Colwall Surgery

Updated 31 July 2018

Colwall Surgery operates from a purpose built building providing services for patients living in Colwall and surrounding villages including parts of Malvern and Ledbury. Services are provided under a General Medical Services (GMS) contract with NHS England for delivering primary care services to local communities.

The provider is registered with CQC to deliver the following regulated activities; diagnostic and screening procedures, maternity and midwifery services, treatment of disease, disorder or injury and screening and surgical procedures.

At the time of the inspection the practice served a population of 3,150 patients. The practice provides primary medical care to people living in care homes in the catchment area. The area has a high elderly population and most patients speak English as their first language. The practice population is the eight least deprived decile in England. Level one represents the highest levels of deprivation and level 10 the lowest.

The provider is a single handed female GP who registered with CQC in July 2017. The practice employs a number of long term locum GPs (male), a locum nurse, a healthcare assistant and a number of administration staff. At the time of inspection the practice had recently appointed two practice nurses. The practice is supported by a practice manager, who is also a part time practice nurse. Pharmacy support is also available from the clinical commissioning group (CCG).

The practice has three ground floor consultation rooms and two treatment rooms. There is suitable access to the building for patients with a disability or those patients who use a wheelchair. A car park with disabled parking for patients is available.

The practice treats patients of all ages and provides a range of medical services. This includes disease management such as asthma, diabetes and lung diseases. Other appointments are available for health checks, childhood vaccinations and screening.

Home visits are available for patients who are housebound or too ill to attend the practice for appointments. There is also an online service which allows patients to order repeat prescriptions book appointments and to view medical records.

The practice is a training practice for trainee GPs (qualified doctors who are training to become GPs).

Opening hours are from 8am to 6pm on Monday to Friday each week with appointments between these times. The practice does not provide an out-of-hours service to their own patients. When the practice is closed patients are directed to contact Primecare via NHS 111.

The provider registered with CQC in July 2017. Unless stated, results used throughout the report relate to the previous provider.

The practice website can be viewed at: Colwallsurgery.co.uk

Updated 31 July 2018

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Colwall Surgery on 26 June 2018. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The new provider had thoroughly reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
• There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• There was clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying and mitigating risks of health and safety.
• There were clear responsibilities, roles and systems of accountability to support effective governance.
• The practice worked proactively with other organisations to ensure patients had access to a range of services to support their health and wellbeing.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice responded to complaints in a timely and open manner.
• The practice had an established and engaged Patient Participation Group (PPG) who were integral to the development of the practice.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

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

Updated 31 July 2018

Updated 31 July 2018

Updated 31 July 2018

Updated 31 July 2018

Updated 31 July 2018

Updated 31 July 2018