Archived: Oxford Street Surgery

Updated 15 November 2018

Oxford Street Surgery provides care and treatment to approximately 6,800 patients of all ages from the Workington and surrounding areas of North Cumbria. The practice is part of NHS North Cumbria Clinical Commissioning Group and operates on a General Medical Services (GMS) contract.

When we previously inspected this practice in October 2016 it was rated as being good overall. At that time the practice was being run by a partnership which included the current registered manager, Dr Pratima Misra. Since December 2017 Dr Misra has been operating the practice as a sole provider. Due to the change in legal entity a further inspection was required.

Oxford Street Surgery provides services from the following address, which we visited during this inspection:

20 Oxford Street

Workington,

Cumbria

CA14 2AJ

The surgery is in two-storey converted commercial premises. Consultation rooms are on both floors and the building does not have a lift. Nor does the building have automated doors which could present a problem to patients with mobility issues. A small car park and nearby on street parking is available.

Patients can book appointments in person, on-line or by telephone. Opening hours are from 8am to 6.30pm on a Monday to Friday. Patients registered with the practice are also able to access same day appointments with a GP or nurse practitioner at nearby Workington Primary Care Centre from 8am to 8pm on a Monday to Friday and from 10am to 4pm on a weekend. The primary care centre is run by Workington Health Ltd which was formed by five GP practices in the Workington area in 2014 to provide additional access to primary care services

The service for patients requiring urgent medical attention out of hours is provided by the NHS 111 service and Cumbria Health on Call (CHoC).

The practice has:

• One lead GP (female)
• Two salaried GPs (one male and one female)
• Two nurse practitioners (female)
• Two practice nurses (female)
• Two healthcare assistants (female)
• 16 non-clinical staff members including a practice manager, medicines/reception manager, results interpreter, finance administrator, prescriptions clerks, secretaries, receptionists, administrators and cleaners.

The average life expectancy for the male practice population is 78 (national average 79) and for the female population 80 (national average 83). 20% of the practices’ patient population are in the over 65 age group.

At 57%, the percentage of the practice population reported as having a long standing health condition was comparable with the national average of 54%. Generally, a higher percentage of patients with a long-standing health condition can lead to an increased demand for GP services.

At 54% the percentage of the practice population recorded as being in paid work or full-time education was lower than the national average of 62%. The practice area is in the fourth most deprived decile. Deprivation levels affecting children and adults were higher than local and national averages.

Updated 15 November 2018

This practice is rated as Good overall. (Previous rating October 2016 – Good)

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 Oxford Street Surgery on 18 October 2018 as part of our current inspection programme.

At this inspection we found:

• The practice had systems in place to manage risk so that safety incidents were less likely to happen.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were generally able to access care when they needed it.
• There was a focus on continuous learning and improvement at all levels of the organisation.
• At our previous inspection in October 2016, we told the provider that they should make improvements in some areas. We saw at this inspection improvements had been made. The practice now carries out an annual review of significant events and has implemented a process to update the practices clinical guidelines.

There were areas where the provider should make improvements. The provider should:

• Give all staff the opportunity of an annual appraisal
• Provide training to help non-clinical staff identify the signs of sepsis
• Develop a formal business plan and/or risk register
• Promote the existence of the practice business continuity plan with staff
• Continue with plans to facilitate patient involvement in the running of the practice in the absence of a patient participation group

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.

Updated 15 November 2018

Updated 15 November 2018

Updated 15 November 2018

Updated 15 November 2018

Updated 15 November 2018

Updated 15 November 2018