Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection June 2015– Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

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 – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Wyke Regis and Lanehouse Medical Practice on 30 January 2018 as part of our inspection programme.

At this inspection we found:

• Since our last inspection the practice had undergone a merger in August 2017 and had changed its name to Wyke Regis and Lanehouse Medical Practice on 1 February 2018. Performance data in the report prior to August 2017 refers to before the time of the merger and therefore related to the main location only.

• 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.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

• The practice worked jointly with other practices and external services in Weymouth to support the care needs of patients aged over 75 years and avoid admission to hospital.

• The practice employed a chronic disease nurse specialist and three chronic disease nurses who had all received specific training to review patients with long term conditions.

• Clinics for patients with long term conditions were available on Saturday mornings to ensure the practice continued to meet the demand of patients’ needs.

• Children aged under 12 years were able to see a GP or nurse without an appointment, via the ‘sit and wait’ clinic which was offered each day the practice was open.

• We saw evidence that the practice had implemented systems to improve the quality of care and positive outcomes for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wyke Regis Health Centre, Portland Road, Wyke Regis, Weymouth, Dorset, DT4 9BE on 17 June 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for the care of older people, people with long-term conditions, care of families, children and young people, working-age people (including those recently retired and students),care of people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.

• Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• Information about services and how to complain was available and easy to understand.

• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider should make improvements:

The practice whistleblowing policy covered how to raise concerns internally and should include how to raise a concern externally and how the whistle blower is protected by law.

The practice policies and information for staff which are held on computers should have a clear indexing or version control system to ensure staff can find the most up to date policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Wyke Regis Medical Practice is a GP practice providing primary care services for people in and around Wyke Regis, Dorset. It is registered to deliver a range of services including diagnosis, screening and treatment, minor surgery, family planning, maternity and midwifery services. The practice has a total of seven GPs supported by a nursing team and an administration team for approximately 8,000 registered patients. It is also a GP training practice providing educational development for new GPs. Opening times are Monday to Friday from 8.30am to 6.30pm. Late appointments are offered on Monday evenings until 7.30pm, and early appointments on Tuesday mornings from 7.30am. The practice is closed at lunchtimes between 1 – 2 pm.

Wyke Regis Medical Practice has one location registered with the CQC. This is at Wyke Regis Health Centre, Portland Road, Wyke Regis, Dorset DT4 9BE where we carried out our announced inspection visit on 6 June 2014.

The practice provided a service that was caring, responsive and well-led. There are areas needing improvement to ensure thesafety of the service provided.