The Care Quality Commission
  • Doctor
  • GP practice

Bevan Group Practice

Overall: Good read more about inspection ratings

Beaconsfield Primary Care Centre, Bevan Way, Widnes, Cheshire, WA8 6TR (0151) 424 3986

Provided and run by:
Bevan Group Practice

All Inspections

During an assessment under our new approach

Date of Assessment: 4 and 5 December 2024. Bevan Group Practice is a GP practice which provides a range of primary medical services from its location at Beaconsfield Primary Care Centre, Bevan Way, Widnes, WA8 6TR. The provider also operates a branch surgery at West Bank Medical Centre, Lower Church Street, West Bank, Widnes, WA8 0NG. We looked at 23 quality statements across the safe, effective, responsive and well led key questions and have combined the scores from the last inspection. We found the service had a positive learning culture where lessons were learnt from individual complaints and incidents. Medicines were managed and stored safely. There was a system for recording and acting on safety alerts, however the service was unable to demonstrate that all relevant safety alerts had been acted upon. Safeguarding matters were discussed, however, there were no meetings with local partners, such as health visiting teams, to review vulnerable children. There were appropriate staffing levels and skill mix to ensure safe and effective staffing, however, staff working at the branch surgery sometimes worked alone. Appropriate monitoring and reviews were in place for people with long term conditions, however, our review of patients that may have had a potential missed diagnosis of diabetes, showed some patients had not been followed up appropriately. There were systems to ensure staff were up to date with relevant legislation, evidence-based practice and required standards. Information was shared between teams and services to ensure continuity of care. Leaders were capable, compassionate and inclusive. Staff and leaders acted with openness, honesty and transparency. There were clear and effective governance, management and accountability arrangements.

21 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 8 September 2015. A breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to:

  • Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Beaconsfield Surgery on our website at www.cqc.org.uk.

Our key findings were as follows:

  • The practice had addressed the issues identified during the previous inspection. Disclosure and Barring Service (DBS) checks had been completed for all necessary staff. For those staff that did not require a DBS, a risk assessment had been completed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

8 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Beaconsfield Surgery on 8 September 2015.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at the time of the inspection.

Overall the practice is rated good. Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also outstanding for providing services for the older population group. It required improvement for providing safe services.

Our key findings across all the areas we inspected were as follows:

  • The practice was clean and had good facilities including disabled access.
  • Easy read format information and translation facilities were available both at the practice and on their web site.
  • Information about services and how to complain was available. The practice sought patient views about improvements that could be made to the service, including having a patient participation group (PPG) and acted on feedback.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff worked well together as a team.

There were areas of outstanding practice including:

The practice had built in the flexibility in their appointment system to allow GPs time to book longer appointments or home visits specifically for all the over 75 age group of patients. This enabled the practice to carry out full health and social care assessments even if the patient had no previously diagnosed medical condition.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must

  • Ensure appropriate recruitment checks are carried out for all their staff.

In addition, the provider should:

  • Ensure all members of staff receive further training regarding the practice protocols in place for infection control.

 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

30 September 2013

During a routine inspection

We spoke with 14 patients during our visit. They spoke positively about the practice and commented that they were generally happy with the care they received. However some concerns were expressed about time spent waiting to see the doctors. Comments from patients included; "I call in to see the nurse, she is great"; "the doctors are mostly good but sometimes we cannot make a choice about who we see unless we are prepared to wait for days for an appointment"; "we can get emergency appointments on the day but I have waited for almost an hour and am still waiting"; "the staff are kind and patient and treat me with respect" and "I feel I am treated well by all the staff to include the doctors."

The practice provided patients with information about the services available through their website and leaflets on display in the waiting room.

We found staff had access to contact details for both child protection and adult safeguarding teams.

The practice had an up to date recruitment policy in place. We looked at two personnel files and found contracts in place and evidence of identification and qualification checks.

The practice had a range of policies and procedures in place for staff to access, which supported the safe running of the service.

The practice leaflet and website provided patients with information about how to raise a concern. Patients we spoke with told us they would raise any concerns with the clinical or reception staff.