Ibstock House Surgery

Background to this inspection

Updated 13 September 2019

Ibstock House Surgery is a GP practice which provides primary care services to approximately 10660 under a General Medical Services GMS contract. The practice is situated in Ibstock in purpose built premises and has a branch surgery in Barlestone. Both buildings are fully accessible to patients with wheelchairs and those with limited mobility.

Services are provided from Ibstock House, 132 High Street, Ibstock, Leicestershire, LE67 6JP and Barlestone Surgery, Westfields, Barlestone, CV13 0EN. We did not inspect the branch surgery in Barlestone as part of this inspection.

The practice consists of six GP partners and one salaried GP.

The practice also employs two emergency care practitioners, two practice pharmacists and four dispensers. The nursing team consists of a lead nurse prescriber and three practice nurses with four health care assistants (HCA).

The practice has an operations manager, a business & finance manager and a team of clerical and administrative staff to support the day to day running of the practice. This practice provides training for doctors who wish to become GPs and at the time of the inspection had one full time doctor undertaking training at the practice.

The branch at Barlestone has a dispensary that dispenses to approximately 2500 patients.

When the practice is closed patients are able to use the NHS 111 out of hours service.

The practice has a higher than average number of patients aged 40 to 54 years of age and lower than average number of patients over 20 to 39 years of age. The practice has lower than average deprivation and sits in the third least deprived centile.

The practice is registered to provide the following regulated activities; surgical procedures; family

planning, diagnostic and screening procedures and treatment of disease, disorder or injury.

The practice lies within the NHS West Leicestershire Clinical Commissioning Group (CCG). A CCG is an organisation that brings together local GPs and experienced health professionals to take on commissioning responsibilities for local health services.

Ibstock House is open between 7am and 6.30pm Monday to Friday. Appointments are from 7.20am to 5.50pm Monday to Friday. Barlestone is open 8.30am to 4.30pm other than Thursday when it closes at 12.30pm. Both of the surgeries close for one hour at lunch 12.30pm to 1.30pm. Patients can attend either sites.

Overall inspection

Good

Updated 13 September 2019

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ibstock House Surgery on 27 October 2016. The overall rating for the practice was requires improvement. The ratings for providing an effective, caring and responsive service were good but the ratings for providing a safe and well led service were requires improvement as we identified a breach in regulations. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Ibstock House Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 29 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 27 October 2016. This report covers our findings in relation to those requirements.

Overall the practice is now rated as good and the ratings for providing a safe and well led service are also good.

Our key findings were as follows:

An action plan had been compiled and completed to strengthen infection control processes. This included the infection control lead nurse attending a training course to support them in their role and infection control audits had been completed for both sites and actions identified in the audit had been addressed.

A log of safety alerts was now kept and actions taken and responsibility for actions were recorded. However we found that there was no evidence of some safety alerts prior to the log being commenced in November 2016 having been acted upon. Following our inspection the practice reviewed all safety alerts from the previous year and acted on them as necessary.

The cold chain policy had been updated and all staff had been made aware of it to ensure they were fully aware of all aspects of the cold chain process and required actions.

The process for reporting, recording, acting on and monitoring significant events had been further improved and reviews took place every three months. We saw that non clinical incidents were also reported.

The system for identifying carers had been reviewed and the number of carers on the practice register had increased significantly.

Clinicians now participated in appraisals for clinical staff.

Cleaners and drivers employed by the practice had now completed training relevant to their role and undertaken Disclosure and Barring Service checks.

The practice had carried out a staff survey and taken other steps to evaluate staff satisfaction and acted on feedback received. Staff we spoke with told us they felt supported by their peers and management.

We saw one area of outstanding practice:

The practice hired a mini bus twice a week and employed a driver to provide free transport for patients to and from the practice to attend their appointments. The minibus was wheelchair accessible by means of a lift which also allowed patients with limited mobility who may have struggled to use bus steps to access the transport.

The bus could be used by any patients but was generally used by elderly patients who had no other means of getting to the practice, particularly as some areas served by the practice had no public bus service. Other patients who would not have been able to walk the distance to or from a bus stop. due to lack of mobility also benefitted from the service.

Patients were made aware of the service by means of the practice leaflet, the practice website, word of mouth or by staff suggesting it’s use. For example, one patient was phoned by a GP in the morning and assessed as needing to be seen in the practice. The GP communicated with reception to organise a place on the minibus which co-ordinated with an appointment and the patient was seen in the practice two hours later.

The areas where the provider should make improvement are:

Continue to make efforts to further increase the number of carers identified, including young carers.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice