Archived: Botley Surgery

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

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 Botley Surgery as part of our inspection programme. This service first registered with CQC in September 2017 and this was our first inspection of the service.

The service at Botley Surgery provides extended hours primary care appointments for patients of the Eastleigh Southern Parishes Network (ESPN) and a limited number of urgent care appointments booked via the NHS 111 out-of-hours call centre. These appointments are offered at evenings, weekends and on bank holidays.

The provider, Eastleigh Southern Parishes Limited, is a federation of five practices within the Eastleigh Southern Parishes Network, which was formed in 2015. The network covers the patient population of Blackthorn Health Centre, West End Surgery, Hedge End Medical Centre, Bursledon Surgery and St Lukes Surgery, with a total population of about 50,000 patients. The service’s clinical care is provided by a mix of GPs, nurse practitioners (including prescribers), practice nurses, musculoskeletal physiotherapists and mental health “first point of contact” practitioners.

The ESPN operations director is the registered manager of this service. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• Staff had direct access to patient information to deliver safe and effective care.
• Patients accessed appointments and advice in a timely way.
• Staff treated patients with kindness, respect and compassion.
• The provider sought feedback from patients and this was consistently positive about the quality and timeliness of care and treatment.
• Staff knew what actions to take to safeguard people from abuse.
• There were systems in place to ensure patients were cared for by trained staff.
• The leaders had the skills to deliver high-quality care and work collaboratively with others.
• A positive culture was supported encouraged within the service.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• Information was collected routinely and used by leaders to make informed decisions about the service.
• There was a culture of reporting and learning from incidents and complaints.

The areas where the provider must make improvements are:

Care and treatment must be provided in a safe way, in respect of

• the management of prescription stationery,
• the review of prescribing competency,
• assuring safety alerts are acknowledged, read and acted upon by relevant staff.

The areas where the provider should make improvements are:

• Create a checklist for staff recruitment to provide a record that staff checks are completed safely.
• Set up regular systems of assurance relating to the safety of the premises used for the delivery of services.
• Continue to identify and manage risks relating to the quality and safety of the service.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care