Background to this inspection
Updated
3 September 2019
Churchdown Surgery is located within the Gloucestershire local authority and is one of 76 practices serving the NHS Gloucestershire Clinical Commissioning Group (CCG) area. It provides primary medical services to approximately 14,000 patients.
Information published by Public Health England rates the level of deprivation within the practice population group as ninth on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
The proportion of patients registered who are of working age (57%) is comparable to the CCG and national averages of 59% and 62% respectively. Of the patients registered with the practice, 96.9% are White British, 1.1% are from mixed race ethnic groups, 1.2% are Asian, 0.6% are Black African with the remaining 0.2% being of other races.
The practice is led by four female and three male GP Partners who are contracted to provide General Medical Services (GMS). The GPs are registered with the CQC for the following regulated activities: treatment of disease, disorder or injury; diagnostic and screening procedures, family planning, maternity and midwifery services and surgical procedures.
The GP Partners are supported by three female and two male salaried GPs, three advanced nurse practitioners (ANP), five practice nurses, two health care assistants (HCAs), two phlebotomists, a practice pharmacist, a practice manager, two assistant practice managers, a reception team leader, sixteen administrators/receptionists and five secretaries.
The practice provides a range of services including maternity care, chronic disease management and travel immunisations. In addition, the service provides several enhanced services (enhanced services require an enhanced level of service provision above what is normally required under the core GP contract) including childhood immunisation, learning disability health checks, extended opening hours, and rotavirus and shingles immunisations. Private travel vaccinations are offered in addition to those available free of charge on the NHS.
Updated
3 September 2019
We carried out an announced comprehensive inspection at Churchdown Surgery on 18 July 2019 as part of our inspection programme.
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 rated the practice as good for providing safe, effective, caring, responsive and well led services because:
- 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. The practice could demonstrate good patient outcomes were delivered.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- Staff treated patients with kindness and respect and involved them in decisions about their care. The practice ethos was to provide an accessible and approachable patient-orientated service.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care. Leaders had the capacity and skills to deliver high-quality, sustainable care. They had a shared purpose, strived to deliver and motivated staff to succeed.
- Feedback from patients who used the service, those close to them and external stakeholders was positive about the way staff cared for patients.
- Staff told us they felt supported and engaged with managers and there was a strong focus on continuous learning and improvement at all levels of the organisation.
Although there were no breaches of regulations, the practice should:
- Ensure that regular documented fire drills and infection control audits are undertaken.
Please refer to the detailed report and the evidence tables for further information.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care