Woodlands Park Surgery

Updated 26 August 2016

Woodlands Park Surgery is situated in Maidenhead, Berkshire within converted residential premises. All patient services are offered on the ground and first floors. The practice comprises of three consulting rooms, one treatment room, a patient waiting area, a reception area, administrative and management office. There is limited car parking for patients and practice staff.

The practice has core opening hours from 8am to 6.30pm Monday to Friday. The practice offers a range of scheduled appointments to patients every weekday from 8.30am to 5.40pm including open access appointments with a duty GP throughout the day. Extended hours appointments are available at the premises Monday and Thursday mornings from 7.30am to 8am. In addition, the patients are able to access pre-bookable extended hours appointments Monday to Friday from 6.30pm to 9pm, and Saturday and Sunday from 9am to 1pm at Kings Edward Hospital and Saint Marks Hospital (funded by Prime Minister’s Access Fund).

The practice had a patient population of approximately 3,000 registered patients. The practice population of patients aged between 0 to 4 and 50 to 69 years old are higher than the national averages and there are lower number of patients aged between 10 to 24 and 70 to 84 years old compared to national averages.

Ethnicity based on demographics collected in the 2011 census shows the local population is predominantly White British and 11% of the population is composed of patients with an Asian, Black or mixed background. The practice is located in a part of Maidenhead with the lowest levels of income deprivation in the area.

There is one principal GP, three salaried GPs and two long term locum GPs at the practice. Four GPs are female and two male. The principal GP has been awarded MBE (An MBE is an award given by the Queen to an individual for outstanding service to the community or local 'hands on' service). The practice employs a practice nurse. The practice clinical manager (also an advanced health care assistant) is supported by a team of administrative and reception staff. Services are provided via a General Medical Services (GMS) contract (GMS contracts are negotiated nationally between GP representatives and the NHS).

Services are provided from following location:

Woodlands Park Surgery

15 Woodlands Park Road

Maidenhead

SL6 3NW

The practice has opted out of providing out of hours services to their patients. There are arrangements in place for services to be provided when the practice is closed and these are displayed at the practice, in the practice information leaflet and on the patient website. Out of hours services are provided during protected learning time by East Berkshire Primary Care service or after 6.30pm, weekends and bank holidays by calling NHS 111.

Updated 26 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Woodlands Park Surgery on 14 July 2016. Overall the practice is rated as good.

Specifically, we found the practice good for providing safe, effective, caring, responsive and well led services.

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. The majority of information about safety was recorded, monitored and reviewed.
• Risks to patients were assessed and well managed.
• We found that completed clinical audits cycles were driving positive outcomes for patients.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• 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 were available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and 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 an anti-coagulation clinic (an anti-coagulant is a medicine that stops blood from clotting) offered onsite, resulting in 39 patients who required this service not having to travel to local hospitals.
• There was a practice register of 309 patients (10% of the practice patient population list size ) who were carers and they were being supported, for example, by offering health checks and referral for social services support.
• 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.
• The provider was aware of and complied with the requirements of the Duty of Candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 August 2016

The practice is rated as good for the care of people with long-term conditions.

• There were clinical leads for chronic disease management and patients at risk of hospital admission were identified as a priority.
• Performance for diabetes related indicators was better than the CCG and national average. The practice had achieved 100% of the total number of points available, compared to 94% locally and 89% nationally.
• Longer appointments and home visits were available when needed.
• All patients with long term conditions had a named GP and the practice carried out a structured annual review to check that their health and medicines needs were being met.
• For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 26 August 2016

The practice is rated as good for the care of families, children and young patients.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young patients who had a high number of A&E attendances.
• Immunisation rates were mixed for all standard childhood immunisations.
• Patients told us that children and young patients were treated in an age-appropriate way and were recognised as individuals.
• The practice’s uptake for the cervical screening programme was 96%, which was higher than the national average of 82%.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw good examples of joint working with midwives, health visitors and school nurses.

Updated 26 August 2016

The practice is rated as good for the care of older patients.

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• It was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• There was a register to effectively support patients requiring end of life care.
• There were good working relationships with external services such as district nurses.
• The premises was accessible to those with limited mobility.

Updated 26 August 2016

The practice is rated as good for the care of working-age patients (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.
• Extended hours appointments were available at the premises Monday and Thursday mornings from 7.30am to 8am. In addition, the patients were able to access pre-bookable extended hours appointments Monday to Friday from 6.30pm to 9pm, and Saturday and Sunday from 9am to 1pm at Kings Edward Hospital and Saint Marks Hospital (funded by Prime Minister’s Access Fund).

Updated 26 August 2016

The practice is rated as good for the care of patients experiencing poor mental health (including people with dementia).

• Performance for dementia face to face review was better than the CCG and national average. The practice had achieved 100% of the total number of points available, compared to 83% locally and 84% nationally.

• 94% of patients experiencing poor mental health were involved in developing their care plan in last 12 months.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health how to access various support groups and voluntary organisations.
• Systems were in place to follow up patients who had attended accident and emergency, when experiencing mental health difficulties.
• Staff had a good understanding of how to support patients with mental health needs and dementia.

Updated 26 August 2016

The practice is rated as good for the care of patients whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless patients, travellers and those with a learning disability.
• It offered annual health checks for patients with learning disabilities. Health checks and care plans were completed for six out of seven (86%) patients on the learning disability register.
• Longer appointments were offered to patients with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients.
• The practice told vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.