• Doctor
  • GP practice

Archived: Central Hove Surgery

Overall: Good read more about inspection ratings

The Central Hove Surgery, Ventnor Villas, Hove, East Sussex, BN3 3DD (01273) 744911

Provided and run by:
Central Hove Surgery

All Inspections

14 July 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

The practice was rated good overall and is now rated good for providing safe services.

We carried out an announced comprehensive inspection of this practice on 22 March 2016. Breaches of legal requirements were found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the legal requirements. We conducted a focused inspection on 14 July 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

During our previous inspection on 22 March 2016 we found the following areas where the practice must improve:-

  • Put arrangements in place to ensure the safe use of medicines.

Our previous report also highlighted areas where the practice should improve:

  • Undertake a formal, written risk assessment regarding the decision not to have a defibrillator on the practice premises.

  • Develop an ongoing audit programme that demonstrates continuous improvements to patient care in a range of clinical areas. Ensure there are at least two cycles of a clinical audit.

  • Ensure that higher levels of exception reporting for the quality and outcomes framework are kept under review.

  • Hold regular meetings with the patient reference group and ensure feedback is sought on practice specific issues.

  • Undertake pre-employment health checks for all new staff.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

During this inspection we found:

  • The practice had invested in new vaccine fridges and there was an updated cold chain policy which was adhered to.

  • The practice had updated their prescription security protocol to include the security of prescriptions. There was a register of prescription ordering and distribution which included serial numbers of prescriptions issued.

We also found in relation to the areas where the practice should improve:

  • The practice had taken the decision to have a defibrillator on the practice premises and this was in place.

  • The practice had an active audit culture in place and had conducted a two cycle audit since our initial inspection.

  • The practice provided us with minutes of meetings during which discussion relating to reducing exception reporting had taken place.

  • The practice had introduced a protocol of undertaking pre-employment health checks for all new staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22 March 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Central Hove Surgery on 22 March 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Effective arrangements for managing medicines were not in place.
  • 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 spoke very positively about their experience of the practice said they were treated with compassion, dignity and respect.
  • Patients said they usually found it easy to make an appointment and that urgent appointments were available the same day. However, they sometimes found it difficult to get through on the telephone.
  • The practice was well led and staff felt supported by management.
  • The practice sought feedback from staff and patients, which it acted on.
  • Information about how to complain was available and easy to understand. The practice had effective arrangements in place for dealing with and responding to complaints.
  • The practice did not have a defibrillator on the premises.

The areas where the provider must make improvement are:-

  • Put arrangements in place to ensure the safe use of medicines.

The areas where the provider should make improvement are:-

  • Undertake a formal, written risk assessment regarding the decision not to have a defibrillator on the practice premises.

  • Develop an ongoing audit programme that demonstrates continuous improvements to patient care in a range of clinical areas. Ensure there are at least two cycles of a clinical audit.

  • Ensure that higher levels of exception reporting for the quality and outcomes framework are kept under review.

  • Hold regular meetings with the patient reference group and ensure feedback is sought on practice specific issues.

  • Undertake pre-employment health checks for all new staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

4 June 2014

During a routine inspection

Central Hove Surgery is situated in an urban area to the West of Brighton. It provides primary medical services to approximately 5232 patients who reside in the local area. The practice is registered with the Care Quality Commission (CQC) to provide diagnostics and screening, treatment of disease, disorder and injury and maternity and midwifery services to its patients.

We spoke with eight patients on the day of inspection and received other information about the views of patients from 18 comment cards provided by the CQC and left in a box in reception. We also looked at the results of patient satisfaction surveys carried out by the practice. Patients were generally complimentary about the quality of care provided by the practice. They told us staff were approachable, kind and caring. They told us they felt staff always acted professionally. Patients told us they felt fully involved in their care and were provided with sufficient information to make informed choices about their care and treatment.

The premises had been adapted for use by the practice. All of the consultation rooms were on the ground floor with level access. There were wheelchair accessible toilets next to the waiting area. We were informed that the practice recognised that it had outgrown its current premises and had plans to move to a new local site when circumstances allowed. The practice was clean and well maintained.

Staff told us they felt well supported by management of the practice. They felt they could have a say in how the practice was run. They received appropriate training to support them in their job role. Management encouraged staff members to undertake external qualifications beyond basic requirements and recognised the benefit to the practice of having a skilled and trained workforce.

There was a detailed business and financial plan in place which provided clear indicators of the success and efficiency of the practice. The practice manager ensured that their policies and procedures were followed routinely by staff. Staff had employee handbooks and access to all documents which were reviewed and discussed during clinical and staff meetings.

During our inspection we looked at how well services were provided for specific groups of people and what good care looked like for them. The population groups we reviewed were:

  • Older people

We found older patients received a good quality service that was consistent, flexible and coordinated.

  • People with long term conditions

Patients with long term conditions were well supported to manage their health, care and treatment. They were signposted to sources of support and information about their condition.

  • Mothers, babies, children and young people

Central Hove Surgery worked closely with other health care organisations to improve the health and wellbeing of their younger population.

  • The working age population and those recently retired

The practice provided early evening appointments on one day per week to improve access to appointments for working age patients.

  • People in vulnerable circumstances that may have poor access to primary care

The practice effectively assessed and monitored the practice population needs, including patients in vulnerable circumstances.

  • People experiencing mental health problems

The practice worked collaboratively with local mental health organisations to provide support for patients with mental health conditions.

Site visited for inspection:

Ventnor Villas

Hove

East Sussex

BN3 3DD