Archived: Brunston&Lydbrook Practice

Updated 28 June 2018

Brunston & Lydbrook Practice is situated in the market town of Coleford in a rural area of The Forest of Dean in Gloucestershire. The practice is one of two sites the provider has, the second is a branch practice in Lydbrook five miles away. The practice has approximately 6,000 registered patients. Services are provided from:

Brunston Surgery, Cinderhill, Coleford, Gloucestershire GL16 8HJ

and

Lydbrook Health Centre, Upper Lydbrook, Gloucestershire GL17 9LG

We visited both practices sites during the inspection and both were able to offer dispensing services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy.

Patients can attend either the main location in Coleford or the branch practice at Lydbrook. Data from Public Health England shows that the practice has a patient population that is similar to local and national profiles for all age groups. This data also shows that the practice’s highest number of patients is in the 15 to 65 years age range. The index of multiple deprivation shows the practice to be in mid-range on the index. Data also shows that 67% of patients have a long-standing health condition which is higher than the local and national average of 54%.

There are five GP partners at the practice. The partners are supported by one salaried GP (male), three practice nurses, three health care assistants, a dispensary team and an administrative team led by the practice manager. When the practice is closed patients are directed via the practice website to NHS 111. Out of hours services are provided by Care UK Ltd.

Updated 28 June 2018

This practice is rated as Good overall. (Previous inspection January 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced/unannounced comprehensive/focused inspection at Brunston & Lydbrook Practice on 31 May 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.
• 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.

The areas where the provider should make improvements are:

• Improve documentation in relation to actions and learns from reviews of significant events.
• Develop a complaints procedure that details time lines in line with national guidance.
• Take action to improve privacy for patients at the reception and dispensary at the branch site.

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

Updated 28 June 2018

Updated 28 June 2018

Updated 28 June 2018

Updated 28 June 2018

Updated 28 June 2018

Updated 28 June 2018