• Doctor
  • GP practice

Archived: West One Surgery

Overall: Good read more about inspection ratings

West Street, Crewkerne, Somerset, TA18 8AY (01460) 75746

Provided and run by:
Dr Michael Osborne

Latest inspection summary

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Background to this inspection

Updated 31 January 2017

West One Surgery is located in the centre of Crewkerne, Somerset. The practice serves a local and rural population of approximately 2100 patients from Crewkerne and the surrounding villages. The practice relocated to the current premises in August 2013, it has public parking adjacent to the premises including spaces for patients with a disability. The practice has a number of rooms which it makes available to other services, these include; a counsellor, a podiatrist as well as a hypnotherapist.

West One Surgery is a small family run practice with three family members having key roles in the practice; a GP, a practice nurse and the practice manager. There are two GPs who between them provide 12 GP sessions each week and are equivalent to 1.2 whole time employees. One GP is female, the other is male. There are two practice nurses providing a total of eight sessions whose working hours are equivalent to 0.8 whole time employees. The GPs and nurses are supported by four management and administrative staff including the practice manager. Since October 2016 the practice also has a clinical pharmacist who works one morning every two weeks.

The practice is open between 8am and 6:30pm Monday to Friday. The practice closes for general appointments on a Wednesday to enable the GP to carry out patient administration. Emergency care and treatment is covered by a duty GP. Tuesdays the practice has late clinic appointments until 7:20pm. There is also a walk in clinic on a Friday from 9am to 1pm. The practice provides a telephone access service from 8am to 8:30am for other practices as well as for their own patients. The practice operates a mixed appointments system with some appointments available to pre-book and others available to book on the day. The practice offers online booking appointments and an online repeat prescription service is also available.

The practice has a General Medical Services (GMS) contract to deliver health care services; the contract includes enhanced services such as childhood vaccinations and immunisations scheme, facilitating timely diagnosis and support for patients with dementia and minor surgery services. An influenza and pneumococcal immunisations enhanced service is also provided. These contracts act as

the basis for arrangements between the NHS Commissioning Board and providers of general medical

services in England. The practice has opted out of providing out-of-hours services to their own patients. The out of hour’s service is provided by Vocare, patients are directed to this service by the practice outside of normal practice hours.

Overall inspection

Good

Updated 31 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at West One Surgery

on 19 January 2016. Overall the practice was rated as requires improvement. The practice was rated good for caring, effective and responsive care and required improvement for safe and well-led domains. We issued one requirement notice for the following:

  • Breach of Regulation 12 of The Health and Social Care Act (Regulated Activity) Regulations 2014, Safe care and treatment. The requirement notice was issued in order for the practice to implement the necessary changes. To ensure patients who used the service were protected against any risks associated with the safe management of the medicines including emergency medicines and the security of prescriptions.

A copy of the report detailing our findings can be found at www.cqc.org.uk.

At our last inspection in January 2016 the areas where the provider must make improvement were:

  • Ensure the security of blank prescriptions throughout the consulting rooms was routinely maintained.

  • Ensure stocks of emergency medicines were held in case of medical emergencies.

  • Ensure processes for keeping up to date records of Patient Group Directions are maintained.

At our last inspection in January 2016 the areas where the provider should make improvement were:

  • Review the practices training programme in regard of vulnerable adults training.

  • Review infection control processes.

  • Review the systems in place to ensure best practice guidelines are routinely available to all clinical staff.

  • Review the systems in place to monitor outcomes for patients.

This inspection we undertook a focused desk based inspection on 17 November 2016 to assess if the practice had implemented the changes needed to ensure patients who used the service were safe and ensure the practice was well-led by the provider.

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

  • The practice now had an appropriate system in place to ensure prescriptions were kept secure at all times.

  • The practice now had adequate arrangements in place to ensure any medical emergencies could be dealt with safely and appropriately.

  • The practice had ensured vaccine protocols were followed through appropriate guidelines to ensure the safety of patients.

  • The practice had managed infection control appropriately by auditing its practices and taking action promptly to address areas of improvement.

  • All staffing arrangements had been assessed to ensure patient safety and changes had been implemented to reduce workloads.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 31 January 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 19 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Families, children and young people

Good

Updated 31 January 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 19 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Working age people (including those recently retired and students)

Good

Updated 31 January 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 19 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

People experiencing poor mental health (including people with dementia)

Good

Updated 31 January 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 19 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

People whose circumstances may make them vulnerable

Good

Updated 31 January 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 19 January 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.