• Doctor
  • GP practice

Avenue Surgery Partnership

Overall: Good read more about inspection ratings

The Avenue Surgery, 14 The Avenue, Warminster, Wiltshire, BA12 9AA (01985) 224600

Provided and run by:
Avenue Surgery Partnership

Latest inspection summary

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Background to this inspection

Updated 19 June 2018

Avenue Surgery Partnership is a GP practice located in Warminster, Wiltshire. It is one of 47 practices within the Wiltshire Clinical Commissioning Group (CCG) area and has around 17,600 patients.

The practice occupies a purpose-built building with patient services located on the ground and first floors. There are eight consulting rooms. There are automatic front doors, a toilet suitable for disabled patients and a lift to the first floor.

The practice has a branch surgery approximately 300 yards away which is used as their urgent care centre. It has six treatment rooms on the ground floor with administration offices on the first floor. There are automatic front doors and a toilet suitable for disabled patients. We visited this building during the inspection.

The practice is registered to provide the following regulated activities:

  • Diagnostic and screening procedures;
  • Family planning;
  • Maternity and midwifery services;
  • Surgical procedures;
  • Treatment of disease, disorder or injury.

The practice provides a number of services and clinics for its patients including childhood immunisations, family planning, minor surgery and a range of health lifestyle management and advice including asthma management, diabetes, heart disease and high blood pressure management.

Data available shows a measure of deprivation in the local area recorded a score of 8, on a scale of 1-10, where a higher score indicates a less deprived area. (Note that the circumstances and lifestyles of the people living in an area affect its deprivation score. Not everyone living in a deprived area is deprived and not all deprived people live in deprived areas). The area the practice serves has relatively low numbers of patients from different cultural backgrounds. 97% of the practice population describes itself as white British. Average male and female life expectancy for patients at the practice is 80 years and 84 years respectively, which is the same as the Wiltshire average and in line with the national average of 79 and 83 years respectively.

There are eight full time GP partners, four nurse prescribers, three practice nurses and seven health care assistants. They are supported by a reception and administrative team of 24 staff and four managers led by the practice manager.

The practice is a training practice for trainee GPs.

The practice is open 8am to 8pm on Monday, Tuesday and Thursday, 7.30am to 8pm on Wednesday and 7.30am to 6.30pm on Friday. Appointments with a GP 8am to 12pm and from 2pm to 8pm, Monday to Thursday and 8am to 12pm and from 2pm to 6.30pm on Friday. The practice offered extended hours appointments in line with their service contract with the Wiltshire Clinical Commissioning Group, although they had chosen to offer routine appointments over a wider range of hours than the extended hours.

The practice has opted out of providing a full Out Of Hours service to its own patients. Patients can access an Out Of Hours GP service by calling NHS 111. Information about how to contact the out of hours service was available in the waiting area and on the practice website.

The practice has a General Medical Services contract with NHS England (a locally agreed contract negotiated between NHS England and the practice).

The practice provides services from the following sites:

  • The Avenue Surgery 14 The Avenue Warminster Wiltshire BA12 9AA

The practice has a website containing further information. It can be found here: www.avenuesurgery.co.uk

Overall inspection

Good

Updated 19 June 2018

This practice is rated as Good overall.

We previously inspected the practice in March 2015 when we rated them good overall and for all the key questions.

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 the Avenue Surgery Partnership on 15 May 2018, as part of our inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • The practice proactively identified patients who were carers, including young carers. This group of patients were offered additional support.
  • Staff involved 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 had a Domestic Abuse policy and had developed services to support this.
  • The practice was working with the local authority on the national programme to resettle Syrian refugees. They were providing care for a number of families in the area.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Review the newly implemented system for sharing learning points from complaints and significant events to ensure it is effective.
  • Review their complaints procedure and it’s implementation against best practice guidance.
  • Review their newly implemented system for monitoring the distribution and use of blank handwritten prescription forms to ensure it is effective and in line with recognised guidance.
  • Review their system for the recording and governance of staff training the practice considers essential

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