The Care Quality Commission
  • Doctor
  • GP practice

The Roseland Surgeries

Overall: Good read more about inspection ratings

The Surgery, Gerrans Hill, Portscatho, Truro, Cornwall, TR2 5EE (01872) 580345

Provided and run by:
The Roseland Surgeries

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The Roseland Surgeries on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Roseland Surgeries, you can give feedback on this service.

4 April 2020

During an annual regulatory review

We reviewed the information available to us about The Roseland Surgeries on 4 April 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

6 February 2018

During a routine inspection

This practice is rated as Good overall. (Previous inspection 20 September 2016 – Good)

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? - Good

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 – Outstanding

People with long-term conditions – Good

Families, children and young people – Outstanding

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

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

We carried out an announced comprehensive inspection at The Roseland Surgeries on Tuesday 6 February 2018 as part of our planned 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.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw three areas of outstanding practice:

  • The practice had gained SAVVY level two, (a county-wide initiative by the council supporting improved access to GP services for young people) approval. This indicated a focus on the emotional health and well-being of young people. Staff encouraged young people to visit the practice and engage with their GP and reassure them that their appointments were entirely confidential. This scheme supported 14% of the practice population which was approximately 500 patients aged under 18 years.
  • In order to reduce social isolation particularly for the population groups of older people and families, children and young people, in this rural area, the practice had worked with its patient participation group (PPG) to set up two community cafes. These were staffed by PPG volunteers including a mental health community nurse. Organised activities included a ping pong group, a young people’s drama group, computer workshops and various arts and crafts. There were also areas for quiet conversation and tea, coffee and refreshment facilities. These community cafes were attended by about 25 to 30 patients a week in the villages of Portscatho and Veryan. The practice had trained the café volunteer staff in manual handling, first aid and food hygiene. Patients provided us with positive feedback about the community cafes.
  • The practice supported a volunteer patient transport service which included a 20 seater minibus. Drivers had received appropriate background checks. The PPG had secured a grant from the local council in order to support this service, of key importance in a rural area with challenging roads and infrequent public transport (only two buses a day on the Roseland peninsula). The PPG volunteer transport service ferried patients from their villages to the practice, to the two community cafes and to other essential health care providers such as the hospital which was a 45 minute journey. Approximately 50 patients who had mobility issues or difficulties accessing public transport in this rural area, benefitted from this service. Patients benefitted from reduced isolation from the service and unplanned hospital admissions had reduced.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

16 August 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an inspection of The Roseland Surgeries on the 16 August 2016. This review was performed to check on the progress of actions taken following an inspection we made on 3 February 2016. On that occasion we found the practice required improvement for the provision of safe services, and was rated good for providing effective, caring, responsive and well led services. We rated all patient population groups as good.

Following our 3 February 2016 inspection the provider sent us an action plan which detailed the steps they would take to meet their breaches of regulation. During our latest inspection on 16 August 2016 we found the provider had made the necessary improvements.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published on 31 March 2016. This can be done by selecting the 'all reports' link for The Roseland Surgeries on our website at www.cqc.org.uk

Specifically we found:

  • Risks to patients were assessed and well managed. Risks associated with the safe management of prescription pads followed national guidance standards.
  • New standard operating procedures had been introduced to ensure that patients accepting deliveries of controlled drugs were asked for identification in line with national guidance.
  • All dispensary processes were now covered by standard operating procedures that had been read and signed off as being understood by relevant staff.
  • Systems were in place which ensured that information about medicine use was available to patients when they collected their medicines.

In addition to making improvements to the regulation breaches the practice had also acted upon suggestions for good practice as detailed in the previous inspection report.

  • The temperature of the vehicle used for medicine deliveries was monitored and recorded in writing in order for action to be taken if appropriate to protect the integrity of the medicines.

We have amended the rating for this practice to reflect these improvements. The practice is now rated good for the provision of safe, effective, caring, responsive and well-led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

3 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Roselands Surgery on Wednesday 3 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed; however, risks associated with the safe management of blank prescription forms did not follow national guidance standards.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

We identified areas of outstanding practice;

The practice had responded to patient participation group (PPG) feedback positively. For example, the PPG recommended the practice obtain 20 defibrillators and deployed them at remote stations at each village in the 62 square mile catchment area. Fund raising had been carried out and the practice had successfully achieved this objective. The PPG maintained these defibrillators on a monthly basis in partnership with the South West Ambulance Service Trust to ensure their safe maintenance.

The practice had expanded its medicine delivery service to patient’s homes. The practice provided medicines on demand, whereas in the past the patient would have had to arrange their own delivery. This scheme provided positive benefits to 35 patients, who found it difficult to leave their homes.

The practice was currently researching setting up a memory or friendship café to support patients. The practice management, PPG members, local council and local support agencies had attended meetings regarding this, including the provision of volunteers to staff the café on a fortnightly basis.

There was an area where the provider must make improvements;

  • Review procedures for storing and recording blank prescriptions to ensure national guidance is followed.

There were areas where the provider should make improvements;

  • Follow national guidance to ensure that people accepting deliveries of controlled drugs are asked for identification.
  • Ensure that all dispensary processes are covered by standard operating procedures that have been read and signed off by staff working under them.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice