Kiveton Park Medical Practice

Updated 24 March 2017

Kiveton Park Medical Practice is situated within a purpose built surgery in a building known as Kiveton Park Primary Care Centre. The surgery operates over two floors but all of the patient facilities are on the ground floor. Kiveton Park Medical Practice was built in 1997. There is disabled access and disabled parking at Kiveton Park. The practice is in one of the less deprived areas nationally and has a significantly higher patient population in the 65 to 75 year old age group. There is a new housing estate being built close by providing an increase in young families.

The practice has a branch surgery known as Harthill Surgery. The patients from Kiveton Park can also access this surgery. Harthill surgery has a dispensary. We did not visit this surgery as part of this inspection.

The practice provides Personal Medical Services (PMS) for 11,302 patients in the NHS Rotherham Clinical Commissioning Group (CCG) area.

There are six GP partners, four male and two female. There are also two female and two male salaried GPs. The nursing team comprises of seven nurses and two health care assistants and one phlebotomist. There is an extensive administration team, domestic staff and a caretaker supported by the practice manager.

The practice reception hours are 8am to 6.30pm, Monday to Friday. Surgery times are 8.30am to 7pm. Patients can also access early surgeries from 7am to 8am, one or two days a week at each site, usually Tuesdays and Thursdays.

Additionally, a service, known as UCount2, for patients between 12 and 25 is held twice a week on Tuesdays and Thursdays from 3.30pm to 5.00pm in school term time. UCount2 is held in the building called Waleswood Lodge in the surgery grounds.

Longer appointments are available for those who need them and home visits and telephone consultations are available as required.

The practice is also, as part of a three month pilot scheme, facilitating pre-booked Saturday morning appointments. These operate between 8am and 11am for patients registered at a group of eight local practices. Patients arrange their appointment via their own practice.

The out of hours services are accessed by calling NHS 111Service. When the surgery is closed, the message at the surgery (also detailed on the website and in the practice booklet), instructs patients to ring 111.

The practice provides training for doctors who intend to become GPs.

Updated 24 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Kiveton Park Medical Practice 9 December 2015. The overall rating for the practice was good but with requires improvement for safety. The full comprehensive report for the 9 December 2015 inspection can be found by selecting the ‘all reports’ link for Kiveton Park Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 9 December 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good.

Improvements had been made since our last inspection on 9 December 2015. Our key findings were as follows:

• The practice had obtained all the necessary recruitment checks to ensure employees were of good character prior to employment.

• Records had been improved to clearly identify the actions taken in response to significant events and safety alerts.

• An infection prevention and control (IPC) audit had been completed and IPC systems had been improved.

• Written procedures for monitoring and recording the temperature of vaccine fridges and records of temperature checks had been developed and implemented. However, action taken when temperatures were outside the recommended ranges had not been recorded.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Updated 3 March 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Performance for diabetes related indicators was 93%, which was higher than the CCG and national average of 83% and 89%.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 3 March 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.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• The practice’s uptake for the cervical screening programme was 85.6% which was comparable to the CCG average of 82.5% and the national average of 81.8%.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw good examples of joint working with midwives, health visitors and school nurses.

We saw one area of outstanding practice:

• The practice provided a drop in service for patients aged between 12 and 25 years known as UCount2. The service was also available to patients from other local practices. The service had been provided for the past 15 years in response to demand in the local community and was guided by a committee which included young people from a local school. The service was situated away from the main waiting room in a separate building in the grounds of the practice to promote confidentiality. The service was provided by a nurse practitioner who had completed relevant additional training for this role. The nurse worked closely with the GPs, youth counsellor and youth worker to provide services twice a week during term time. The service included treatment, support and advice for sexual and health screening, teenage pregnancy, alcohol and drug use, relationship issues, eating disorders, mental health issues, sexual exploitation and minor illnesses. The nurse worked with parents and schools to support the young person as required. For example, in the case of a teenage pregnancy the nurse would offer to liaise with parents/carers at the surgery or at home to discuss support and follow-up care. We saw communication from the CCG which showed this service had been identified by the CCG as one of the key strengths of the practice. The CCG had also stated that the outcomes for young people using the service were good and that the teenage pregnancy rate for the area was low.

Updated 3 March 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.

• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 3 March 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.

• 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.

We saw one area of outstanding practice:

• The practice provided a drop in service for patients aged between 12 and 25 years known as UCount2. The service was also available to patients from other local practices. The service included treatment, support and advice for sexual and health screening, teenage pregnancy, alcohol and drug use, relationship issues, eating disorders, mental health issues, sexual exploitation and minor illnesses. The CCG had stated that the outcomes for young people using the service were good and that the teenage pregnancy rate for the area was low.

Updated 3 March 2016

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

• 73% of people diagnosed with dementia had had their care reviewed in a face to face meeting in the last 12 months.

• The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health, including those living with dementia.

• It 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.

• It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had received training and had a good understanding of how to support people with mental health needs and dementia.

Updated 3 March 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.

• It offered longer appointments for people with a learning disability.

• The practice regularly worked with multidisciplinary teams in the case management of vulnerable people.

• It had told vulnerable patients about how to access various support groups and voluntary organisations.

• 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.