Archived: Bury Road Surgery

Updated 23 April 2015

Bury Road Surgery, Gosport War Memorial Hospital, Bury Road, Gosport, Hampshire, PO12 3PW is a purpose built surgery located within the Gosport war memorial hospital. The practice has been at this location since 2012.

The practice at the time of our visit had three GPs, two full time male partners and a salaried female GP. The practice has around 4,000 patients. All the consulting rooms and waiting areas afforded good disabled access. The practice manager started at the practice in July 2014 and there were two practice nurses one health care assistant and ten administration and reception staff.

Out of Hours urgent medical care was provided when the practice was closed from 6:30 pm to 8 am, Monday to Friday and all day and night at the weekends and public holidays. Since 1st April 2013 the practice had extended hours are as follows: Monday each week 6:30pm to 7:30pm. Two GP's covered these sessions. The sessions were for pre-booked and urgent appointments.

This practice had been previously inspected by the CQC in January 2014.This was a routine inspection to check that essential standards of quality and safety were being met. The practice was found to be meeting the required standards in six outcomes those were; respecting and involving patients who used services, care and welfare of people who used services, safeguarding patients who used the services from abuse, requirements relating to workers, assessing and monitoring the quality of service provision and complaints.

This practice was placed in Band 6 by CQC Intelligent Monitoring. The CQC has categorised GP practices into one of six summary bands, with band 1 representing highest risk and band 6 lowest. These bands have been assigned based on the proportion of indicators that have been identified as “risk” or “elevated risk”.

Updated 23 April 2015

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Bury Road Surgery, Gosport War Memorial Hospital, Bury Road, Gosport, Hampshire, PO12 3PW on 18 December 2014.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services to older people, people with long term conditions, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health. It required improvement for providing safe services.

• Patients were complimentary about the care and support they received from staff.

• Staff told us they were committed to providing a service that put patients first.

• The practice worked with other health and social care professionals and organisations to ensure that their patients received the most effective support and treatment.

• Staff were trained in and aware of their responsibilities for safeguarding of vulnerable adults and children. There were systems and processes in place to raise concerns and there was a culture of reporting and learning from incidents within the practice.

• Patients told us they could always get an emergency appointment and waiting time for routine appointments was satisfactory.

• One of the GPs had specific training for assessing capacity and had qualified to a higher level of the Mental Health Act 1983.

However, there were also areas of practice where the provider needs to make improvements.

The provider must:

• Make improvements in relation to monitoring medication fridges

The provider should:

• Carry out audits in relation to infection control.

• Carry out formal Mental Capacity Act training for staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 23 April 2015

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

Patients in this population group received a safe, effective care which was based on national guidance. Care was tailored to patient needs, there was a multi-disciplinary input and was reviewed regularly.

The practice provided regular clinics for patients with diabetes, respiratory and cardiac conditions. The practice had a diabetes nurse specialist and three GPs who were had received training and provided diabetic care.

Updated 23 April 2015

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

The practice followed national protocols and staff were aware of their responsibilities and the various legal requirements in the delivery of care to patients in this population group. They worked with other health and social care providers to provide safe care.

Immunisation rates were relatively high for all standard childhood immunisations. Patients told us and we saw evidence that children and young patients were treated in an appropriate way and recognised as individuals. We were provided with good examples of joint working with midwives and health visitors.

Updated 23 April 2015

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

Nationally reported data showed the practice had good outcomes for conditions commonly found amongst older patients. The practice offered proactive, personalised care to meet the needs of the older patients in its population and had a range of enhanced services, for example in dementia and end of life care. The practice was responsive to the needs of older people, including offering home visits and rapid access appointments for those with enhanced needs.

Updated 23 April 2015

The practice is rated as good for the population group of the working age patients (including those recently retired and students).

There was an appropriate system of receiving and responding to concerns and feedback from patients in this group who had found difficulty in getting appointments. The practice was proactive in offering online services as well as a full range of health promotion and screening which reflects the needs for this age group.

Updated 23 April 2015

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

One of the GPs had specific training for assessing capacity and had qualified to a higher level, section 12(2) of the Mental Health Act 1983.

The practice ensured that good quality care was provided for patients with poor mental health. The practice had a nominated lead for linking with other health professionals and community teams to ensure a safe, effective and co-ordinated service. The practice offered proactive, personalised care that met the needs of the older patients in its population and had a range of enhanced services, for example in dementia. Data showed that this practice had a better than national average score for dementia diagnosis rate adjusted by the number of patients in residential care homes.

Updated 23 April 2015

The practice is rated as good for the population group whose circumstances may make them vulnerable.

There was evidence of good multidisciplinary working with involvement of other health and social care workers. Staff were trained on safeguarding vulnerable adults and child protection.