Background to this inspection
Updated
13 April 2017
Harcourt
Medical Centre is located close to the centre of Salisbury in an old listed
building with a modern extension. All areas accessed by patients are in the new
extension and are on one level.
The practice
has a slightly higher than average patient population over 60 years old and
slightly lower than average between 20 and 45 years old.
The practice
is part of the Wiltshire Clinical Commissioning Group and has approximately
11,800 patients. The practice area is in the low to mid-range for deprivation
nationally, although it is important to remember that not everyone living in a
deprived area is deprived and that not all deprived people live in deprived
areas.
There are six
GP partners and two salaried GPs making the whole time equivalent of five GPs.
Five of the GPs are male and three are female. They are supported by four
practice nurses, one care of the elderly nurse, one health care assistant, one
phlebotomist and an administrative team of 11 staff led by the practice
manager.
Harcourt
Medical Centre is a training and teaching practice. (A teaching practice
accepts provisionally registered doctors undertaking Foundation training while
a training practice accepts qualified doctors training to become GPs who are
known as Registrars.) At the time of our inspection they had one registrar and
one doctor undergoing foundation training working with them.
The practice
is open between 8am and 6.30pm on Monday, Wednesday, Thursday and Friday, and
from 9am to 6.30pm on Tuesday. GP appointments are available between 8am and
11.10am and 3pm and 5.30pm Monday to Friday, except Tuesday when routine
appointments start at 9am and Thursday when the last appointment is at 6pm.
Extended hours appointments are offered from 6.30pm to 7pm on Monday, 7.30am to
8am on Tuesday and 7.30am to 8am on Wednesday and Friday. Appointments can be
booked over the telephone, online or in person at the surgery.
When the
practice is closed patients are advised, via the practice website that all
calls will be directed to the out of hours service. Out of hours services are
provided by Medvivo
The practice
has a General Medical Services contract to deliver health care services. This
contract acts as the basis for arrangements between NHS England and providers
of general medical services in England.
The practice
provides a number of services and clinics for its patients including childhood
immunisations, family planning, minor surgery and a range of health lifestyle
management and advice including asthma management, diabetes, heart disease and
high blood pressure management. Psychological support services are provided on
site by the NHS.
The practice
provides services from the following location:-
-
Harcourt Medical Centre, Crane Bridge
Road,
Salisbury,
SP2 7TD.
Updated
13 April 2017
Letter from the Chief Inspector of General Practice
When we visited Harcourt Medical Centre on 31 August 2016 to
carry out a comprehensive inspection, we found the practice was not compliant
with the regulation relating to receiving and acting on complaints. Overall the
practice was rated as good.
We found the practice required improvement for the provision of responsive
services, because the complaints policy did not meet the recognised guidance
and contractual obligations for GPs in England. Letters sent to patients in
response to their complaint did not include information about how to escalate
the complaint if they were not satisfied.
We also said
the practice should:
-
Develop and adopt a significant events policy.
-
Improve their identification of carers.
-
Improve the accessibility of policies and procedures to all
staff.
Following the inspection the provider sent us an action plan
that set out the changes they would make and subsequently supplied information
to confirm they had completed the actions.
This focused desk-based inspection was undertaken to ensure that
the practice was meeting the regulation previously breached. For this reason we
have only rated the location for the key questions to which this related. This
report should be read in conjunction with the full report of our inspection on 31
August 2016, which can be found on our website at www.cqc.org.uk.
We found the practice had made improvements since our last
inspection. The information we received enabled us to find the practice was
meeting the regulation that it had previously breached.
Specifically Harcourt Medical Centre:
-
Had reviewed and revised their complaints policy and it now met
the recognised guidance and contractual obligations for GPs in England.
-
Letters sent to patients were clear, gave an apology, a summary
and included information about how to escalate the complaint if they were not
satisfied.
-
Had developed and adopted an appropriate significant events
policy.
-
Showed us evidence that their actions to improve the
identification of carers had resulted in more carers being identified. Since our inspection in August 2016 the number
identified had risen from 64 (0.7% of practice list) to 153 which is 1.3% of
the practice list.
-
Had reviewed the accessibility of their policies and procedures,
and had improved staff access to these documents by putting them onto a shared
computer drive which could be accessed by all staff from their computer
desktop.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.
Families, children and young people
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.
Working age people (including those recently retired and students)
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.
People experiencing poor mental health (including people with dementia)
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.
People whose circumstances may make them vulnerable
Updated
13 April 2017
We did not inspect the
population groups as part of this inspection. However, the outcomes we found on
our previous inspection and the information we reviewed for this inspection
means the rating for this population
group continues to be rated as Good.