Dr Young & Partners - Care Quality Commission

Background to this inspection

Updated 23 March 2017

Dr Young and Partners also known locally as Seven Posts Surgery and Greyholme Surgery is a GP partnership located in Cheltenham. Greyholme Surgery is the provider’s branch surgery located approximately three miles from the main practice. The practice premises are both single storey buildings, accommodating five consulting rooms and one treatment room at Seven Posts Surgery and, four consulting rooms and one treatment room at Greyholme Surgery.

The practice provides its services to approximately 10,000 patients under a General Medical Services (GMS) contract. (A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract). The practice delivers its services from the following addresses:

326A Prestbury Road,

Prestbury,

Cheltenham,

Gloucestershire,

GL52 3DD.

And,

Greyholme Surgery,

Church Road,

Bishops Cleeve,

Gloucestershire,

GL52 8LT.

The practice partnership has six GP partners and two salaried GPs making a total of approximately five whole time equivalent GPs. There are two male and six female GPs. The nursing team include one nurse practitioner and three practice nurses who were all female. The practice also employed two health care assistants. The practice management and administration team included a practice manager, a deputy manager and 17 administration and reception staff.

The practice has a higher than average population of patients aged between 45 and 54, and above the age of 65. The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice is in the least deprivation decile. (An area itself is not deprived: it is the circumstances and lifestyles of the people living there that affect its deprivation score. Not everyone living in a deprived area is deprived and that not all deprived people live in deprived areas). Average male and female life expectancy for the practice is 81 and 84 years, which is above the national average of 79 and 83 years respectively.

The practice is open from 8am to 6.30pm Monday to Friday. Appointments are from 8am to 6pm. Extended hours are available on Mondays from 6.30pm to 8pm.

The practice has opted out of providing out of hours services to its patients. Patients can access the out of hours services provided by South Western Ambulance Service NHS Foundation Trust via the NHS 111 service.

Overall inspection

Good

Updated 23 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Young & Partners on 6 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 6 July 2016 inspection can be found by selecting the ‘all reports’ link for Dr Young & Partners on our website at www.cqc.org.uk.

This inspection was an announced desk-based review carried out on 3 March 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 comprehensive inspection. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

GPs had completed safeguarding vulnerable adults training.
Systems were in place to ensure equipment is prepared in line with current guidelines before use.
Actions had been taken to ensure the security of prescription forms in printers when consulting and treatment rooms are not in use.
The practice had introduced systems and processes to ensure patient safety alerts are actioned and actions taken are clearly documented.
Systems and processes to ensure all staff received an annual appraisal had been reviewed.
A programme of clinical audits has been introduced, and there are systems in place to implement and monitor actions to improve patient outcomes.

At our previous inspection on 6 July 2016, we told the provider that they should:

Review their systems and processes for checking emergency medicines and equipment.
Ensure all staff receive infection control and prevention training appropriate to their role.

On this inspection on the 3 March 2017, the provider sent us information on their reviewed systems and processes for checking the emergency medicines and equipment. We were also sent information to show that all staff had attended infection prevention and control training.

We have changed the rating for this practice to reflect these changes. 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