Archived: Peppard Road Surgery

Updated 12 July 2018

Peppard Road Surgery is located in a converted residential dwelling in Caversham, Reading in Berkshire. Peppard Road Surgery is one of the practices within Berkshire West Clinical Commissioning Group (CCG) and provides general medical services to approximately 2,700 patients.

The number of registered patients had increased by approximately 500 (a percentage increase of 20%) over the last two years following changes in the local health economy. At the time of the July 2018 inspection the practice was not accepting new patients.

Services are provided from:

• Peppard Road Surgery, 45 Peppard Road, Caversham, Reading, Berkshire, RG4 8NR

The practice website is:

According to data from the Office for National Statistics, Caversham has high levels of affluence and low levels of deprivation.

The practice population has a significantly higher proportion of patients aged between 25 and 49 when compared to the local CCG and national averages whilst there is a lower proportion of patients aged 54 and over.

The number of patients registered at Peppard Road Surgery with a long-standing health condition and the proportion of unemployed patients registered in the area, was lower when compared to the CCG average and national average.

The practice comprises of two GP partners (one male and one female) and a part time practice nurse.

One of the GP partners works with a part time practice manager and a small team of reception and administrative staff to undertake the day to day management and running of the practice.

Out of hours care is accessed by contacting NHS 111.

The practice is registered by the Care Quality Commission to carry out the following regulated activities: Maternity and midwifery services, Family planning, Treatment of disease, disorder or injury and Diagnostic and screening procedures.

Updated 12 July 2018

At our previous comprehensive inspection at Peppard Road Surgery in Caversham, Berkshire in November 2017 we found a breach of regulations relating to the management of risks, specifically risks associated with the management of medicines and infection prevention control. Although the overall rating for the practice was good, the practice was rated requires improvement for the provision of safe services. The practice was rated good for the provision of effective, caring, responsive and well-led services. In addition, all population groups were also rated good.

The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Peppard Road Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 2 July 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in November 2017. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 2 July 2018 we found the practice was meeting the regulations that had previously been breached. We have amended 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. The overall rating remains good.

Our key findings were as follows:

• Systems had been implemented and embedded which ensured safe care and treatment.
• The practice had reviewed and strengthened existing arrangements for the management and storage of medicines.
• We reviewed the practices storage of emergency medicines and found the practice now held all the recommended medicines to deal with medical emergencies,
• The practice had reviewed guidance from Public Health England and purchased a validated suitable pharmaceutical refrigerator to store vaccines and medicines that required refrigeration.
• The practice had strengthened existing infection prevention control processes and supporting policies to effectively and safely manage infection prevention.
• The practice had continued to review outcomes and clinical performance, specifically diabetes outcomes. This review included additional diabetes related training for both GPs.
• There was a greater awareness of the Accessible Information Standard (a requirement to make sure that patients and their carers can access and understand the information they are given).

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 8 April 2016

The practice is rated as good for the care of patients with long-term conditions. The provider was rated as requires improvement for safe and well led. Emergency processes were in place and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All these patients had regular contact with their GP to check their health and medicines needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 8 April 2016

The practice is rated as good for the care of families, children and young patients. The provider was rated as requires improvement for safe and well led. The concerns which led to these ratings apply to everyone using the practice, including this population group. Immunisation rates were in line with all the national rates for standard childhood immunisations. Appointments were available outside of school hours. The practice worked in partnership with midwives, health visitors and school nurses to deliver care.

Updated 8 April 2016

The practice is rated as good for the care of older patients. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in end of life care. It was responsive to the needs of older people, and offered home visits and rapid access appointments for those with enhanced needs.

Updated 8 April 2016

The practice is rated as good for the care of working-age patients (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice performed significantly above average, compared to the local clinical commissioning group (CCG), for patient satisfaction with the access to appointments. The practice was proactive in offering opportunistic health promotion and screening which reflected the needs of this age group.

Updated 8 April 2016

The practice is rated as good for the care of patients experiencing poor mental health (including patients with dementia). The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health including those with dementia. Six out of nine patients with severe mental health conditions had care plans in place. The GP referred patients to the memory assessment clinic when needed. The practice had a system in place to follow up on patients who had been discharged from hospital to support them in the community.

Updated 8 April 2016

The practice is rated as good for the care of patients whose circumstances may make them vulnerable. The practice serves a population which is more affluent than the national average. The practice did not have a register for patients with learning disabilities, although there were a small number of younger patients with learning disabilities and the needs of this group were met. The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients. The practice had sign-posted vulnerable patients to various support groups and third sector organisations. GPs were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in and out-of-hours.