• Doctor
  • GP practice

Melrose Surgery, Reading Also known as Melrose Surgery

Overall: Good read more about inspection ratings

73 London Road, Reading, Berkshire, RG1 5BS (0118) 959 5200

Provided and run by:
Melrose Surgery

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 17 May 2018

Melrose Surgery provides primary medical services to the population of central Reading and is located opposite the Royal Berkshire Hospital. The practice serves a population of over 10,500 patients in an area of medium deprivation. The population is younger than national average and has a high ethnic diversity. In addition, there is high incidence of drug and alcohol addiction, heavy smokers and patients affected by HIV and other sexually transmitted diseases. These factors alongside socio-economic deprivation are linked to a high prevalence of patients with long term conditions such as diabetes, cardio-vascular disease and Chronic Obstructive Pulmonary Disease (lung disease).

The practice has a larger proportion of patients of working age and young children (up to four years old) compared with both local and national averages. There are a high number of patients from ethnic minority backgrounds including Pakistani, Nepalese and Afro-Caribbean cultures. The practice has students registered with them from the local university and broadly a transient population overall. In addition the practice looks after residents from three nursing and care homes.

All services are provided from a four storey, grade II listed building at:

73 London Road

Reading

Berkshire

RG1 5BS

The practice has access via steps to the main reception entrance with disabled and wheelchair access at the rear of the main building. Improvements to disabled access are planned for summer 2018.

There are two GP partners, three salaried GPs, and three regular locum GPs, with a mix of females and males. Three practice nurses (including a male and two females) including a nurse prescriber also provide care to patients. One health care assistant is also employed. A practice manager, administration staff and reception staff support the operation of services.

The GPs currently undertake 32 sessions per week between them. Daily nurse appointments are available. Extended hours are available two days a week, one morning and one evening and in addition a Saturday morning clinic every other week. Extended hours appointments are available with nurses and GPs.

The practice is open from 8am to 6.30pm Monday to Friday.

The practice has opted out of providing out of hours services to their patients. Out of hours services are provided by Westcall. The out of hours service is accessed by calling NHS 111. There are arrangements in place for services to be provided when the surgery is closed and these are made clear to patients.

The practice formed a new legal entity following a merger with another practice in March 2017. Since the merger a number of improvements to the premises have been made.

Overall inspection

Good

Updated 17 May 2018

This practice is rated as good overall. This was the first inspection at this practice.

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

We carried out an announced comprehensive inspection at Melrose Surgery on 9 April 2018 as part of our planned inspection programme.

At this inspection we found:

• When incidents happened, the practice learned from them and improved their processes.

• Safety systems were operated effectively; including health and safety and emergency risk management.

• Staff had the skills, knowledge and experience to carry out their roles.

• Performance data, particularly for people with long-term conditions were better than local and national averages.

• There were systems to review the effectiveness of the care and evidence that the practice was auditing medicines and antimicrobial use.

• Staff involved patients in care decisions 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. The practice offered a flexible range of appointments and services.

• There were proactive governance processes and systems for business planning, risk management, performance and quality improvement.

• Patient feedback was acted on where improvements were identified.

We saw one element of outstanding practice:

  • Diabetic patients received annual Doppler ultrasound assessments within the practice by staff trained to do so. A Doppler ultrasound assessment provides clinicians with imaging of foot arteries and this assessment means patients can be informed of any potential complications regarding their foot health earlier than they may otherwise be.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice