Peartree Practice, Southampton.Peartree Practice in Southampton is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 10th May 2019 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
27th March 2019 - During a routine inspection
We carried out an announced comprehensive inspection at Chessel Practice on 27 March 2019 as part of our inspection programme.
This service was placed in special measures in September 2017. We found that the practice had improved when we undertook the follow up inspection on 20 February 2018.
However, the practice needed time to ensure that there was more evidence that the improvements were embedded properly and that the improvements were sustained.
At this inspection were saw that improvements had been maintained.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups.
We found that:
Whilst we found no breaches of regulations, the provider should:
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
20th February 2018 - During a routine inspection
This practice is rated as Requires Improvement overall. (Previous inspection 06/2017 – Inadequate).
The key questions are rated as:
Are services safe? – Good
Are services effective? – Requires Improvement
Are services caring? – Requires improvement
Are services responsive? – Requires Improvement
Are services well-led? – Requires Improvement
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those recently retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people with dementia) - Requires Improvement
As a result of the inspection in June 2017 a warning notice was served and the practice had been placed into special measures in September 2017. The practice was re inspected in October 2017 to follow up on the warning notice and was found to have completed the requirements of the notice.
We carried out an announced comprehensive inspection at Chessel Practice on 20 February 2018 to check that sufficient improvements had been made to bring the practice out of special measures and improve the rating from Inadequate.
At this inspection we found:
The areas where the provider should make improvements are:
This service was placed in special measures in September 2017. We found that the practice had improved when we undertook the follow up inspection on 20 February 2018
However, the practice needs time to ensure that there is more evidence that the improvements are embedded properly and that the improvements are sustained.
I am taking this service out of special measures. This recognises the improvements made to the quality of care provided by the service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
19th October 2017 - During an inspection to make sure that the improvements required had been made
Letter from the Chief Inspector of General Practice
We carried out an announced focussed inspection at Chessel Practice on 19 October 2017 to follow up on two warning notices.
Our previous inspection in June 2017 was a comprehensive inspection and we rated the practice inadequate overall and this will remain unchanged until we undertake a further full comprehensive inspection within six months of the publication date of the initial report. As a result of the inspection warning notices were served. The timescale given to comply with the warning notice was 11 September 2017.
The warning notices served related to regulations 12 and 17 Health and Social Care Act as a result of the following issues:
Risk assessments relating to the health, safety and welfare of people using services were not fully completed and reviewed regularly by people with the qualifications, skills, competence and experience to do so.
Safety records, incident reports, national patient safety alerts and minutes of meetings showed that lessons were not always completely shared to make sure action was taken to improve safety in the practice.
Meeting minutes were not recorded with details of local reviews of significant events or required action and who was dealing with the action.
Medication reviews did not always align with, people’s care and treatment assessments, plans or pathways and should be completed and reviewed regularly when their medication changes.
The practice did not ensure all leaders had the necessary experience, knowledge, capacity and capability to lead effectively. We were told that there was no clinical lead present at the practice on a day to day basis
Governance arrangements and risk management were not fully embedded. The partners were not always visible in the practice and staff told us they were not always approachable and took the time to listen to members of staff. Staff told us that there was poor communication in the practice between the staff and GP partners.
The registered GP partners had minimal knowledge of what was happening during day-to-day services at the practice and did not have the capacity or capability to lead effectively.
At our inspection on 19 October 2017 we found the provider had complied with the warning notice in relation to regulations 12 and 17.
Our Key findings were:
There were now more systems and processes in place which need to be imbedded to demonstrate consistency in delivery; for example
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
20th June 2017 - During an inspection to make sure that the improvements required had been made
Letter from the Chief Inspector of General Practice
This inspection was an announced focused inspection carried out on Tuesday 20 June 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 27 October 2016. This report covers our findings in relation to those requirements.
This practice has a branch practice at 4 Chessel Avenue, Bitterne, Hampshire, SO19 4AA. During this inspection we did not visit the branch practice.
The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Chessel Practice on our website at www.cqc.org.uk.
Overall the practice was rated as requires improvement following the October 2016 inspection. The practice was rated as follows Safe: Good, Effective: Requires Improvement, Caring: Good, Responsive: Requires Improvement, Well Led: Requires Improvement.
Our key findings at the 20 June inspection were:
There was no one who had oversight of clinical performance and activity to maintain, and where needed, improve care and treatment. Although we were told at the time of this inspection that a GP from the other practice was always available to assist with clinical leadership.
The areas where the provider must make improvements are:
The areas where the provider should make improvements are:
I am placing this practice in special measures. Practices placed in special measures will be inspected again within six months. If insufficient improvements have been made so a rating of inadequate remains for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.
Special measures will give patients who use the practice the reassurance that the care they get should improve.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
27th October 2016 - During an inspection to make sure that the improvements required had been made
Letter from the Chief Inspector of General Practice
This inspection was an announced focused inspection carried out on Thursday 27 October 2016 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 Thursday 25 February 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Chessel Practice on our website at www.cqc.org.uk.
Overall the practice is now rated as requires improvement.
At our previous inspection, we found that the practice had not ensured that:
Our key findings for this inspection were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
25th February 2016 - During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Chessel Practice on 25 February 2016. Overall the practice is rated as requires improvement.
At the time of our visit the practice was preparing for a time of change and was being supported by Integrated Medical Holdings (IMH) who were providing back office functions and clinical support. IMH provided us with a comprehensive plan of how they were intending to work at the practice and the new practice manager had been recruited by IMH to introduce improvements at the practice.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
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