Archived: The Beggarwood Surgery

Updated 23 January 2018

The Beggarwood Surgery is part of the Cedar Medical Group Limited. There are two locations for this provider, the other is registered as Rooksdown Surgery which since our last comprehensive inspection now holds the clinical commissioning group contract and The Beggarwood Surgery is due to become a branch of that practice. Support for the business management is provided by Integral Medical Holdings (IMH).

The Beggarwood Surgery has approximately 7,500 patients registered. The Beggarwood Surgery practice has a high number of families with younger children and is situated in an ethnically diverse area with a relatively high population of Polish, Asian and African population groups. It is situated in an area where there is least deprivation.

The practice is registered with the Care Quality Commission to provide the following regulated activities:

• Surgical procedures;

• Treatment of disease, disorder or injury;

• Family planning;

• Maternity and midwifery services;

• Diagnostic and screening procedures.

There are two locations for the provider Cedar Medical Limited. We inspected this location only:

The Beggarwood Surgery

Broadmere Road

Basingstoke

Hampshire

RG22 4AG

Practice website: www.beggarwoodsurgery.co.uk

Updated 23 January 2018

Letter from the Chief Inspector of General Practice

At our previous inspection in February 2017 we found the practice to be inadequate overall. Following this inspection on 14 November 2017 we rated the practice as requires improvement overall.

The key questions are rated as:

• Are services safe? – Requires improvement

• Are services effective? – Requires improvement

• Are services caring? – Good

• Are services responsive? – Requires improvement

• Are services well-led? -Inadequate

As part of our inspection process, we also look at the quality of care for specific population groups. Due to the overall rating being Requires Improvement the population groups are rated as:

• Older People – Requires improvement

• People with long-term conditions – Requires improvement

• Families, children and young people – Requires improvement

• Working age people (including those retired and students) – Requires improvement

• People whose circumstances may make them vulnerable – Requires improvement

• People experiencing poor mental health (including people with dementia) - Requires improvement

Previously we undertook a follow up comprehensive inspection of The Beggarwood Surgery on 28 February 2017 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The practice was rated as inadequate and placed into special measures. Warning notices were also served. We then undertook a follow up, focused inspection on 21 June 2017 to look specifically at the shortfalls identified in the warning notices. We found that there were some improvements at that time.

On this occasion we carried out an announced comprehensive inspection at The Beggarwood Surgery on 17 November 2017, to follow up on breaches of regulations found at our comprehensive inspection in February 2017 as well as progress since the inspection in June 2017.

At this inspection we found:

• The practice had recently introduced new systems to manage risk so that safety incidents were less likely to happen. When incidents were identified, the practice learned from them and improved their processes.

• The practice had recently commenced routine reviews of the effectiveness and appropriateness of the care it provided.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• The practice had recently employed a clinical lead GP to improve local clinical oversight.

• There was an increasing availability of both urgent and routine appointments.

• The practice had a vision of improvement, although there was no yet a sustained track record for delivery of the vision.

Areas where the provider must make improvements as they are in breach of regulations :

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

This service was placed in special measures in June 2017. Insufficient improvements have been made such that there remains a rating of inadequate for Well Led services. Therefore we are taking action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018