Background to this inspection
Updated
19 June 2017
Dr Webster’s’ practice is based in a large converted premises close to the centre of Preston, Lancashire. The practice is fitted with ramp access to assist people with limited mobility.
The practice is situated within a residential area and can be easily accessed by public transport.
Data reflected a practice list size of 1969 patients.
Primary medical care is provided under a general medical services (GMS) contract within NHS Greater Preston Clinical Commissioning Group (CCG).
Dr Mark Webster is the only GP at the practice and he carries out 10 sessions a week. This is an additional session since the last inspection. He is supported by a practice nurse, working 20 hours per week, a part time practice manager, working 20 hours per week and two part time receptionists.
Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to 10. Level one represents the highest levels of deprivation and level 10 the lowest.
The practice is open between 8am and 6.30pm Monday to Friday. Appointments are available from 8.30am to 12 noon every morning and 3.30pm to 6pm every afternoon. Telephone consultations are available each day from 3pm until 3.30pm before the start of afternoon surgery. The practice is closed on Saturday and Sunday. Out of hours (OOH) service is provided by GotoDoc.
The age distribution of the practice patient population differs to the national average, with almost 4% more male patients aged between 25 and 60 years. The life expectancy of patients is slightly lower at 76 years for males and 80 years for females, compared to 79 years national average for male, 78 years for the CCG and 83 years national average for females, 82 years for the CCG.
The practice has a higher proportion of patients with a long standing health condition at 58.8% compared to the CCG and national averages of 54%.
Updated
19 June 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Mark Webster also known as Frenchwood surgery on 19 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 19 September 2016 inspection can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 11 May 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 19 September 2016.
At this inspection we found that sufficient improvement had been achieved to update the rating for provision of effective and well-led services to good. The practice had addressed the breaches of regulation and was now compliant with all regulations. This report covers our findings in relation to those improvements and also additional findings at this inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
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The GP was working with a pharmacist from the clinical commissioning group (CCG) medicines management team to improve prescribing trends within the practice.
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Medication reviews were up to date and reviews for patients with long term conditions were carried out monthly.
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Consent policy guidance had been developed.
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Improvements had been made to the clinical audit system. Audits were linked to improvements in patient care.
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The practice had signed up to the NHS Resilience Programme. This is a system of professional support and mentoring that helps practices to develop and improve.
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The practice nurse received clinical supervision and met with the GP at the start of her surgery to discuss the patient list.
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Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
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Patients we spoke with said they were treated with compassion, dignity and respect and felt they were involved in their care and decisions about their treatment.
However, there were also areas of practice where the provider should make improvements.
The provider should:
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Continue to record patient consent in line with the practice consent policy.
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Discuss clinical based significant events with a GP peer.
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Continue with efforts to increase the membership of the patient participation group.
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Continue efforts to improve the uptake of bowel and breast screening for patients.
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Continue to sustain the improvements made to the overall governance of the practice.
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Record that a chaperone has been offered even if this is refused.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
People with long term conditions
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
Families, children and young people
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
Working age people (including those recently retired and students)
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
People experiencing poor mental health (including people with dementia)
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.
People whose circumstances may make them vulnerable
Updated
19 June 2017
The provider had resolved the concerns for effective and well-led identified at our inspection on 19 September 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
The specific findings on these groups can be found by selecting the ‘all reports’ link for Dr Mark Webster on our website at www.cqc.org.uk.