Two Harbours Healthcare Limited

Updated 27 February 2023

Two Harbours Healthcare Ltd is based at Egdon Hall, Lynch Lane Offices,Weymouth DT4 9DN

and is a GP Federation, and local not-for-profit organisation, that works across the community to improve patient care by providing high quality community based clinical services and by linking together local General Practices to help develop and provide those services.

Two Harbours PCN provide a wide range of community services during weekdays, evenings, and weekends, and since the formation of Primary Care Networks (PCNs), have started employing some additional staff roles on behalf of practices to help with their increasing workload such as a first contact physiotherapists and a respiratory specialist nurse.

They have a NHS Standard Contract and contracts with Dorset County Council to enable them to provide primary medical services within their area. The organisation provides a wide range of services.

Two Harbours Healthcare staff provided several services including Weymouth Elderly Care Service – WECS and the Mobile Urgent Care Services – MUCS.

Two Harbours Healthcare Ltd also worked in collaboration with other stakeholders and organisations to administer and provide other services including:

• Improved Access General Practice Services – IAGPS

• Weymouth Urgent Treatment Centre – WUTC

• Integrated Community Primary Care Services – ICPCS

• Leg Club Service currently suspended due to recruitment needs.

How we inspected this service

We inspected the provider on 15 November 2022. A CQC inspector led the inspection supported by a second inspector and had access to a specialist advisor.

Before visiting, we reviewed a range of information we hold about the service. We also asked the service to complete a provider information request. During our visit we:

• Spoke with the Registered manager
• Spoke with the Chair or the Board of Directors.
• Spoke with staff
• Looked at information the clinic used to deliver care and treatment plans.
• Reviewed feedback from people using the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 27 February 2023

This service is rated as Good. (At the previous inspection in June 2019 the service was rated as Good.)

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 Two Harbours Healthcare Limited in response to concerns identified in inspections of practices within the Primary Care Network (PCN).

This service is registered with CQC under the Health and Social Care Act 2008 in respect of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Two Harbours Healthcare Limited services are provided to patients under arrangements made by their own GPs. Therefore, we only inspected the services which are provided by Two Harbours Healthcare Limited.

The chair of the board of directors is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• The provider provided care in a way that kept patients safe and protected from har.
• Services were planned and delivered in a way that met the needs of the local population. The importance of flexibility, choice and continuity of care was reflected in the services provided.
• Patients received effective care and treatment that met their needs
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• People using the service received a holistic health assessment.
• The provider was aware of the requirements of the duty of candour.

The areas where the provider should make improvements are:

• Review safeguarding training to ensure staff are trained to the appropriate level.
• Review and increase the frequency of appraisal for all staff.
• Continue to embed systems and processes to allow for effective oversight of services, including PCN wide policies and specific operating procedures for pharmacy team members working at external locations.
• Establish systems to ensure staff induction programmes have been reviewed with line managers.
• Review Patient Group Direction processes to ensure these are signed in accordance with guidance.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services