Background to this inspection
Updated
2 July 2018
Cobham Health Centre offers general medical services to the population of Cobham. There are approximately 13,200 registered patients. Cobham Health Centre is registered as a GP training practice providing training opportunities for doctors seeking to become fully qualified GPs (registrars) as well as providing training for nurses.
Cobham Health Centre is run by seven partners (four female and three male). The practice is also supported by three salaried GPs, three practice nurses, a healthcare assistant, a team of administrative staff, an assistant practice manager and a business manager.
The practice is registered to provide the following regulated activities:
- Treatment of disease, disorder or injury
- Family planning services
- Maternity and midwifery services
- Surgical procedures
- Diagnostic and screening procedures
The practice runs a number of services for its patients including asthma clinics, child immunisation clinics, diabetes clinics, new patient checks and holiday vaccinations and advice.
Services are provided from one location:
Cobham Health Centre 168 Portsmouth Road, Cobham, Surrey, KT11 1HT
Opening hours are Monday to Friday 8:30am to 6:30pm. The practice offers extended hours every Tuesday and Thursday mornings 7am till 8am.
The practice is part of a federation of GP practices that offer evening appointments until 9pm and weekend appointments 9am until 1pm. These appointments are run from locations in Leatherhead, Epsom and on the Downs.
Patients (birth to 16 years) are also able to attend a children’s clinic Monday to Friday from 4pm to 8pm run from separate locations.
During the times when the practice was closed 6:30pm until 8:30am, the practice had arrangements for patients to access care from an Out of Hours provider.
The practice population has a higher number of patients between 05–19, 40-54 and 80+ years of age than the national and local CCG average. The percentage of registered patients suffering deprivation (affecting both adults and children) is lower than the average for England.
Updated
2 July 2018
Cobham Health Centre was previously inspected in November 2015 and was rated good overall and in all domains.
At this inspection in June 2018 the practice is rated as Good overall.
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 comprehensive inspection at Cobham Health Centre on 6 June 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
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 used their knowledge of the local community and patient population to deliver high quality and person centred care.
- 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.
- There was a strong focus on improvement at all levels of the organisation.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Staff were supported in personal development and training and received regular appraisals.
- Data from the Quality and Outcomes Framework (QOF) showed the results for practice management of patients with long-term conditions were good.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Patients said they were able to book an appointment that suited their needs. Pre-bookable, on the day appointments and home visits were available. Urgent appointments for those with enhanced needs were also provided the same day.
- The practice was equipped to treat patients and meet their needs.
The areas where the provider should make improvements are:
- Consider ways to increase identification of patients who are registered with the practice and a carer.
- Continue to review ways to increase uptake for cervical screening.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice