Background to this inspection
Updated
9 August 2019
Shinfield Health Centre is one of two locations managed by South Reading and Shinfield Group Medical Practice. South Reading Surgery has a different contract arrangement to Shinfield Health Centre. The provider shares policies and procedures and staff work across both sites. Patients registered at Shinfield Health Centre can be seen at South Reading Surgery if they prefer or if an earlier appointment is available.
Shinfield Health Centre is located within a purpose-built health facility. The building is shared with a dental practice. Shinfield village is a ward of Wokingham in Berkshire but has closer links to Reading. The village is expanding with significant housing developments under construction close to the practice. There are approximately 3,700 patients registered at the practice and these are predominantly in younger age groups. There are significantly fewer than average patients registered over the age of 65. Nationally reported data shows that income deprivation within the registered population is at six on a 10 point national scale (one being areas of highest deprivation and 10 the lowest).
The practice holds an Alternative Provider Medical Services (APMS) contract (An APMS contract is a locally negotiated contract open to NHS practices, voluntary sector and private providers).
Most staff work at both South Reading Surgery and Shinfield Health Centre because both practices are managed by the same partnership. There are three female GPs (two are partners) and a mix of regular locum GPs. The GPs split their time between the practices and offer 11 sessions at South Reading Surgery. This is equivalent to approximately 3.46 whole time GPs. The practice nurse currently works the equivalent of three days at South Reading Surgery and there is a health care assistant (HCA) at the practice every day. The practice employs a clinical pharmacist who works three days each week split between the practice sites. The practice manager is supported in the day to day running of the practice by a team of 11 administration and reception staff.
Services are provided from: Shinfield Health Centre, School Green, Shinfield, Reading, Berkshire, RG2 9EH.
Updated
9 August 2019
We carried out an announced comprehensive inspection at Shinfield Health Centre on 13 September 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2017 inspection can be found by selecting the ‘all reports’ link for Shinfield Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 14 March 2018 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 13 September 2017. 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:
- There was an appropriate system in place to respond to complaints and share learning arising from complaints.
- There was an effective system in place for keeping emergency equipment and medicines needed for medical emergencies. Both equipment and medicines were regularly checked.
- Staff received training appropriate to their roles.
- The practice had an action plan underway to improve access to the practice by telephone and to appointments. Whilst the actions identified were underway it was too early to evaluate whether they would be effective in improving access to the service.
- Staffing structures had been reviewed and recruitment campaigns launched to increase clinical staffing levels. Two part time practice nurses and a clinical pharmacist had been recruited.
- Staff were involved in the management of the practice via a weekly team meeting attended by team leaders and the partners.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider should:
- Monitor implementation of their action plan and evaluate whether actions taken to improve access are effective.
At our previous inspection on 13 September 2017, we rated the practice as requires improvement for providing responsive services because feedback from patients was poor in regard to accessing the practice by telephone and obtaining appointments. At this inspection we found that the practice had clear plans in place to address patient feedback. However, the plan had commenced and there was further work to be undertaken. It was too early to evaluate if the plan would improve access. Consequently, the practice is still rated as requires improvement for providing responsive services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.
Families, children and young people
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.
Working age people (including those recently retired and students)
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.
People experiencing poor mental health (including people with dementia)
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.
People whose circumstances may make them vulnerable
Updated
19 April 2018
The provider had taken the action included in their action plan and this population group is now rated good.