Background to this inspection
Updated
23 April 2021
NHUC Beggarwood Practice is located at Broadmere Road, Beggarwood, Basingstoke, Hampshire RG22 4AQ.
The practice has approximately 7,500 registered patients and is registered with the Care Quality Commission (CQC) to deliver the Regulated Activities; diagnostic and screening procedures, surgical procedures, maternity and midwifery services, family planning and treatment of disease, disorder or injury.
The practice is situated within the North Hampshire Clinical Commissioning Group (CCG) and delivers General Medical Services to a patient population of about 7000. This is part of a contract held with NHS England.
The practice is part of a wider network of GP practices (PCN) known as B-Connected Care
At the time of our inspection there were three salaried GPs employed who were supported by regular locum GPs providing a balance of male and female doctors. In addition, the nursing team comprises a locum advanced nurse practitioner, a practice nurse and a healthcare assistant.
Supporting the clinical team were two managers registered with the CQC; a business manager, and an operational manager, along with a full administrative team.
The usual practice opening hours are Monday to Friday 8.00am to 6.30pm; outside of these times patients are directed to contact the out-of-hours service by using the NHS 111 number.
The National General Practice Profile states that 89.7% of the practice population are from a white ethnicity. The patient population serviced by NHUC Beggarwood Practice is one of the least deprived in the area.
Updated
23 April 2021
In light of the current Covid-19, CQC has looked at ways to fulfil our regulatory obligations, respond to risk and reduce the burden placed on practices by minimising the time inspection teams spend on site.
The provider, North Hampshire Urgent Care Limited, registered NHUC Beggarwood Practice with CQC on 31 October 2019. The practice had not previously been inspected by CQC since the current provider registered this service.
In order to seek assurances around potential risks to patients, we carried out a GP Focused Inspection Pilot (GPFIP) of the NHUC Beggarwood Practice between 6 March 2021 and 13 March 2021. This was in response to intelligence we received in February 2021, related to an incident that occurred in September 2020, which suggested a potential increase in risk to patients at the practice.
We have not rated the practice during this inspection as we did not visit the Provider.
We based our judgement of the quality of care at this service on a combination of:
• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.
We found that:
- Medicines reviews were not always completed in line with recognised guidance. On reviewing a random sample of patients records, we found some patients had not received the appropriate monitoring before medicines had been prescribed.
- The systems and processes in place did not always ensure patients had appropriate and timely access to safe care and treatment and protect them from avoidable harm.
- The provider did not consistently record information in patient medical records to demonstrate that a clinical assessment, diagnosis and treatment plan was completed.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care