• Doctor
  • GP practice

Archived: Great Western Surgery

Overall: Good read more about inspection ratings

Farriers Close, Swindon, Wiltshire, SN1 2QU (01793) 421311

Provided and run by:
Carfax Health Enterprise Community Interest Company

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 13 December 2019

The provider, Carfax Health Enterprise Community Interest Company, delivers regulated activities from its three main locations. This inspection report covers our visit to Great Western Surgery on 25 November 2019. The addresses for the three sites are:

Great Western Surgery

Farriers Close,

Swindon.

SN1 2QU

Tel: 01793 421311

Website:

Carfax NHS Medical Centre

Swindon Health Centre,

Swindon.

SN1 2DQ

Tel: 01793 541655

Website: www.carfaxhealthcare.co.uk

Sparcells Surgery

Peatmoor,

Swindon.

SN5 5AN

Tel: 01793 881928

Website:

The practice is based in Swindon, Wiltshire, and is one of 25 serving the NHS Swindon Clinical Commissioning Group (CCG) area. Great Western Surgery is arranged over two floors. All patient services, including nurse treatment rooms and GP consulting rooms, are located on the ground floor.

The practice has approximately 5,463 registered patients from an area surrounding the practice and Swindon town centre. The practice age distribution is broadly in line with the national average, with most patients being of working age or older. Great Western Surgery is a member of a federation of practices, The Brunel Health Group. The aim of the federation is to provide a support network across practices.

Great Western Surgery is a teaching facility for medical students and provides placements to nursing students. Since our previous inspection in June 2018, the practice has also become a GP training practice, and has implemented joint services as part of The Brunel Health Group, such as shared home visiting by paramedic staff.

The practice was taken over by the current provider in January 2017, and an Alternative Provider Medical Services (APMS) contract is in place. An APMS contract is a locally negotiated contract open to both NHS practices and voluntary sector or private providers (for example, walk-in centres).

Great Western Surgery provides the following regulated activities:

  • Treatment of disease, disorder or injury
  • Diagnostic and screening procedures
  • Family planning
  • Maternity and midwifery services
  • Surgical procedures

Great Western Surgery’s management team also manages Carfax NHS Medical Centre and Sparcells Surgery. They are based at the Carfax site and split their time as required between the three locations. Great Western Surgery operates a nurse-led model of care. This means that all the clinicians work together within their own areas of competence, to ensure that patients are seen by the most appropriate person to meet their needs, also allowing them to build and maintain a workforce of appropriately skilled nurses.

Members of the clinical and administrative teams work across all three sites. There are four salaried GPs (two female, two male). One of the salaried GPs is a medical team manager, responsible for managing and supporting the GPs across the three locations. The wider clinical team consists of an advanced nurse practitioner, a treatment room nurse, two chronic disease nurses and two Health Care Assistants (HCAs). A clinical pharmacist is also employed by the practice.

All members of the administrative team undertake additional roles, such as staffing reception, and working as medical secretaries, and are managed by an office manager. The provider's corporate team includes a Medical Director, a Director of Nursing, a Director of Operations, an infection control nurse (who is also the practice chronic disease nurse), and a range of corporate administrative staff. Each of the Directors are based in a different practice so that there is a Director available at all times. Each practice also has an Operations Manager.

Eighty-three per-cent of the practice population describes itself as white, and around 17% as having a Black, Asian and Minority Ethnic (BAME) background. A measure of deprivation in the local area recorded a score of 6, on a scale of 1-10. A higher score indicates a less deprived area. (Note that the circumstances and lifestyles of the people living in an area affect its deprivation score. Not everyone living in a deprived area is deprived and not all deprived people live in deprived areas).

Average male and female life expectancy for the practice is 79 and 83 years respectively, and mirrors national averages.

Great Western Surgery is open from 8am to 6.30pm, Monday to Friday, the practice answers telephone calls during these times. Routine GP appointments are generally available from 8am to 12.30pm and 1.30pm to 5.30pm, Monday to Friday. The practice provides (pre-booked only) extended hours appointments, for patients from all its locations, at its Carfax Street location. These are from 6.30pm to 8pm on Monday, Tuesday and Friday.

The practice has opted out of providing Out-Of-Hours services to its own patients. Outside of normal practice hours, patients can access the NHS 111 service, and an Out-Of-Hours GP service, which is operated by the local acute Trust. Information about the Out-Of-Hours service was available on the practice’s website, in the patient registration pack, and as an answerphone message.

Overall inspection

Good

Updated 13 December 2019

We carried out an announced comprehensive inspection of Great Western Surgery on 25 November 2019, to confirm the practice had carried out their plan to ensure the breaches in regulation identified at a previous inspection. The practice was previously inspected on 20 June 2018 and given an overall rating of Requires Improvement.

Following the inspection on 20 June 2018, the provider sent us an action plan that set out the actions they would take to meet the breached regulations. We then inspected the practice on 26 September 2019. However, we did not apply new ratings to the practice, because we incorrectly undertook a focused rather than comprehensive inspection (a full comprehensive inspection was needed because the practice was rated as Requires Improvement).

This report covers the announced comprehensive inspection carried out on 25 November 2019.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services, and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and Good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

There were three areas where the provider should make improvements. The provider should:

  • Continue efforts to increase the programme coverage of women eligible to be screened for cervical cancer to reach the national target of 80%.
  • Continue to review systems for recording significant events and disseminating subsequent learning to all relevant staff.
  • Continue efforts to increase membership of the patient participation group (PPG).

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care