Dr R G Crispin & Partners - Care Quality Commission

Background to this inspection

Updated 14 July 2017

Dr R G Crispin & Partners, also known as The Clanfield Practice, is located in a purpose built building in Clanfield, Hampshire. The practice has approximately 7,900 patients registered. The practice provides services under a NHS General Medical Services contract and is part of NHS South Eastern Hampshire Clinical Commissioning Group (CCG). The practice is situated in one of the least deprived areas of England. The practice has a lower then national average number of patients aged 20 to 45 years old. A total of 19% of patients at the practice are over 65 years of age, which is similar to the national average of 17%. A total of 49% of patients at the practice have a long-standing health condition, which is lower than the national average of 54%. Approximately 2% of the practice population describe themselves as being from an ethnic minority group; the majority of the population are White British.

The practice has four GP partners, three are female and one is male. The practice also has one female salaried GP. Together the GPs provide care equivalent to approximately 29 sessions per week. The GPs are supported by a full time advanced nurse practitioner and two part time practice nurses. The clinical team are supported by a practice manager and assistant practice manager with administrative and clerical staff. The practice is a training practice for doctors training to be GPs.

The practice is open between 8am and 6.30pm Monday to Friday. Extended hours surgeries are available every Wednesday and Thursday mornings from 7am to 8am and on one Saturday per month from 9am to 12pm. The GPs also offer home visits to patients who need them.

The practice has opted out of providing out-of-hours services to their own patients and refers them to Hampshire Doctors on Call who are run by Partnering Health who provide an out of hour’s service via the NHS 111 service.

The practice offers online facilities for booking of appointments and for requesting prescriptions.The practice was also part of the East Hants Multi-Specialty Community Provider Vanguard. (The vanguard is made up of providers and commissioners of health and social care which focus on the development of an integrated health, social care and wellbeing systems for patients to support them in the community).

We inspected the only location:

2 White Dirt Lane

Clanfield, Waterlooville

Hampshire

PO8 0QL

Overall inspection

Good

Updated 14 July 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr R G Crispin & Partners also known as The Clanfield Practice, on 15 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr R G Crispin & Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 14 June 2017 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 on 15 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good. Our key findings for this inspection were as follows:

The practice had now ensured all staff received appropriate training to carry out their role. Including for infection control, basic life support and chaperone training in accordance with practice policy.
The practice had completed clinical audits to demonstrate clinical learning and development.
All staff had received training on safeguarding adults and children to ensure they were aware of their responsibilities and were competent to identify and act on situations where service users may be at risk of harm.
The practice had reviewed the appointments system.
The practice had made arrangements improve upon patients’ conversations being over heard in the reception area. The practice had put up information signs asking for patients to give more privacy to patient’s queueing in front of them and to stand back from the reception counter. Patients could also speak with staff in private if they wished.

The areas where the provider should make improvement are:

The practice needs to improve on identifying patients who were carers for support to be offered as needed.
Review arrangements to make sure appropriate sink taps are provided for hand washing.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice