The Broadshires Health Centre in Carterton 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 5th April 2017
The Broadshires Health Centre is managed by The Broadshires Health Centre.
Contact Details:
Address:
The Broadshires Health Centre Broadshires Way Carterton OX18 1JA United Kingdom
Letter from the Chief Inspector of General Practice
Our previous comprehensive inspection at The Broadshires Health Centre on 26 August 2016 found a breach of regulation relating to the safe provision of services. The overall rating for the practice was good. Specifically, we found the practice to require improvement for provision of safe services. It was good for providing effective, caring, responsive and well-led services. All population groups were rated as good The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for The Broadshires Health Centre on our website at www.cqc.org.uk.
This inspection was a desk-based exercise, accompanied by telephone interviews with four members of staff, carried out on 21 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 26 August 2016. This report covers our findings in relation to the requirements and improvements made since our last inspection.
We found the practice had made improvements since our last inspection. The information supplied by the practice, and telephone interviews carried out on 21 March 2017 confirmed the practice was meeting the regulation that had previously been breached. We have amended the rating for this practice to reflect these changes.
Our key findings were as follows:
The provider kept practice specific clinical and operational policies and protocols under review. These were recorded when they were updated. Staff were aware of the location of policies and said they were easy to access.
There was an appropriate system in place to record and share the outcomes and learning from significant events. Staff we spoke with were able to identify learning from significant events that had occurred since the last inspection.
The procedure for dealing with a break in the cold chain (the procedure for keeping medicines requiring a controlled temperature safe) had been updated. We saw minutes of meetings showed the new procedure had been shared with staff and those we spoke with knew how to manage a break in the cold chain if this occurred.
There was a system in place to ensure minutes of staff team and practice meetings were shared with all staff.
Nationally reported performance data for 2015/16 showed the practice had increased the number of face to face reviews for patients diagnosed with dementia from 78% to 91%. This was above the clinical commissioning group (CCG) average of 87% and national average of 84%. This had been achieved with the practice only removing 2% of patients from this indicator which was below the CCG average of 5% and national average of 7%.
The practice sought patient feedback by various means and acted upon the feedback received. Issues and proposed developments were shared with the online patient participation group (PPG) members. This group were encouraged to comment on practice and local health care developments. A suggestion box was available as well as a comments area on the practice website. The common theme in patient feedback was availability of appointments. The practice undertook a daily review of appointment availability and varied the mix of pre-bookable and on the day appointments to respond to this feedback.
Patient feedback to staff and via the patient comments and suggestion box showed that evening appointments were appreciated by patients of working age who found it difficult to attend for appointments during normal working hours. The practice responded by appointing a further GP to undertake evening clinics and funded this by obtaining GP access funds.
The rating for the provision of safe services has been updated based on the findings of this desk-based exercise. The overall rating of good remains unchanged.
Letter from the Chief Inspector of General Practice
Our previous comprehensive inspection at The Broadshires Health Centre on 26 August 2016 found a breach of regulation relating to the safe provision of services. The overall rating for the practice was good. Specifically, we found the practice to require improvement for provision of safe services. It was good for providing effective, caring, responsive and well-led services. All population groups were rated as good The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for The Broadshires Health Centre on our website at www.cqc.org.uk.
This inspection was a desk-based exercise, accompanied by telephone interviews with four members of staff, carried out on 21 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 26 August 2016. This report covers our findings in relation to the requirements and improvements made since our last inspection.
We found the practice had made improvements since our last inspection. The information supplied by the practice, and telephone interviews carried out on 21 March 2017 confirmed the practice was meeting the regulation that had previously been breached. We have amended the rating for this practice to reflect these changes.
Our key findings were as follows:
The provider kept practice specific clinical and operational policies and protocols under review. These were recorded when they were updated. Staff were aware of the location of policies and said they were easy to access.
There was an appropriate system in place to record and share the outcomes and learning from significant events. Staff we spoke with were able to identify learning from significant events that had occurred since the last inspection.
The procedure for dealing with a break in the cold chain (the procedure for keeping medicines requiring a controlled temperature safe) had been updated. We saw minutes of meetings showed the new procedure had been shared with staff and those we spoke with knew how to manage a break in the cold chain if this occurred.
There was a system in place to ensure minutes of staff team and practice meetings were shared with all staff.
Nationally reported performance data for 2015/16 showed the practice had increased the number of face to face reviews for patients diagnosed with dementia from 78% to 91%. This was above the clinical commissioning group (CCG) average of 87% and national average of 84%. This had been achieved with the practice only removing 2% of patients from this indicator which was below the CCG average of 5% and national average of 7%.
The practice sought patient feedback by various means and acted upon the feedback received. Issues and proposed developments were shared with the online patient participation group (PPG) members. This group were encouraged to comment on practice and local health care developments. A suggestion box was available as well as a comments area on the practice website. The common theme in patient feedback was availability of appointments. The practice undertook a daily review of appointment availability and varied the mix of pre-bookable and on the day appointments to respond to this feedback.
Patient feedback to staff and via the patient comments and suggestion box showed that evening appointments were appreciated by patients of working age who found it difficult to attend for appointments during normal working hours. The practice responded by appointing a further GP to undertake evening clinics and funded this by obtaining GP access funds.
The rating for the provision of safe services has been updated based on the findings of this desk-based exercise. The overall rating of good remains unchanged.
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