Background to this inspection
Updated
7 December 2018
Taunton Vale Healthcare is registered and operates from Blackbrook Surgery Lisieux Way, Taunton Somerset TA1 2LB and Victoria Gate Surgery East Reach, Taunton, Somerset, TA1 3EX.
In 2016 Blackbrook Surgery merged with Victoria Gate Surgery, East Reach, Taunton, Somerset, TA1 3EX. We visited Blackbrook Surgery as part of our focused inspection.
The practice serves a population of approximately 14,000 patients. The Index of Multiple Deprivation 2015 is the official measure of relative deprivation for small areas in England. The deprivation decile for this area is six (being an area of the sixth least deprived).
The practice consists of five whole time equivalent (WTE) GP partners. The practice team includes a salaried GP, three nurse practitioners, two paramedics, a pharmacist, six registered nurses, health care assistants and administrative staff which included IT staff. The practice had a management team of three to cover finance and employment, quality improvement and office management. At the time of the inspection the practice hosted a GP retainer (a scheme to return GPs to practice), a GP trainee and a foundation doctor (a postgraduate doctor).
The practice has opted out of providing Out Of Hours services to their own patients. Patients can access a local Out Of Hours GP service via NHS 111.
The Partnership is registered with the CQC in respect of the regulated activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services; Surgical procedures and Treatment of disease, disorder or injury.
Updated
7 December 2018
This practice is rated as Good overall. (Previous rating 06 2018 – Good overall with requires improvement for safe).
The key question at this inspection are rated as:
Are services safe? - Good
We carried out an announced focused inspection at Taunton Vale Healthcare on 7 November 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in Regulation 12 HSCA (RA) Regulations 2014: Safe care and treatment that we identified. And the areas where the provider should make improvements identified in our previous inspection in June 2018. This report covers our findings in relation to those requirements.
The full comprehensive report on the June 2018 inspection can be found by selecting the ‘all reports’ link for Taunton Vale Healthcare on our website at www.cqc.org.uk
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. They had implemented changes to demonstrate that they had a culture of high-quality sustainable care.
- There was a focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Improve the completion of the provider’s mandatory training program such as fire safety.
- Review and continue to monitor cervical smear screening to meet Public Health England screening rates.
- Risk assess the storing of blank prescription paper in terms of unsupervised cleaner access to clinical rooms.
- Continue to improve the completion of patient quality indicators in the care and treatment of patients with long-term conditions and those with mental health.
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.
Working age people (including those recently retired and students)
Updated
3 September 2018
People experiencing poor mental health (including people with dementia)
Updated
3 September 2018