Archived: Station Road Surgery

Updated 31 January 2018

Station Road Surgery is registered with the Care Quality Commission to provide primary care services. The practice provides services to around 5,165 patients from two locations and we visited these addresses as part of the inspection;

• Haswell Surgery, Front Street East, Haswell,Co Durham

• Peterlee Health Centre, Fleming Place, Peterlee, Co Durham, SR8 1AD.

Haswell Surgery is located in shared premises with another local practice. There is street parking close by and step free access.

Peterlee Health Centre is a purpose built premises, the health centre is shared with other primary medical services. The practice have their own dedicated consulting rooms. There are disabled parking spaces in the patient car park, with wheelchair and step free access.

The practice is currently registered as a GP partnership with CQC. During the inspection, the GP who was the CQC registered manager, told us there was no longer a partnership in place. They told us they now held the contract with NHS England (NHSE) to provide the service as an individual. We advised that the registration for the practice was now incorrect and that they would now be required to cancel the registration and apply to be registered with CQC as an individual provider.

The practice had consulted on merging with a neighbouring practice and are required to submit a business plan to NHS England to start the process for merger. The practice manager from this neighbouring practice is providing some management support in the interim.

The practice has one GP (male) whole time equivalent (WTE) working nine clinical sessions. There are currently two locums employed at the practice, who work eight sessions per week between them. One of the locums was a female GP, therefore patients have a choice of male and female GPs. There is one (WTE 1) nurse practitioner, three practice nurses (WTE 2.48), one health care assistant (WTE 1) and 10 administration staff (WTE 8.04), this included an assistant practice manager.

Opening times for Station Road Surgery are Monday to Friday 8am to 6pm. Haswell branch surgery is open from 9am to 12 noon on Monday, Tuesday and Thursday and 1pm to 4pm on Wednesday and Friday. Peterlee branch surgery is open 8:30am to 5:30pm Monday and Wednesday and Friday and 8:30am to 1pm on Thursday and 8:30am to 12 noon on Saturday. On a Tuesday from 8:30am until 8pm.

GP appointments were available;

Station Road Surgery;

Monday 9am to 11:30am, 2:30pm to 4:30pm

Tuesday 9am to 11:30am, 2:00pm to 4:30pm

Wednesday 9am to 11:30am, 2:00pm to 5:40pm

Thursday 9am to 12:30pm, 1:10pm to 4pm

Friday 9am to 11:40am, 3pm to 4:30pm

Haswell Surgery;

Tuesday 9am to 11:40am

Thursday 9am to 11:40am

Peterlee Health Centre

Tuesday 6:30pm to 8pm

Wednesday 9am to 11:40am

Appointments with the nurse were available at various times during the week, including on a Saturday morning at Peterlee Health Centre

The practice is part of NHS Durham Dales and Sedgefield clinical commission group (CCG). The practice provides services based on a General Medical Services (GMS) contract agreement for general practice. Information from Public Health England placed the area in which the practice is located in the second most deprived decile. The income deprivation score for the practice was 38 compared to the CCG average of 30 and the national average of 22. In general, people living in more deprived areas tend to have greater need for health services. Average male life expectancy at the practice is 77 years compared to the national average of 79 years. Average female life expectancy at the practice is 79 years compared to the national average of 83 years.

The practice were able to provide late evening, weekend and bank holiday appointments as they were part of the local GP federation of GP practices who work together to provide appointments with GPs, nurses or health care assistants outside of their normal working hours. Patients could contact the practice reception team to arrange appointments.

The service for patients requiring urgent medical care out of hours is provided by the NHS 111 service.

Updated 31 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as requires improvement overall.

At our previous comprehensive inspection of 14 December 2015 the practice was rated as good overall, with requires improvement for the domain of safe and good for the domains of effective, caring, responsive and well-led.

This inspection was an announced inspection carried out on 30 November 2017. This was 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 14 December 2015. W e inspected this service as part of our comprehensive inspection programme.

At our inspection of 30 November 2017, the key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Requires improvement

People with long-term conditions – Requires improvement

Families, children and young people – Requires improvement

Working age people (including those recently retired and students – Requires improvement

People whose circumstances may make them vulnerable – Requires improvement

People experiencing poor mental health (including people with dementia) - Requires improvement

The population groups are rated requires improvement overall because t here are aspects of the practice that require improvement which therefore has an impact on all population groups. There were, however, examples of good practice.

At this inspection we found:

• Staff understood and fulfilled their responsibilities to raise concerns, and report incidents and near misses.

• Outcomes for patients who use services were good.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance.

• Staff were consistent and proactive in supporting patients to live healthier lives through a targeted approach to health promotion. Information was provided to patients to help them understand the care and treatment available.

• 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.

• There was a clear leadership structure in place and staff felt supported by management. The practice sought feedback from staff and patients, which they acted on.
• The practice was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvements as they are in breach of regulations are (See Requirement Notice Section at the end of this report for further detail);

• Ensure care and treatment is provided in a safe way to patients.

The areas where the provider should make improvements are:

• Ensure persons employed in the provision of the regulated activity receive the appropriate appraisal necessary to enable them to carry out the duties.

• Risk assess the need to have a paediatric pulse oximeter.

• Carry out regular fire drills.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 31 January 2018

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Updated 31 January 2018