Archived: Longton Grove Surgery

Updated 11 May 2016

Longton Grove Surgery is located in a mixed residential and commercial area of Weston Super Mare. They have approximately 6,507 patients registered.

The practice operates from two locations:

168 Locking Road

Weston Super Mare

Somerset

BS23 3HQ

And a branch surgery

Locking Village Surgery

The Village Hall

Locking

Near Weston Super Mare

Somerset

BS24 8AR

Longton Grove Surgery is situated in a purpose built surgery close by to retail and residential areas. The practice shares the building with another GP surgery, Out of Hours service and there is a commercial pharmacy on the ground floor. The practice is situated on the 2nd floor of the building. The practice is accessible by a central staircase and lift. There is parking at the rear of the practice. Locking Village Surgery is situated in an annex to the village hall in Locking. It has one consulting and one treatment room and a small waiting area, all on the ground floor. There is parking in the village hall car park.

The practice is made up of six GPs in total including four partners and two salaried GPs. Four male and two female. They have one nurse prescriber, a treatment room nurse and two healthcare assistants. They are supported by a practice manager and administration team. The practice is a teaching practice for GP registrars and two of the GPs were trainers. There were no GP registrars at the time of this inspection.

The both sites are open every day during the week. Longton Grove Surgery is open from 8am each day until 7.30pm Monday and Tuesday and 6.30pm on Wednesday, Thursdays and Fridays. Locking Surgery is open every morning from 8.30am until 12noon.

The practice has a General Medical Services contract with NHS England. The practice is contracted for a number of enhanced services including extended hours access, patient participation, immunisations and unplanned admission avoidance.

The practice is a training practice and also offers placements to medical students and trainee GPs.

The practice does not provide out of hour’s services to its patients, this is provided by BrisDoc. Contact information for this service is available in the practice and on the practice website.

Patient Age Distribution

0-4 years old: 5.1% (the national average 5.9%)

5-14 years old: 9.2% (the national average 11.4%)

Under 18 years old: 17.1% (the national average 20.7%)

65+ years old: 26.5% (the national average 17.1%)

75+years old: 11.9% (the national average 7.8%)

85+ years old: 3.6% (the national average 2.3%)

Other Population Demographics

% of Patients with a long standing health condition 62.2% (the national average 54%)

% of Patients in paid work or full time education 59.9% (the national average 61.5%)

Practice List Demographics / Deprivation

Index of Multiple Deprivation 2015 (IMD): 25.2% (the national average 21.8%)

Income Deprivation Affecting Children (IDACI): 21.6% (the national average 19.9%)

Income Deprivation Affecting Older People (IDAOPI): 17.7% (the national average 16.2%)

Updated 11 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Longton Grove Surgery and the branch surgery, Locking Village Surgery,on 16 March 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

We saw one area of outstanding practice:

• The practice had designed and implemented, with good results a pilot called the Longton Grove Lifestyle Programme. This was 12 week educational course to help individuals to improve their metabolic ill health, such as diabetes, through adopting three lifestyle changes.

The areas where the provider should make improvement are:

• The new prescription security policy and procedure should be implemented and monitored for effectiveness.

• There should be dedicated meetings and annual review processes to discuss significant events or incidents.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 11 May 2016

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

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Longer appointments and home visits were available when needed.

• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• The practice had designed and implemented, with good results a pilot called the Longton Grove Lifestyle Programme. This was 12 week educational course to help individuals to improve their metabolic ill health, such as diabetes, through adopting three lifestyle changes.

Updated 11 May 2016

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

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.

• Appointments were available outside of school hours and the premises were suitable for children and babies.

• We saw positive examples of joint working with midwives, health visitors and school nurses.

Updated 11 May 2016

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

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.

• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.

Updated 11 May 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 11 May 2016

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

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.

• The practice carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.

• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 11 May 2016

The practice is rated as good for the care of patients whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability.

• The practice offered longer appointments for patients with a learning disability.

• The practice regularly worked with other health care professionals in the case management of vulnerable patients.

• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.

• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.