Background to this inspection
Updated
16 August 2018
Reservoir Road Surgery is a member of Our Health Partnership (OHP), a partnership of approximately 40 practices across the West Midlands area. The practice registered with CQC under OHP as the provider organisation in September 2017.
The practice also sits within NHS Birmingham and Solihull Clinical Commissioning Group (CCG). CCGs are groups of general practices that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services.
The practice provides services to patients under a General Medical Services (GMS) contract with NHS England. A GMS contract ensures practices provide essential services for people who are sick as well as, for example, chronic disease management and end of life care and is a nationally agreed contract. The practice also provides some enhanced services such as childhood vaccinations.
Reservoir Road Surgery is located in Stockland Green Primary Care Centre in Erdington, Birmingham. Stockland Green Primary Care Centre is a modern purpose built health centre. The practice shares the health centre with other health care providers including other GP practices and community health services. The practice’s registered list size is approximately 12,300 patients. Based on data available from Public Health England, the practice is in an area with higher than average levels of deprivation. The practice is ranked one out of ten by Public Health England based on indices of multiple deprivation scores (ten being the most affluent and one the most deprived). The practice has a younger population than the national average.
Practice staffing consists of three GP partners (all male), four salaried GPs (three female and one male), a team of four nurses including one Advanced Nurse Practitioner and two health care assistants. Other staff included a deputy practice manager and assistant practice manager supported by team of reception and administrative staff.
The practice is a training practice for qualified doctors training to become a GP.
The practice is open from 8am to 6.30pm on a Monday, Wednesday, Thursday and Friday; 8am to 8pm on a Tuesday and 8am to 12 noon on a Saturday. When the practice is closed services are provided by an out of hours provider (Birmingham and District General Practitioner Emergency Rooms).
OHP-Reservoir Road Surgery is registered with CQC to provide the following regulated activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services; Surgical Procedures and Treatment of disease, disorder or injury.
Updated
16 August 2018
This practice is rated as Good overall.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Requires improvement
Are services well-led? - Good
We carried out an announced comprehensive inspection at OHP-Reservoir Road Surgery on 12 July 2018. The practice last received a comprehensive inspection under the previous provider on 5 September 2017 and received an overall rating of good with requires improvement for providing effective services. We carried out this inspection to follow up progress made by the practice since our previous inspection in September 2017 and to ensure the legal requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were being met.
The current provider of this practice registered with CQC in September 2017. This is the first inspection under the current registration.
At this inspection we found:
- The practice had effective systems to keep people safe and safeguarded from abuse.
- There were effective systems in place to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them.
- The practice reviewed the effectiveness and appropriateness of the care it provided. It delivered care and treatment according to evidence-based guidelines. Although there were some areas in need of improvement such as hypnotic prescribing.
- Patient outcomes were mostly in line with local and national averages and action was being taken to improve areas where they were not.
- The practice participated in improvement activity such as clinical audits however the impact of these was not always clearly demonstrated.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients feedback was mixed in relation to access to appointments. Changes made had yet to be evaluated for their effectiveness.
- The practice was aware of future challenges including succession planning and immediate leadership of the practice which they were starting to address.
The areas where the provider should make improvements are:
- Review emergency equipment to ensure they are appropriately stored and sealed and fit for use and that there is appropriate signage for the location of oxygen.
- Review training needs of non-clinical staff so that they are better equipped to identify deteriorating or acutely unwell patients.
- Improve the uptake of health reviews for patients with a learning disability, outcomes for patients with poor mental health and in relation to hypnotic prescribing.
- Review and take action to improve the uptake of cervical screening.
- Review the use of clinical audit and consider how it may more effectively support service improvements.
- Improve the monitoring and supervision arrangements for the Ears, Nose and Throat service.
- Improve systems for obtaining patient feedback in order to identify areas for improvement and for evaluating service provision.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.