Background to this inspection
Updated
2 July 2018
Cross Keys Practice has a patient population of approximately 14,500 patients. We carried out an announced comprehensive inspection of the practice on 06 June 2018. We visited Cross Keys Practice during this inspection. The practice was located over three registered locations and GP services were provided from one other site; Cross Keys Practice, Church Road, Chinnor, OX39 4PG. We did not visit this site as part of the inspection. Cross Keys Practice is a converted listed building with a large extension. Patient services were predominantly located on the ground floor with administration functions on the first floor. Adaptations have been made to ensure the practice is accessible for wheelchair and patients with prams and buggies and patients with limited mobility. The practice has an older population and the staff were aware of the needs of this section of the population. There were a smaller number of patients from different ethnic and cultural backgrounds.
We spoke with four patients during the inspection. We spoke with three GPs, three members of the nursing team, receptionists and administration staff. We got written feedback from four clinical and seven administration team members. There were five GP partners and five salaried GPs working at the practice. There was a mix of male and female GPs. The nursing team consisted of practice nurses, nurse practitioners and four health care assistants. Administrative and reception staff also worked at the practice.
Cross Keys Practice is a training practice. The practice has a General Medical Services (GMS) contract. The practice has opted out of providing Out of Hours services to their patients. There are arrangements in place for services to be provided when the practice is closed and these are displayed on the website.
Updated
2 July 2018
This practice is rated as
Good
overall.
The previous inspection was in February 2016 and the practice was rated Good.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive at Cross Keys Practice in Princes Risborough, Buckinghamshire on 06 June 2018. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a focus on continuous learning and improvement at all levels of the organisation.
- There was a clear leadership structure and staff felt supported by management.
- The practice regularly reviewed the safety of the premises to deliver health care.
- Patients taking repeat medicines received regular review of their prescriptions.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Patients found the appointment system easy to use and reported that they could access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
Areas were providers should make improvements:
Ensure uptake of cervical screening is reviewed and actions implemented to work toward achieving the national target.
Ensure patient satisfaction is reviewed to assess the satisfaction with nursing care.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People experiencing poor mental health (including people with dementia)
Updated
2 July 2018