Background to this inspection
Updated
13 August 2018
Wake Green Surgery is a member of Our Health Partnership (OHP), a partnership of approximately 40 practices across the West Midlands area. The practice registered with CQC under OHP as the provider organisation in September 2017.
The practice also sits within NHS Birmingham and Solihull Clinical Commissioning Group (CCG). CCGs are groups of general practices that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services.
Services to patients are provided under a General Medical Services (GMS) contract with NHS England. A GMS contract ensures practices provide essential services for people who are sick as well as, for example, chronic disease management and end of life care and is a nationally agreed contract. The practice also provides some enhanced services such as childhood vaccinations.
Wake Green Surgery is located in a converted house adapted to provide primary medical services. The practice registered list size is approximately 9000 patients. Based on data available from Public Health England, the practice is in an area with higher than average levels of deprivation. Ranked three out of ten by Public Health England based on indices of multiple deprivation scores (ten being the most affluent and one the most deprived). However, the area served does include areas that are prosperous as well as deprived.
Practice staffing consists of five GP partners (three female and two male), one salaried GP, a pharmacist, a locum practice nurse, an assistant nurse practitioner and two phlebotomists. Non-clinical staff include, a practice manager and a team of reception and administrative staff.
The practice is open from 8am to 6.30pm on a Monday and Tuesday, 7.30am to 2.30pm on a Wednesday and 7.30am to 6.30pm on a Thursday and Friday. When the practice is closed (including Wednesday afternoons) services are provided by an out of hours provider (Primecare) who are reached through the NHS 111 telephone service.
The practice is a training practice for qualified doctors training to become a GP.
OHP-Wake Green Surgery is registered with CQC to provide the following regulated activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services and Treatment of disease, disorder or injury.
Updated
13 August 2018
This practice is rated as Good overall.
The key questions at this inspection 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 OHP-Wake Green Surgery on 14 June 2016. This was to follow up progress made by the practice since our previous inspections in December 2016 and September 2017 and ensure the legal requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were being met. The practice was rated as inadequate following the inspection in December 2016 and placed into special measures. We inspected again in September 2017 and found significant improvements had been made and the practice was rated as good overall with requires improvement for providing responsive services.
At this inspection we found:
- The practice demonstrated that improvements seen at our previous inspection in September 2017 had been sustained.
- The practice had clear 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 and was in line with local and national averages for patient outcome indicators.
- Staff involved and treated patients with compassion, kindness, dignity and respect. Patients were the improvements being made to the service and the practice was evaluating the changes being made and the impact on the patient experience.
- Access to appointments had been a main cause of complaints about the practice as a result the practice had made significant changes to the appointment system. The practice had made adjustments in response to patient feedback and were continuously monitoring and evaluating the changes made. Recent patient feedback indicated that improvements were starting to impact on patient satisfaction.
- There was a strong focus on continuous learning and improvement. The practice had been receptive to feedback received about the service and were driven to make improvements. There was noticeable energy and drive within the staff team to continue to make further improvements and to deliver a high quality service.
The areas where the provider should make improvements are:
- Continue to evaluate and monitor impact of changes on patient satisfaction and access to the service.
- Continue to review trends in complaints to identify areas for further improvements.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.