Background to this inspection
Updated
11 May 2017
Moseley Avenue Surgery is a GP practice which provides primary medical services under a General Medical Services (GMS) contract to a population of approximately 11,200 patients living in Coundon, Radford and the surrounding areas of Coventry. A GMS contract is a standard nationally agreed contract used for general medical services providers.
The practice operates from a two storey building and patients are seen on both levels. For patients with mobility problems the practice would arrange for a consultation on the ground floor. The practice population has a higher than average number of patients aged 0 to 15 years, and slightly above average numbers for those aged 40 to 50 years, and over 85 years. National data indicates that the area is one that experiences moderate levels of deprivation. The practice population is made up of predominantly white British with 11% of Asian ethnic background.
There are five GP partners, four of whom are male, and one female. They employ three female salaried GPs, one male and two female. The practice employs two practice nurses, one health care assistant, a practice manager and office manager, who are supported by a team of administrative and reception staff.
Moseley Avenue Surgery is an approved training practice for trainee GPs. A trainee GP is a qualified doctor who is training to become a GP through a period of working and training in a practice. The practice is open on Monday until Friday between 8am and 12pm and from 2pm until 5.30pm. Extended hours appointments are provided from 7.15am until 8am on Wednesdays and on Saturdays from 8.30am until 10.15am for pre-bookable appointments only. The practice closes for lunch from 12.30pm until 2pm. During lunch time closure and from 5.30pm until 6.30pm the telephone lines remain open and are answered by reception staff who are able to contact the duty doctor. When the surgery is closed services are provided by Virgincare who can be contacted via NHS 111.
Updated
11 May 2017
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Moseley Avenue Surgery on 26 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Moseley Avenue Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 22 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 26 July 2016. 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 for this inspection were as follows:
The provider had made improvements:
- The practice had reviewed their policies and procedures and we saw evidence of this. During our inspection we spoke with staff to confirm that these had been shared and were available to all staff at the practice.
- The practice had carried out a number of risk assessments to ensure that the risks to staff and patients had been assessed and appropriately managed, for example, infection control audit and fire risk assessments.
- Systems had been put in place to ensure that all medical devices such as swabs were checked routinely by a nominated member of the nursing staff. We saw records had been maintained to confirm this.
The provider had also addressed the areas where we made recommendations that improvements should be made and we saw evidence to demonstrate this. These are included in the body of the report.
Work was ongoing regarding carers and the practice had plans to develop better awareness of the need to identify carers. For example, they had plans to liaise with Coventry Carers Association to attend the practice and raise awareness and were exploring the possibility of a future drop in session as well as seeking training for reception staff regarding carers. The practice had increased the number of carers from 52 to 187, which represented 1.7% of the practice population and introduced a section in the registration form for patients to highlight if they were a carer. Staff we spoke with were aware of the need to identify carers.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
People with long term conditions
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Families, children and young people
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
Working age people (including those recently retired and students)
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People experiencing poor mental health (including people with dementia)
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.
People whose circumstances may make them vulnerable
Updated
11 May 2017
The provider had resolved the concerns for safety and well-led areas identified at our inspection on 26 July 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.