Bunbury Medical Practice

Background to this inspection

Updated 9 May 2017

Bunbury Medical Practice is responsible for providing primary care services to approximately 5019 patients. The practice also dispenses medication. The practice is situated in Vicarage Lane, Tarporley in East Cheshire. The practice is based in an area with lower levels of economic deprivation when compared to other practices nationally. The practice has a predominantly rural community. The practice has an average number of patients with a long standing health condition when compared to other practices locally and nationally.

The staff team includes three GP partners and one salaried GP. An advanced nurse practitioner, two practice nurses, a health care assistant, a phlebotomist, dispensary staff, a practice manager and administration and reception staff. Two GPs are female and two are male. The nursing staff, phlebotomist and health care assistant are female. The practice provides training to GP registrars and medical students.

The practice is open 8am to 6.30pm Monday to Friday. The dispensary is open from 8.30am to 6.30pm and is closed for one hour each day in the afternoon to allow for complex medication requests to be managed. An extended hour’s service for routine appointments and an out of hour’s service are commissioned by West Cheshire CCG and provided by Cheshire and Wirral Partnership NHS Foundation Trust. The majority of patient facilities are on the ground floor. There is a lift available to access the first floor of the building. The practice has a large car park for on-site parking.

Bunbury Medical Practice has a Personal Medical Services (PMS) contract. The practice offers a range of enhanced services including, minor surgery, timely diagnosis of dementia, near patient testing for warfarin control, learning disability health checks and influenza and shingles immunisations.

Overall inspection

Good

Updated 9 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Bunbury Medical Practice on 11 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Bunbury Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 4 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 11 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

The premises were safely maintained.
The governance systems had been improved to ensure that clear records were maintained of the training provided to staff, effective systems were in place for the management of significant events and for ensuring reports were provided for child safeguarding meetings.

In addition, the practice had made the following improvements:

The system for ensuring alerts were placed on computer records to indicate any concerns about patient welfare had been reviewed.
A system had been put in place to record the receipt and allocation of printable prescriptions.
A system had been put in place to identify the medication held in GP bags and to record that it had been checked and was in date.
The induction records had been revised and were more comprehensive reflecting the detail of the information provided.
All staff who acted as chaperones now received a Disclosure and Barring Service (DBS) check.
The staff recruitment procedure had been revised to ensure that all the required recruitment information was obtained.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice