Background to this inspection
Updated
28 June 2018
Dr Weir & Partners, also known locally as The Minchinhampton Surgery, is a GP practice providing primary medical services under a General Medical Services (GMS) contract to the patients of Minchinhampton. (GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract). Minchinhampton Surgery provides services from a 1970s purpose built building on one floor to approximately 7500 patients.
The practice delivered service from the following address:
Bell Lane
Minchinhampton
Stroud
Gloucestershire
GL6 9JF
The practice has a higher patient population aged 65 and above than both the CCG and national average. The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice shows the practice is in the least 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 has six partners which is equivalent to 4.5 whole time equivalent. The nursing team include one prescribing nurse practitioner, three practice nurses and two healthcare assistants. The practice management team consists of a practice manager, an assistant to the practice manager and administration and reception staff including an apprentice. The practice supports both training and teaching of doctors and medical students. The practice had two qualified doctors training to be GPs and one student nurse working with them at the time of our inspection.
The practice is registered to provide the following Regulated Activities:
- Diagnostic and screening procedures.
- Treatment of disease, disorder or injury.
- Maternity and midwifery services.
- Surgical Procedures.
- Family Planning.
The practice is open from 8am to 6.30pm Monday to Friday. Appointments are from 8.30am to 10.40am every morning and 4pm to 6pm daily. Extended hours surgeries are offered on Mondays from 6.15am and on Wednesdays until 8.15 pm.
The practice has opted out of providing out of hours service to its patients. Patients are redirected to the out of hours service provided by Care UK via the NHS 111 service.
Updated
28 June 2018
This practice is rated as outstanding overall. (Previous inspection November 2015 – Outstanding)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Outstanding
Are services well-led? - Outstanding
We carried out an announced comprehensive inspection at Dr Weir & Partners (which is also known locally as Minchinhampton Surgery) on 24 April 2018 as part of our inspection programme.
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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- People’s individual needs and preferences were central to the planning and delivery of tailored services. The services were flexible, provide choice and ensure continuity of care.
- The involvement of other organisations and the local community was integral to how services were planned and ensures that services meet people’s needs.
- There was a proactive approach to understanding the needs of different groups of people and to deliver care in a way that meets these needs and promotes equality.
- Leaders had an inspiring shared purpose and strived to deliver and motivate staff to succeed.
- Feedback from patients about the service they received was positive.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- Results from the National GP Survey showed the practice was performing above the local and national averages in all areas surveyed.
We saw several areas of outstanding practice:
- The practice involved patients who were also carers in promoting good outcomes for those groups of patients.
- The patient participation group recognised there was poor public transport network in Minchinhampton and responded by working in collaboration with practice to deliver a volunteer transport service for patients.
The area where the practice should make improvements:
- Continue to monitor exception reporting to improve patient outcomes.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Working age people (including those recently retired and students)
Updated
28 June 2018
People experiencing poor mental health (including people with dementia)
Updated
28 June 2018
People whose circumstances may make them vulnerable
Updated
28 June 2018