Archived: Dr Langton & Partners Also known as Monks Park Surgery

Updated 17 October 2018

The registered provider for this service is Dr Langton and partners; the practice operates from one location:

Monks Park Surgery

24 Monks Park Avenue

Horfield

Bristol BS7 0UE

It is sited in a converted two storey building. The consulting and treatment rooms for the practice are situated on the ground floor. There is limited patient parking immediately outside of the practice with spaces reserved for those with limited mobility.

The practice is made up of two GP partners, a practice manager and three salaried GPs working alongside a part time practice nurse, part time locum practice nurse, a health care assistant and administrative staff.

The practice has approximately 5500 patients; 19.2% of people in the practice area were from a black or minority ethnic background. The Index of Multiple Deprivation 2015 rating for the practice catchment area is the fifth most deprived decile where a rating of ten is for the least deprived population.

The practice does not provide out of hour’s services to its patients, this is viaNHS 111. Contact information for this service is available in the practice and on their website.

The practice is registered to provide the following regulated activities:

Diagnostic and screening procedures

Maternity and midwifery services

Family planning

Treatment of disease, disorder or injury

Surgical procedures

Updated 17 October 2018

This practice is rated as Good overall. (Previous rating August 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Monks Parks Surgery on 16 August 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.
• 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 positive patient feedback with families remaining patients at the practice for several generations.
• There was a focus on continuous learning and improvement at all levels of the organisation.
• The practice manager had initiated an internet based ‘Nurse Base Camp’ which provided a resource base, support and communication network for all nurses within the practice cluster (a Cluster is a group of GPs working with other health and care professionals to plan and provide services locally).
• The practice had systems and processes in place to review the practice performance. However, there was no formalised clinical oversight for the effectiveness of the care provided.
• There was clinical supervision available for the GPs however the nurses were not included. There was no clinical lead for the nurses.

The areas where the provider should make improvements are:

• Risk assess the emergency medicines which were not held by the practice.
• Retain evidence of documentation reviewed as part of the recruitment process such as qualifications.
• Establish effective systems and processes to ensure clinical oversight supports the effective delivery of treatment including treatments provided by the nurse team such as cervical screening.
• Review the practice treatment protocols so that there is a continuity of care for patients.
• Review the protocol for exception reporting so that the decision making process is clear.
• Review the process for responding to medicine safety alerts so that the practice document actions taken to rectify concerns.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 17 October 2018

Updated 17 October 2018

Updated 17 October 2018

Updated 17 October 2018

Updated 17 October 2018

Updated 17 October 2018