Dinnington Group Practice

Updated 16 January 2018

Dinnington Group Practice serves the whole of Dinnington, Anston, Woodsetts and some of the surrounding villages at three sites. The main surgery is based in a purpose built building at The Medical Centre, also known as Anston Medical Centre.

There are two branch surgeries at the Medical Centre, New Street, Dinnington, Sheffield, S25 2EZ and Woodsetts Surgery, 2a Berne Square, Woodsetts, S81 8RJ. We visited Woodsettes and Anston sites during this inspection.

The practice provides Primary Medical Services (PMS) services for 20,970 patients in the NHS Rotherham Clinical Commissioning Group (CCG) area across the three sites.

An on-site dispensing service is provided for approximately 1,200 patients at the Woodsetts Branch Surgery.

There are 11 partners, five female and six male, and five nurses including an advanced nurse practitioner supported by four health care assistants. Two dispensers work in the dispensary. There is a large administration team managed by a group manager, business services manager and patient’s services manager.

The practice is open Monday to Friday 8am to 6.30pm.

The reception at each site is open at Dinnington and Anston surgeries Monday to Friday 8am to 6.30pm and at Woodsetts Monday, Wednesday and Friday 8.15am to 6pm and Tuesday and Wednesday 8.15am to 12 pm midday.

The practice provides a drop in clinic at the New Street site, Dinnington, Monday to Friday 8am to 10am.

Extended hours are provided at Dinnington and North Anston Surgeries on a Monday Evening: 6.30pm to 8pm.

When the branch sites are closed, telephone calls are automatically passed through to the main site. When all surgeries are closed patients are advised to call NHS 111 service. NHS Rotherham also provides a Walk-in Centre to deal with minor ailments, illnesses and injuries. It is open from 8am to 9pm every day including Bank Holidays (excluding Christmas Day).

This is a training practice for qualified doctors intending to become General Practitioners and for hospital doctors (who may or may not go on to become General Practitioners) to gain experience in family medicine. They take student GPs and foundation doctors from Rotherham and North Nottinghamshire.

Updated 16 January 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dinnington Group Practice on 25 May 2016, where we found the overall rating for the practice was good. At the inspection on 25 May 2016 we did not identify any breaches of regulations but found there were areas for improvement in the safe domain. We completed a further announced focused inspection on 10 May 2017 to confirm that the practice had carried out their plan to make improvements. Whilst we found some improvements had been made since the May 2016 inspection and the overall rating for the practice remained good we found the practice continued to need to make further improvements in the safe domain. 

The full comprehensive report for the 25 May 2016 and the responsive report for 10 May 2017 inspection can be found by selecting the ‘all reports’ link for Dinnington Group Practice on our website at www.cqc.org.uk.

We completed an announced focused inspection on 22 November 2017 to confirm that the practice had carried out their plan to make improvements that we identified in our previous inspection on 10 May 2017. We found improvements had been made since our inspection 10 May 2017 and the practice was rated as good for safe and good overall. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice had made the following improvements :

• Repeat prescriptions were signed by an appropriate prescriber within a reasonable time frame.

• Medicines requiring refrigeration were managed safely.

• Balance checks of controlled drugs had been regularly carried out and recorded.

• The procedure for following up uncollected prescriptions had been reviewed and implemented.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 29 July 2016

The practice is rated as good for the care of people with long-term conditions.

• Nursing staff had lead roles in long term condition disease management and patients at risk of hospital admission were identified as a priority.
• Data from 2014/15 showed:
  • Performance for diabetes related indicators was 98.6%, which was 12% better than the CCG average and 5% better than the national average.
  • Performance for mental health related indicators was 99.9%, which was 9% better than the CCG average and 7% better than the national average.
  • The practice had scored 100% in the majority of indicators relevant to the care of older patients and those with long term conditions.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 29 July 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances.
• Immunisation rates were relatively high for all standard childhood immunisations. Attendance for the immunisation programme was closely monitored and the practice worked with the health visitor if there were any concerns.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.
• The practice’s uptake for the cervical screening programme was 81%, which was above the CCG average of 78%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working and received positive feedback from midwives and health visitors.

Updated 29 July 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.
• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.
• We saw outstanding practice to provide continuity of care for patients who lived in care homes.

Updated 29 July 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. However, patients told us access to pre-bookable appointments could be improved.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• The practice had engaged with a local school and had encouraged membership to the patient participation Group (PPG) from two younger patients through this.

Updated 29 July 2016

• The practice is rated as good for the care of people experiencing poor mental health (including people living with dementia).

• 89% of patients diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months, which was better than the national average.

• Performance for mental health related indicators was 99.9%, which was 9% better than the CCG average and 7% better than the national average.

• The practice carried out advance care planning for patients with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations and hosted clinics from support services in the practice.

• We saw one area of outstanding practice in that the practice had implemented yoga classes  for patients and staff as a tool for self-care in conditions relating to depression and anxiety. A survey of the patients showed the patients had found these sessions to be mentally and physically beneficial.

• Staff had a good understanding of how to support patients with mental health needs and dementia and had participated in a dementia friend’s workshop in June 2015.

Updated 29 July 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• The practice offered longer appointments for patients with a disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations and hosted clinics from support services in the practice.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.