Banbury Health Centre - Care Quality Commission

Background to this inspection

Updated 25 October 2017

Banbury Health Centre is located in Banbury and is part of NHS Oxfordshire Clinical Commissioning Group. The services are provided by Principal Medical Limited. The practice resides on the first and second floors of converted premises that are accessible by stairs and a lift. There are seven

consulting rooms and one treatment room. The practice has approximately 6,000 registered patients

and also sees unregistered patients. The practice has patients from varying age groups with a high proportion of patients aged 0 to 5 years and 15 to 44 years. Public health data shows that the practice provides services to patients living in wards that are within the 20% most deprived nationally. Banbury Health Centre is reported as having the sixth most deprived population within Oxfordshire. In general, people living in more deprived areas tend to have a greater need for health services. The practice told us that there are large numbers of patients registered at the practice particularly from Poland, but also Romania, Hungary, and Asian countries. The practice stated that for approximately 40% of patients, English is not their first language.

There are three female salaried GPs and five long term locum GPs. Salaried GPs provide 38 hours per week in total and longstanding locum GPs provide additional variable hours in line with clinical need. The practice employs four female practice nurses (one of which is an advanced nurse practitioner), one advanced nurse practitioner locum, and three health care assistants. The practice manager is supported by two deputy practice managers, and a team of administrative and reception staff. The practice is not a teaching or training practice for GPs. The practice is open and appointments are available between 8am and 8pm seven days a week. When the practice is closed patients can access the Out of Hours Service via NHS 111 service.

Services are provided via an Alternative Provider Medical Services (APMS) contract (APMS contracts are a contract between NHS England or delegated CCGs and primary care providers).

Services are provided from the following location:

Banbury Health Centre

58 Bridge Street

Banbury

Oxfordshire

OX16 5QD

Overall inspection

Good

Updated 25 October 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Banbury Health Centre on 11 November 2016. The overall rating for the practice was requires improvement. Specifically we rated the practice requires improvement in safe, effective and well-led. The full comprehensive report from this inspection can be found by selecting the ‘all reports’ link for Banbury Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 10 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

Improvements to governance systems enabled the practice to manage and mitigate risks effectively.
The system of governance was proactive in identifying where improvements could be made to enhance the experience and care for patients.
The practice had implemented risk assessments where required and had acted on any risks identified to ensure that fire, legionella, prescription form tracking and electrical safety risks were managed.
There had been improvements to the level of exception reporting in 2017.
There was a system for monitoring staff training and identifying the training needs of staff.
Work had been undertaking to increase the awareness and uptake of various cancer screening programmes
The practice had undertaken a programme to raise the profile of their carers and increase the number of carers recorded. There had been carers referral box placed at reception and posters placed at reception to encourage carers to identify themselves. The number of registered carers had increased from 32 in 2016 to 51 in October 2017. Information on local support organisations was available for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice