Whiteparish Surgery - Care Quality Commission

Latest inspection summary

Background to this inspection
Overall inspection
People with long term conditions
Families, children and young people
Older people
Working age people (including those recently retired and students)
People experiencing poor mental health (including people with dementia)
People whose circumstances may make them vulnerable

Background to this inspection

Updated 19 January 2018

Whiteparish Surgery is located in a purpose built building close to the centre of Whiteparish village, which is about eight miles outside of Salisbury. All consulting rooms are located on the ground floor. The practice has its own dispensary. The practice has a registered population of approximately 6,700 patients.

Data shows minimal income deprivation among the practice population. There are a higher number of patients aged over the age of 50 than the national average.

Five GP partners, making up three-and-a-half whole time equivalent GPs, manage the practice. Three are female and two are male. In addition there are two female salaried GPs making up 0.75 whole time equivalent GPs. There are three practice nurses, two nurse practitioners, a health care assistant and a phlebotomist (a phlebotomist takes blood samples). There are eight dispensers making a whole time equivalent of 4.5 staff. The practice manager is supported by a team of 17 staff making a whole time equivalent of 9.8 staff. Some staff have dual roles working in more than one team.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments are from 8.30am to 1pm every morning and 2.15pm to 6.30pm every afternoon. Extended surgery hours are offered every Saturday between 8.45am and 11.30am.

The practice has opted out of providing out of hours services to their patients. Out of hours services are provided by Medvivo. The out of hours service is accessed by calling NHS 111. There are arrangements in place for services to be provided when the surgery is closed and these are displayed at the practice and in the practice information leaflet.

Services are delivered via a General Medical Services contract (GMS). (GMS contracts are negotiated between NHS England and general practices for delivering medical services and are the commonest form of GP contract).

All services are provided from: Whiteparish Surgery, Common Road, Whiteparish, SP5 2SU.

At the time of our inspection the practice was going through the process of removing one GP and adding two more to the list of partner GPs.

Overall inspection

Good

Updated 19 January 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Whiteparish Surgery on 12 January 2016. The practice breached regulations for safe, effective, responsive and well-led services and as a result, the overall rating for the practice was requires improvement. The full comprehensive report on the 12 January 2016 inspection can be found by selecting the ‘all reports’ link for Whiteparish Surgery on our website at www.cqc.org.uk.

Following the inspection the provider sent us an action plan that set out the actions they would take to meet the breached regulations. A focused desk-top inspection was then undertaken on 20 October 2016 to check the practice was meeting the regulations previously breached. For this reason we only rated the location for the key questions to which this inspection related.

We found the practice had made improvements since our inspection on 12 January 2016. The information we received enabled us to find the practice was meeting the regulations that it had previously breached for safe, effective and responsive services. However, due to an oversight on our part this inspection did not look to see if the practice was meeting the regulations for being well-led that it had previously breached. When we realised our error we arranged a second focused desk-top inspection to look at the outstanding issues which were:

The practice did not have an adequate governance framework to support the delivery of the strategy and good quality care. We found a range of issues which would have been identified by the practice if their governance arrangements had been more robust. For example, the governance structure had not identified the lack of fire and safeguarding training, the lack of adequate prescription security and that fire alarm tests where not conducted.
The programme of internal audit which was used to monitor quality and to make improvements had some gaps. For example, we did not see evidence of auditing of controlled medicines management or dispensing errors.
Not all staff were aware of the legislation regarding the Duty of Candour.

This report covers the second focused desk-top inspection undertaken on 4 December 2017 to check the practice was meeting the regulation. We have changed the rating for this practice to reflect these changes. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection. The practice is now rated good for the provision of well-led services.

Our key findings were as follows:

All staff had completed approved on-line fire training and fire alarm tests were conducted.
The practice had adequate prescription security.
There was evidence of auditing of controlled medicines management or dispensing errors.
All staff had completed approved online safeguarding training.
All staff were aware of legislation concerning the Duty of Candour.

Overall the practice continues to be rated as Good.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice