Archived: Dr S J Brook & Partners Also known as Forton Medical Centre

Updated 13 April 2017

Dr SJ Brook and Partners is situated at Forton Medical Centre, Whites Place, Gosport, PO12 3JP and currently has six GPs who provide a total of four whole time equivalent (WTE); there are five female and one male GP. In addition there are two nurse practitioners (1.6 WTE), three practice nurses (1.5 WTE) and one health care assistant (0.54 WTE).

The clinical team were supported by an administration team consisting of the practice manager, deputy practice manager, an administration supervisor, reception supervisors and administration and reception staff which made a total of 14 WTE. Cleaning and maintenance was provided by an external contractor.

The practice had approximately 9700 registered patients and provided services under a General Medical Services Contract.

The practice offered routine appointments between 8.30am and 6pm Monday to Friday. On Mondays pre bookable appoints were available from 6pm to 7.30pm and there were early morning appointments on Friday mornings from 7am to 8.30pm. Outside of these times patients were directed to the out of hour’s provider. Information on how patients could access this service was available on the practice website and on the patient information leaflet .

Updated 13 April 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr SJ Brook and Partners on 9 December 2014. Overall the practice was rated as good but the safe domain was rated as requires improvement. Following the inspection we issued a requirement notice. The notice was issued due to a breach of Regulation 12 of The Health and Social Care Act (Regulated Activity) Regulations 2014, relating to staffing and recruitment.

The areas of risk identified at Dr SJ Brook and Partners were:

• The provider must ensure that a risk assessment was undertaken for all staff who do not have a Disclosure and Barring Service (DBS) in place, such as administrators.
• The provider must ensure recruitment records included references from previous employment particularly where they have previously worked in health and social care services so that staff were recruited safely.
• The provider must ensure there was a written protocol in place for recruiting locum GPs employed by the practice.

The full comprehensive report on the 9 December 2014 inspection can be found by selecting the ‘all reports’ link for Dr SJ Brook and Partners on our website at www.cqc.org.uk.

This inspection was a focused desk-top inspection carried out on 17 March 2017, to confirm that the practice had carried out their action plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 9 December 2014. 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 across all the areas we inspected during this inspection, were as follows:

• We saw documentary evidence that a risk assessment tool was in place to determine whether administrative staff required a DBS check.
• We saw documentary evidence of a recruitment policy specifying checks of evidence of conduct in previous employment. We also saw a specific recruitment record for a staff member employed after the 9 December 2014 inspection.
• We saw documentary evidence that there now is a written protocol in place for locum GPs employed by the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 March 2015

The practice is rated as good for people with long term conditions.

The practice had annual recall systems in place for reviews of patients’ conditions and care plans were in place for those patients. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Self-management by patients was encouraged, for conditions such as diabetes and chronic obstructive pulmonary disease. Links had been established with community services, such as diabetic services to support patients in self-management.

Updated 26 March 2015

The practice is rated as good for families, children and young people.

Children aged under one year of age who required to be seen on the same day were seen by GPs. The practice offered immunisations clinics in line with national guidelines. Shared ante and post natal care was offered with midwives and included six week baby checks. The practice liaised with health visitors about any concerns they had over child welfare and held a register of vulnerable children. Contraceptive advice and services were offered to young adults and children.

Updated 26 March 2015

The practice was rated as good for older people.

Patients over the age of 75 years had a named GP and home visits were available if needed. The practice had leg ulcer dressing clinics run by practice nurses who had received specialist training. The practice worked with the integrated care team to provide care in the community and avoid hospital admissions. There were direct telephone numbers for care homes to contact the practice. The practice had also developed links with a local pharmacy to dispense medicines in blister packs, deliver medicines and carry out medicine reviews. Patients who were nearing the end of life were supported by the practice who worked with local palliative care teams and hospices. Gold Standard Framework for end of life care meetings were held monthly with a range of health professionals to discuss patients care and treatment.

Updated 26 March 2015

The practice is rated as good for working age people (including those recently retired and students).

The practice offered extended hours appointments outside of normal appointment times on Mondays and Fridays. Pre-bookable telephone consultations were available and the practice had an online appointment booking system. The practice liaised with local pharmacies that provided a pharmacy prescription collection service. The practice had a fit note protocol in place for patients returning to work after a period of sickness. NHS health checks in line with national guidance were offered to patients.

Updated 26 March 2015

The practice is rated as good for people experiencing poor mental health (including people with dementia).

Patients who had been identified as being in this population group were offered same day appointments to minimise waiting times and refers to other health and care services were made by the practice. The practice had links to counselling services. Patients with a mental health diagnosis had care plans in place and those with dementia were offered tailored health checks.

Updated 26 March 2015

The practice is rated as good for people whose circumstances may make them vulnerable.

The practice had a designated safeguarding lead and staff were aware of how and when to report concerns. Double appointments were available for patients who were vulnerable, such as those living in temporary accommodation. Patients who had a learning disability were offered an annual health check and support was given with decision making when needed.