Background to this inspection
Updated
20 September 2018
Rosebank Health is a GP partnership offering services from one main site in Gloucester (Rosebank Surgery) and one branch site in Quedgeley (Severnvale Surgery). Patients can be seen at either surgery. On this inspection we did not visit the branch site.
The practice is managed by six GP partners, of whom four are male and two are female together with one Nurse Partner (female). They are supported by five female salaried GPs, three advanced nurse practitioners, eight practice nurses, five healthcare assistants and an administrative team led by the practice manager. Rosebank Health is a training practice providing placements for GP registrars and medical supervision for foundation doctors.
The practice is open 8am to 6.30pm Monday to Friday. Morning appointments are available between 8am and 12.30pm and afternoon appointments are available between 2pm and 6pm. Extended surgery hours are offered on weekdays between 7.30am and 8am as well as Saturday mornings and some weekday evenings. These alternate between Rosebank Health and their branch, Severnvale Surgery.
The practice phone lines are closed between 12.30pm and 2pm but the building and reception services remain open. During this time patients are asked to ring back or, if it is urgent, to continue to hold and the call would be put through to an appropriate clinician.
The practice provides services to approximately 24,000 patients. The practice population demographic shows there is a higher than average patient population aged between birth and nine and a higher than average female population aged between 25 and 34. The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice is in the fifth most deprived decile. (An area itself is not deprived: it is the circumstances and lifestyles of the people living there that affect its deprivation score. Not everyone living in a deprived area is deprived and that not all deprived people live in deprived areas).
The practice delivers services from the following locations:
Rosebank Surgery,153B Stroud Road,Gloucester,Gloucestershire,GL1 5JQ.
And
Severnvale Surgery, St James, Quedgeley, Gloucester, GL2 4WD.
The practice is registered to provide the following regulated activities:
Treatment of disease, disorder and injury, surgical procedures, maternity and midwifery, family planning and diagnostic and screening procedures.
When the practice is closed patients are advised by answer phone message to contact the NHS 111 service for advice and guidance. Out of hours services are provided by Care UK.
Updated
20 September 2018
This practice is rated as Good overall.
This practice was previously inspected in June 2017 and the overall rating was requires improvement. It was rated requires improvement for the provision of safe, effective, responsive and well led services and good for providing caring services. The report for the 2017 inspection can be found by selecting the ‘all reports’ link for Rosebank Health on our website at .
This announced comprehensive inspection was undertaken on 16 August 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 in 2017. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines and was focussed to meet the needs of patients in the most appropriate way.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice could demonstrate how they responded to the needs of patients. For example, they held education events for patient with complex needs and appointed a sexual health specialist nurse due to increase demand in sexual health service.
- There was a clear leadership structure and staff felt supported by management.
- Patients found the appointment system easy to use and reported that there had been a significant improvement in accessing the practice by telephone.
- There was a focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Take action to ensure all patient facing staff had received immunisations as recommended by Public Health guidance.
- Continue to monitor and improve uptake for the cervical screening programme.
- Continue to drive improvements and respond to patient feedback.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.