Winchester GP

Updated 19 September 2018

We carried out this inspection on 11 July 2018. The inspection team consisted of a lead CQC inspector and a GP Specialist Advisor.

As part of the preparation for the inspection, we reviewed information provided for us by the service. In addition; we reviewed the information we held on our records regarding this provider.

During the inspection we utilised a number of methods to support our judgement of the services provided. For example, we toured the building, interviewed the providers and staff, looked at the clinical systems and patient records and reviewed documents relating to the service.

Winchester GP provides private GP services to self-funded and privately insured patients who are also registered with an NHS GP. Services include, but are not limited to; wellness screening and health checks, sexual health checks, and diagnosis and treatment of long term conditions. The registered provider is First Call GP Limited.

Winchester GP offers services to both adults and children. Patients pay Winchester GP per consultation. Patients are able to book appointments at a time to suit them and with a doctor of their choice via the telephone or an online portal. GPs, working remotely, conduct consultations with patients and, where appropriate, issue prescriptions or make referrals to specialists; consultation notes are available for patients to access. Consultations are available from 8am until 6pm Monday to Friday and from 9am until 12pm every Saturday.

The service is registered to provide regulated activities which include treatment of disease, disorder or injury, family planning and diagnostic and screening procedures.

The service is registered at;

Winchester GP

Standon Farm House

Standon Road

Winchester

Hampshire

SO21 2JH

The service does not see patients at this location. Winchester GP visits patients at their own homes or at the following sites where a ‘practice and privileges’ agreement is in place for Winchester GP to utilise the facilities and equipment;

BMI

Sarum Rd

Winchester

Hampshire

SO22 5HA

And

Nuffield Wessex hospital

Chandlers Ford

Winchester

Hampshire

SO53 2DW

As part of this inspection we visited the location and both sites where Winchester GP sees patients for consultations.

The Service employs three part-time GPs, a service manager and a health care assistant who also provides administration support.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 19 September 2018

We carried out an announced comprehensive inspection on 11 July 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations, However some aspects of the service could be improved.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations. However some aspects of the service could be improved.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Winchester GP provides private GP services to self-funded and privately insured patients who are also registered with an NHS GP. Services include, but are not limited to; wellness screening and health checks, sexual health checks, and diagnosis and treatment of long term conditions.

The services manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received 17 Care Quality Commission comment cards. These were positive regarding the staff, efficiency of service, care delivered and the caring attitude of the staff. Many stated that the service was professional, friendly and thorough and they would recommend the service to others.

Our key findings were:

• Patients records were stored electronically and were encrypted to ensure they are safe and secure and adhered to data protection legislation.
• Patients who used the service had an initial consultation where a detailed medical history was taken from the patient. Patients and others who used the service were able to access detailed information regarding the services offered and delivered by the provider.
• The service had undertaken a review of referrals made to specialists to measure how effective and appropriate recent referrals were.
• The provider made extensive use of patient feedback as a measure to monitor and improve services.
• The website for the service was very clear and easily understood. In addition, it contained valuable information regarding treatments available and fees payable.
• The service had implemented a ‘daily sign off’ system which ensured all actions for all patients had been completed by the end of each day.
• The practice offered a range of health checks with a GP.
• Patient satisfaction with the standard and quality of services received was high.

There were areas where the provider could make improvements and should:

• Review systems of checking patients’ identity and take reasonable steps to check adults have parental authority
• Implement mandatory training for staff to include Mental Capacity Act 2005 training.
• Introduce arrangements to undertake clinical audits to improve care and treatment for patients.
• Review systems that identify and mitigate potential risks to patients’ safety.