Archived: Beversbrook Medical Centre

Updated 7 March 2017

Beversbrook Medical Centre is located in a purpose built building on the outskirts of Calne, in Wiltshire. Most of the consulting rooms are on the ground floor and there is a lift to the first floor if required.

The practice has a registered population of approximately 6,600 patients. Data shows minimal income deprivation among the practice population. There are a higher number of patients aged between 40 and 50 years than the national average. The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice is in the second least deprivation decile. (An area itself is not deprived: it is the circumstances and lifestyles of the people living there that affect its deprivation score. It is important to remember that not everyone living in a

deprived area is deprived and that not all deprived people live in deprived areas). Average male and female life expectancy for the area is 79 and 84 years, which is in line with the national average of 79 and 83 years respectively.

There are two GP partners and two salaried GPs making a whole time equivalent of three GPs. Three are female, one is male. There is a triage nurse, two practice nurses, a health care assistant (HCA) and a trainee HCA. The practice manager, who is also a managing partner in the business, is supported by a team of 10 which includes three apprentices. There is a cleaning team of five staff.

The practice is open between 8am and 6.30pm Monday to Friday. Appointments with GPs are from 9am to 11.30pm every morning and 3pm to 5.40pm every afternoon. Extended surgery hours are offered every Monday between 7am and 8am. They provide a GP phone consultation  service on Tuesday and Thursday evenings.

The practice has opted out of providing out of hours services to their patients. The out of hours service is provided by Medvivo and is accessed by calling NHS 111. There are arrangements in place for services to be provided when the surgery is closed and these are displayed at the  practice and in the practice information leaflet.

Services are delivered via a Personal Medical Services contract (PMS). (PMS contracts are negotiated between NHS England and general practices for delivering medical services).

All services are provided from;

•         Beversbrook Medical Centre, Harrier Close, Calne, Wiltshire, SN11 9UT.

Updated 7 March 2017

Letter from the Chief Inspector of General Practice

When we visited Beversbrook Medical Centre on 26 January 2016 to carry out a comprehensive inspection, we found the practice was not compliant with the regulation relating to good governance. Overall the practice was rated as requires improvement.

We found the practice requires improvement for the provision of effective and well-led services because there were no clear systems for monitoring and learning from significant events, clinical audits, performance data, complaints, or patient and staff feedback. The practice could not use this information to improve performance and patient outcomes.

Following the inspection the provider sent us an action plan that set out the changes they would make and subsequently supplied information to confirm they had completed the actions.

This focused inspection was undertaken to ensure that the practice was meeting the regulation previously breached. For this reason we have only rated the location for the key questions to which this related. This report should be read in conjunction with the full report of our inspection on 26 January 2016, which can be found on our website at www.cqc.org.uk.

Overall the practice is now rated as Good.

Our key findings were as follows:  

• The practice had implemented a significant event policy setting out how to report significant events. We saw a log in which the practice recorded and checked actions that had been taken and minutes of management meetings where significant events had been discussed and learning points identified.  
• The practice told us that all complaints were also treated as significant events and we saw evidence to confirm this.
• We saw from minutes of meetings that the practice was regularly reviewing it’s performance and quality outcomes framework data, and where appropriate making changes to how they worked in order to improve their performance.
• The practice had an audit plan which showed nine clinical audits had been conducted in the last year.
• The practice had a weekly newsletter. This was used to update staff on a wide range of issues. We saw examples of where they had used this to share learning from safeguarding and significant events, provide updates on new guidance and procedures, and gave information on audits as well as a range of other topics.
• There was evidence the practice encouraged and valued feedback from patients, the public and staff, which it used to help improve services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 7 March 2017

We did not inspect the population groups as part of this inspection. However, t he provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 March 2017

We did not inspect the population groups as part of this inspection. However, t he provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 March 2017

​We did not inspect the population groups as part of this inspection. However, the provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 March 2017

We did not inspect the population groups as part of this inspection. However, t he provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 March 2017

We did not inspect the population groups as part of this inspection. However, t he provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 March 2017

We did not inspect the population groups as part of this inspection. However, t he provider had resolved the concerns for effective and well-led services identified at our inspection on 26 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.