Background to this inspection
Updated
25 October 2018
The Royal Crescent Surgery serves the whole of Cheltenham as well as some of the surrounding villages. They provide their services to a population of approximately 7,600 patients at the following address:
11 Royal Crescent
Cheltenham,
Gloucestershire
GL50 3DA
Information about the practice can be obtained through their website at:
The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice shows the practice is in the fourth 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 80 and 84 years, which is in line with the national average of 79 and 83 years respectively.
The practice is situated in the centre of Cheltenham with good access links. The building is spread over three floors with level access on the lower basement floor from the rear of the building. Clinical rooms are situated over the upper and lower floors.
The practice team consists of four GP partners and one salaried GP which is equivalent to approximately four whole time GPs. Three are male and two are female GPs. The nursing team includes a nurse practitioner, two nurse prescribers, one practice nurse and a health care assistant. The practice management team included a practice manager who is supported by an assistant practice manager and a range of reception and administration staff.
The practice is open between 8am and 6.30pm Monday to Friday. Appointments are available from 8.30am to 11.50am every morning and 2pm to 6pm daily which are variable according to demand on the day. In addition to pre-bookable appointments that could be booked up to six weeks in advance, urgent appointments were also available for people that needed them.
The practice is registered to provide the following Regulated Activities:
- Diagnostic and screening procedures.
- Treatment of disease, disorder or injury.
- Maternity and midwifery services.
- Surgical Procedures.
- Family Planning.
When the practice is closed and at weekends the out of hours GP cover is provided by CareUK which patients can access via NHS 111.
The practice has a General Medical Services (GMS) contract to deliver health care services. (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)
Updated
25 October 2018
This practice is rated as Good overall. (Previous rating November 2017 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
We carried out an announced comprehensive inspection at Royal Crescent Surgery on 8 November 2017. Overall the practice was rated as good for providing effective, caring, responsive and well-led services giving an overall rating of good. However, the practice was rated as requires improvement for providing safe services and for people with long-term conditions population group. The full comprehensive report of the 8 November 2017 inspection can be found by selecting the ‘all reports’ link for Royal Crescent Surgery on our website at .
This inspection was an announced focused inspection carried out on 25 September 2018. The purpose was to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 8 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe services and for people with long term conditions. Overall the practice remains rated as good.
At this inspection we found:
- The practice had reviewed and improved systems and processes to ensure the temperature of vaccine fridges were monitored and actions were taken when there were signs that the fridges had operated outside of the normal range.
- 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.
- Systems and processes had been reviewed to ensure all patients with long term conditions were reviewed including those who had previously been excepted from reviews.
- The practice had increased the number of patients identified as carers.
The areas where the provider should make improvements are:
- Continue to monitor and improve uptake for reviews of patients with long term-conditions.
- Provide written guidance setting out the standards for the management of test results in the practice.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
Families, children and young people
Updated
8 December 2017
Working age people (including those recently retired and students)
Updated
8 December 2017
People experiencing poor mental health (including people with dementia)
Updated
8 December 2017
People whose circumstances may make them vulnerable
Updated
8 December 2017