Dr A M Maskell and Partners Also known as Bodriggy Health Centre

Updated 25 May 2018

Dr N H Gibson and partners run one registered location at the ‘Bodriggy Health Centre’, which was inspected on 12 April 2018. This was a comprehensive inspection.  The practice is located at:

60 Queensway

Hayle

Cornwall

TR27 4PB

The practice provides a primary medical service to 11, 095 patients of a diverse age group. The practice population is in the fourth deprivation decile for deprivation. In a score of one to ten the lower the decile the more deprived an area is. Particular areas of Hayle and the surrounding villages have much higher levels of deprivation. A higher percentage of people in Hayle under 65 years of age report themselves as having a limiting long-term illness (14.4%) compared with 13.5% of people across Cornwall and the Isles of Scilly and 10.8% across the South West. The practice focusses on raising awareness of health promotion and self-management to improve patient’s quality of life. There is a practice age distribution of male and female patient’s equivalent to national average figures. Average life expectancy for the area is similar to national figures with males living to an average age of 78 years and females to 83 years.

There is a team of eight GPs partners, five male and three female. Some work part time and some full time. Partners hold managerial and financial responsibility for running the business. The team are supported by a practice manager, four practice nurses, an assistant nurse practitioner, three healthcare assistants and additional administration staff.

Dr N H Gibson and partners is an approved training practice providing vocational placements for GPs and medical students. Two GP partners are approved to provide vocational training for GPs, second year post qualification doctors and medical students. A GP registrar was due to start their placement the following week.

Patients using the practice also have access to community nurses, mental health teams and health visitors. Other health care professionals visit the practice on a regular basis.

The practice is open between 8am and 6:30pm Monday to Friday. Appointments are available from 8am every morning and 6pm daily. Extended hours opening is available on a Tuesday or Thursday from 7am to 8am and 6.30pm to 8pm. The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments. Outside of these times patients are directed to contact the out of hour's service by using the NHS 111 number.

Updated 25 May 2018

This practice is rated as Good overall. (Previous inspection March 2015 – Good)

The key questions 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 inspection of Dr N H Gibson and partners known as ‘Bodriggy Health Centre’ on 12 April 2018. The inspection was a routine inspection as part of our inspection schedule.

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.
• 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.
• Feedback from all 22 patients at the inspection, verified staff involved and treated them with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Routine appointments for both GPs and nurses were available on the day.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• The practice had a strong focus on continuity of care with personal GP lists. Succession planning was underway for when staff retired and projected increases in the patient list size due to new housing developments in the area.

We saw one area of outstanding practice:

A holistic approach improving patients quality of life is promoted with several initiatives set up and funded by the practice, including: arts for health (run at the practice for patients), a dose of nature (gardening for mental and physical well-being) and the Hayle Breezers Group (for patients living with chronic respiratory conditions).

The areas where the provider should make improvements are:

• Review the arrangements for the secure storage and tracking of prescription forms, in accordance with national guidance.
• Review the system for managing codes attached to patient health priorities so that they are regularly monitored for assurance of accuracy and accessibility.
• Review the Disclosure and Barring Service (DBS) policy to demonstrate how the criteria for new checks are needed. This includes carrying out risk assessments to support the decision made.
• Review the quality assurance system to include: Monitoring when GPs and any locum GPs used are due to revalidate; Increased frequency of clinical audit to improve patient care, and reviewing and updating policies.