted to the local out-of-hours service Prime care, when the surgery is closed in the evenings and at the weekends.
The practice register is made up of 4,055 patients. The largest population group was the age range population group 65s and over. This age group made up 32% of the practice register whilst the under 16s age group made up 12% of the practice register.
The CQC intelligent monitoring placed the practice in band six. The intelligent monitoring tool draws on existing national data sources and includes indicators covering a range of GP practice activity and patient experience including the Quality Outcomes Framework (QOF) and the National Patient Survey. Based on the indicators, each GP practice has been categorised into one of six priority bands, with band six representing the best performance band. This banding is not a judgement on the quality of care being given by the GP practice; this only comes after a CQC inspection has taken place.
Updated
9 March 2015
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection on 18 November 2014 to Hunmaby Surgery. The practice has approximately 4,000 patients in the catchment area of Hunmanby, Filey, Flamborough and surrounding areas.
Overall, we rated this practice as good.
Our key findings were as follows:
- The leadership, governance and culture were used to drive and improve the delivery of care.
- People told us they were treated with professionalism, respect and that the practice responded well to temporary resident care and support.
- The practice worked well with other providers, especially around long term conditions and palliative care.
- The practice had systems and processes in place to ensure they provided a safe service.
- The practice was visibly clean and tidy.
- The practice offered a variety of pre-booked appointments, walk-in clinics, extended opening hours and regular home visits.
- Incidents and complaints were appropriately investigated and responded to.
However, there were also areas of practice where the provider needs to make improvements
The provider should:
- Ensure staff who undertake chaperoning are trained.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
9 March 2015
The practice is rated as good for the care of patients with long term conditions. Nationally reported data showed the practice had achieved good outcomes in relation to those patients with commonly found long-term conditions and was above the national average for performance. Chronic diseases are monitored by the practice nurse for patients with chronic obstructive pulmonary disease (COPD), asthma and diabetic checks. The practice also worked closely with the local cardiology nurse, respiratory nurses, podiatrist and tissue viability nurse.
Families, children and young people
Updated
9 March 2015
The practice is rated as good for the care of families, children and young people. Nationally reported data showed the practice had achieved good outcomes in relation to a full range of immunisations for children. First immunisations were given by the doctor with subsequent immunisations carried out by the practice nurse. Family planning and contraceptive advice was available through both the doctors and practice nurse. Contraception was initiated by a doctor and then followed up by the practice nurse. Same day telephone appointments were also offered with the duty doctor specifically for younger people.
Updated
9 March 2015
The practice is rated as good for the care of older people. Nationally reported data showed the practice had achieved good outcomes in relation to the conditions commonly associated with older people. For example the percentage of patients with dementia who had their care reviewed in the last 15 months was in line the national average and people over the age of 75 treated with a fragility condition was also in line with the national average. The practice offered proactive, personalised care to meet the needs of older people. Appointments were made available to suit the needs of the elderly patient population and the practice provides a high rate of visiting appointments to meet their needs.
Working age people (including those recently retired and students)
Updated
9 March 2015
The practice is rated as good for the population group of the working-age people (including those recently retired and students). The practice recognised the need to provide additional and flexible service to patients of the working age group so therefore offered extended opening hours and telephone consultations with the GP or directly with the practice nurse. The practice also offered appointments and prescriptions online and text appointment reminders where patients have requested it.
People experiencing poor mental health (including people with dementia)
Updated
9 March 2015
The practice is rated as good for the population group of people experiencing poor mental health (including people with dementia).
Nationally reported data showed the practice had achieved good outcomes in relation to the conditions commonly associated with older people; for instance people with a dementia related condition had their care reviewed in the last 12 months was in-line the national average. Nationally reported data also showed the practice had achieved good outcomes in relation to the dementia diagnosis rate for the number of patients in residential care homes. The practice conducted annual dementia reviews and patients experiencing deterioration in their mental health were seen urgently. The practice liaised with both carers and local pharmacies to ensure patients with poor mental health obtained the correct treatment and identified any difficulties with care.
People whose circumstances may make them vulnerable
Updated
9 March 2015
The practice is rated as good for the population group of patients whose circumstances may make them vulnerable. The practice had achieved good outcomes in relation to meeting the needs of patients who were deemed as vulnerable. The practice staff and clinical teams worked together to provider a higher level of care for this population group. A lead role was identified for supporting vulnerable patients that attended A+E and hospital admissions. A follow-up system was in place where patients had attended hospital and discharged. Any difficulties were followed up with the GP and the care services involved. The practice had carried out annual health checks for people with learning disabilities.