• Doctor
  • GP practice

Archived: Heatherbrook Surgery

Overall: Good read more about inspection ratings

242 Astill Lodge Road, Leicester, Leicestershire, LE4 1EF (0116) 235 6324

Provided and run by:
Heatherbrook Surgery

Latest inspection summary

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Background to this inspection

Updated 26 April 2018

Heatherbrook Surgery is registered as a Partnership with the Care Quality Commission (CQC) to carry on the regulated activities of Diagnostic and screening procedures, Family planning, Maternity and midwifery services, Surgical procedures and Treatment of disease, disorder or injury from one location: Heatherbrook Surgery, 242 Astill Lodge Road, Leicester, Leicestershire LE4 1EF.

Heatherbrook Surgery provides services to patients under a General Medical Services (GMS) contract with NHS England. The practice is a member of the NHS Leicester City Clinical Commissioning Group (CCG).

The practice is located in the north west of inner-city Leicester and has approximately 3,400 patients. The index of multiple deprivation score for the practice area is five (one equals most deprived and 10 equals least deprived). Thirty four per cent of the people in the practice area are from black and minority ethnic groups.

Heatherbrook Surgery is an approved training practice wherein qualified doctors, known as registrars, complete the final stages of their training to become a GP.

The practice is in purpose built premises. All patient areas and facilities are on the ground floor and are wheelchair accessible. The practice has a hearing loop.

The two male GP partners each work at the practice on a part-time basis. Together they make up 1.6 whole time equivalent (WTE) GPs. A female GP works at the practice for one half day every two weeks on a locum basis. They are asked to work more frequently when patient demand for a female GP rises. There is one part time practice nurse (0.54 WTE). The clinical staff are supported by a team of receptionist staff and a part time practice manager (0.81 WTE).

The practice opening times are 8.00am to 6.30pm Monday to Friday. The practice is open for extended hours between 6.30pm to 8.00pm on Mondays and Thursday. It closes for training every third Wednesday afternoon of the month.

Appointments are available between the following times:

  • Monday - between 9.30am and 1.00pm and 2.00pm and 7.30pm

  • Tuesday – between 8.30am and 1.00pm and 3.00pm and 6.30pm

  • Wednesday - 9.30am and 1.00pm and 2.00pm and 6.30pm

  • Thursday - 9.30am and 1.30pm and 6.30pm and 8.00pm

  • Friday - 9.30am to 1.00pm and 2.00pm and 6.30pm

The practice has opted out of the requirement to provide GP consultations when the surgery is closed. The out-of-hours service is provided by Derbyshire Health United. Patients are directed to the out of hours GP service when the practice is closed.

The practice has a website: www.heatherbrooksurgery.co.uk.

Overall inspection

Good

Updated 26 April 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall.

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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive at Heatherbrook Surgery on 15 March 2018 following a change of registered provider of the service on 26 April 2016.

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.

  • Staff involved and treated patients 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.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Complete the remaining actions identified through infection prevention and control audit and risk analysis as part of renovation and extension works taking place in the latter part of 2018 as planned.

  • Continue to monitor and manage the impact of staff changes on the quality of treatment and care patients receive.

  • Develop ways of including long-term locum GP staff in the practice clinical team.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice