• Doctor
  • GP practice

Friarsgate Practice

Overall: Requires improvement read more about inspection ratings

Stockbridge Road, Weeke, Winchester, Hampshire, SO22 6EL (01962) 871730

Provided and run by:
Friarsgate Practice

All Inspections

During an assessment under our new approach

Friarsgate Practice is a GP practice and provides a range of primary medical services and is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities; diagnostic and screening procedures, family planning, midwifery and maternity services, surgical procedures and treatment of disease, disorder or injury. This announced assessment was undertaken between 1 December 2023 and 9 December 2023. We carried out our on-site visit on 5 December 2023. We assessed 6 quality statements under the key questions of Safe, Effective, Responsive and Well-led. This included: Learning culture, medicines optimisation, assessing needs, delivering evidence-based care and treatment, equity in experience and outcomes and governance, management and sustainability. During our assessment, we found concerns around the management of people’s medicines, care and treatment for people with long-term conditions which resulted in a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found a lack of effective governance systems and processes to assess, monitor and improve the quality and safety of the service, including the provision of clinical supervision of staff and the accuracy of patient records which resulted in a breach of regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can find more details of our concerns in the evidence category findings.

24 Oct 2019

During an inspection looking at part of the service

We decided to undertake an inspection of Friarsgate Practice following our annual review of the information available to us. This inspection looked at the following key questions of:

  • Are the services at this location effective?
  • Are the services at this location well-led?

The practice’s annual regulatory review did not indicate that the quality of care had changed in relation to Safe and Caring. As a result, the ratings from the practice’s previous inspection from 2014 still stands in those key questions.

During the inspection, based on what we found on inspection, we decided to also inspect the key question of:

  • Are the services at this location responsive?

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and outstanding for providing responsive services. We have also rated the practice as outstanding for the population groups relating to older people, people with long-term conditions and family, children and young people. The population groups relating to care of working age people, people with mental health and circumstance who make them vulnerable have been rated as good.

We found that:

  • Patients received effective care and treatment that met their needs.
  • The practice had implemented a new diabetic care programme to ensure consistent oversight of patient care and to improve its exception reporting performance but the impact of these changes had not yet been demonstrated.
  • The practice had planned, organised and delivered services in innovative ways to meet patients’ needs.
  • Patient feedback confirmed access to appointments was easy and they were able to access urgent and routine appointments when they needed them.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Staff were proud to work at the practice but some staff were not always able to attend practice meetings to contribute ideas for improvements or developments.
  • The practice responded to significant events, complaints and concerns in a timely manner. Any subsequent investigations were comprehensive and patients received a full explanation where appropriate.

We saw the following areas of outstanding practice which contributed to the outstanding rating for responsive:

  • By recruiting a chiropractor and running a MSK pilot, the practice had responded to national increased demand for MSK care and treatment. Since the pilot in 2018, 387 patients had been seen by the practice’s chiropractor. Of those, 61% had been discharged with self-management advice, 15% had received a prescription, approximately 25% had been referred for further investigation or for a secondary care follow up and 17% had returned for a follow up with the practice’s chiropractor.

  • The practice had proactively introduced new systems, processes, workforce arrangements and technology to ensure access to care took account of people’s individual needs including those with urgent clinical needs as well as routine needs.

Whilst we found no breaches of regulations, the provider should:

  • Develop a log of GP training records to ensure full oversight of completion performance in line with practice’s own training recommendations.
  • Continue to review performance data, particularly exception reporting rates from Quality and Outcome Framework indicators, especially in relation to diabetes.
  • Continue to improve the uptake for cervical screening to achieve the national target of 80%.
  • Consider how staff from both sites can be included in relevant practice meetings to allow all staff members equal opportunities in contributing to learning and practice development.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care

16th October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 16th October 2014 as part of our new comprehensive inspection programme. This provider had not been inspected before and that was why we included them.

The overall rating for this service is good. We found the practice to be good in the safe, responsive caring, effective and well led domains. We found the practice provided good care to older people, people with long term conditions, people in vulnerable circumstances, families, children and young people, working age people and people experiencing poor mental health.

Our key findings were as follows:

• Patients were kept safe because there were

arrangements in place for staff to report and learn

from key safety risks. The practice had a system in

place for reporting, recording and monitoring

significant events over time.

• The practice could demonstrate improved outcomes

for patients through the use of a comprehensive range

of clinical audits.

• The partners provided strong and clear leadership

which had led to a committed and motivated staff

group.

• The practice was responsive to its different patient

groups and patients were  satisfied with the service they received.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice