• Doctor
  • GP practice

The Hadleigh Practice

Overall: Good read more about inspection ratings

Hadleigh House, 20 Kirkway, Broadstone, Dorset, BH18 8EE (01202) 692268

Provided and run by:
The Hadleigh Practice

Latest inspection summary

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Background to this inspection

Updated 19 December 2016

The Hadleigh Practice is located at Hadleigh House, 20 Kirkway, Broadstone, Dorset BH18 8EE. The practice is purpose built and based in an urban area of Poole. The practice provides services to patients living in the Broadstone and Corfe Mullen areas of East Dorset.

The practice provides services under a NHS Personal Medical Services contract and is part of NHS Dorset Clinical Commissioning Group (CCG). The practice has approximately 20,000 patients registered and is situated in an area of low deprivation and low unemployment compared to the averages for England. The practice population has a higher proportion of older patients and a lower proportion of working aged patients compared to the averages for England. A total of 52% of patients registered at the practice have a long-standing health condition compared to the national average of 54%.

The Hadleigh Practice has a branch surgery three miles away at Hadleigh Lodge, 216a Wareham Rd, Corfe Mullen, Wimborne BH21 3LN. The management of both locations is organised at The Hadleigh Practice, and staff work across both sites. Patients are able to make appointments at both locations. We did not visit the branch surgery as part of this inspection.

The practice has six male GP partners, three female GP partners and three male partners as well as one male and four female salaried GPs. Together, the GPs provide care equivalent to approximately 12 full time GPs over approximately 100 sessions per week across both sites. The GPs are supported by one full-time Nurse Practitioner, who is a non-medical prescriber. Six practice nurses and four health care assistants also provide a range of services to patients. Together the nurses are equivalent to just over six full time nurses. The clinical team are supported by a management team andsecretarial and administrative staff. The practice is a training practice for doctors training to be GPs and a teaching practice for medical students. At the time of our inspection, there were four GP registrars (trainee GPs) who were supported by the practice.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments are available between 8.30am and 12pm and again from 2pm to 6.30pm daily. Extended hours appointments are offered every Monday, Tuesday and Wednesday between 6.30pm and 8pm and twice a month on Saturdays from 8am until 12pm. The practice telephone lines and reception desk are open between 8am and 6.30pm. The Hadleigh Practice has opted out of providing out-of-hours services to their own patients and refers them to the out of hour’s service via the NHS 111 service, or to the nurse-led Minor Injuries Unit in Wimborne, four miles away. Patients are advised of the out of hours arrangements via the practice website, and information displayed within the practice.

The practice offers a range of additional in-house services to patients including antenatal care, midwifery, ophthalmology, travel advice, cryotherapy, physiotherapy, sexual health services, joint injections and minor skin operations. The practice offers online facilities for booking of appointments and for requesting prescriptions.

On this inspection, we visited The Hadleigh Practice located at:

Hadleigh House

20 Kirkway

Broadstone

Dorset

BH18 8EE

We previously inspected The Hadleigh Practice on 25 April 2016. Following this inspection, the practice was given an overall rating of Requires Improvement. A copy of the report detailing our findings can be found at www.cqc.org.uk

Overall inspection

Good

Updated 19 December 2016

Letter from the Chief Inspector of General Practice

We carried out a focused inspection of The Hadleigh Practice on 15 November 2016 to check whether the practice had made the improvements in providing care and services that were safe, effective and well-led. The practice was able to demonstrate that they had made the required improvements to meet the regulations. The practice is now rated as good for safe, effective and well-led services. The overall rating for the practice is now good.

We had previously carried out an announced comprehensive inspection at The Hadleigh Practice on 25 April 2016 when we rated the practice as requires improvement overall. The practice was rated as good for being caring and responsive and requires improvement for safe, effective and well-led. This was because blank prescriptions were not safely tracked by the practice and the practice had not acted on the recommendations of infection control audits. There were also gaps in the training which the practice considered necessary for staff and the security of clinical areas. During the 25 April 2016 inspection we found that fridge temperatures were being recorded, however when temperatures went out of the safe range for the storage of vaccines, this was not consistently acted upon. We also found that governance systems to adequately manage risks to patients and staff were not consistently followed through. Following our last inspection, we asked the provider to send a report of the changes they would make to comply with the regulations they were not meeting at that time. We received this on 22 August 2016. We revisited the practice on 15 November 2016 to check the improvements had been made.

Our key findings across the areas we inspected on 15 November 2016 were as follows:

  • There was an effective system in place for reporting and recording of significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained in order to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The premises and equipment used by the practice were clean and secure.
  • There were effective governance arrangements in place in order to monitor the quality and performance of the practice.

This report should be read in conjunction with the full inspection report, which can be found at www.cqc.org.uk/

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice