• Doctor
  • Urgent care service or mobile doctor

Archived: Urgent Care Centre (Paulton)

Overall: Requires improvement read more about inspection ratings

Paulton Memorial Hospital, Salisbury Road, Paulton, Bristol, BS39 7SB 0300 123 1761

Provided and run by:
Vocare Limited

Latest inspection summary

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Background to this inspection

Updated 2 February 2018

Urgent Care Centre, Paulton is the registered location for the GP out-of-hours (OOH) service provided by Vocare Limited based at Paulton Memorial Hospital.

Vocare provides two services within Bath and North East Somerset (BaNES) under a contract with the BaNES Clinical Commissioning Group. The Urgent Care Centre at Royal United Hospital (RUH) Bath is a GP OOH service and urgent care centre and shares the staff and processes with the GP OOH service based at Paulton. It has been inspected separately as it is registered as a separate location with the CQC.

The service covers a population of approximately 540,000 people across the county of Bath and North East Somerset. Deprivation in BaNES overall is lower than the national average and it has relatively low numbers of patients from different cultural backgrounds.

The OOH service based at Paulton works alongside the OOH service and the urgent care centre based at RUH and provides GP services to patients when practices are closed. Patients access the service via the NHS 111 service. If the NHS 111 assessment concludes that the most appropriate course of action is for the patient to be managed by the GP OOH service then NHS 111 schedule an appointment directly into the GP OOH computer system. Patients may also be allocated an appointment for a home visit with a GP or may receive a telephone consultation depending on the clinical needs assessed by NHS 111. The GP OOH service is open from 7pm to 11pm Monday to Friday and 8am to 12am Saturday, Sundays and bank holidays. During the out-of-hours periods where Paulton is not open, overnight cover and support is provided from the RUH service.

Overall inspection

Requires improvement

Updated 2 February 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Urgent Care Centre, Paulton on 28 February and 1 March 2017 The overall rating for the service was requires improvement. The full comprehensive report on the 28 February and 1 March 2017 inspection can be found by selecting the ‘all reports’ link for Urgent Care Centre, Paulton on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 12 December 2017 to confirm that the service 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 28 February and 1 March 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the service remains rated as Requires Improvement

Our key findings were as follows:

  • Systems for logging checks of medicines and equipment had been implemented. We found that medicines were in date and that equipment had been appropriately calibrated.

  • Communication and management support for staff had improved.

  • Not all staff had received chaperone training and management were unaware of this.

  • Not all staff had received performance appraisals.

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

Importantly, the provider must:

  • Ensure that systems and processes are established and operating effectively to support good governance.

  • Ensure that staff have received appropriate training and appraisal.

In addition the provider should:

  • Ensure that equipment and medicine checking logs encompass all relevant information in order to support staff appropriately.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice