• Doctor
  • GP practice

The Denmead Practice

Overall: Good read more about inspection ratings

Denmead Health Centre, Hambledon Road, Denmead, Waterlooville, Hampshire, PO7 6NR (023) 9223 9630

Provided and run by:
The Denmead Practice

Latest inspection summary

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Background to this inspection

Updated 6 July 2016

The Denmead Practice is a dispensing practice situated in Denmead which is a rural area north of Portsmouth, Hampshire.

The practice has an NHS general medical services contract to provide health services to approximately 9,100 patients.

Appointments are available between 8.30am and 6pm from Monday to Friday. Evening appointments are also available on Mondays and Tuesdays between 6.30pm and 8pm. The practice has opted out of providing out-of-hours services to their own patients and refers them to Portsmouth Healthcare Limited via the NHS 111 service.

The mix of patients’ gender (male/female) is almost half and half. Approximately 30% of patients are aged over 60 years old which is higher than the average for England. The practice is located in a semi-rural area of low deprivation.

The practice has five GP partners who together work an equivalent of 3.8 full time staff. There are three male and two female GPs. The practice also has a nurse practitioner, two practice nurses and a health care assistant. The GPs and the nursing staff are supported by a team of eight reception staff, five administrators, three dispensing technicians, an assistant practice manager and a practice manager.

Overall inspection

Good

Updated 6 July 2016

Letter from the Chief Inspector of General Practice

We carried an announced focused inspection at The Denmead Practice on 25 May 2016.

We reviewed the management of medicines, within the key question safe. We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 9 July 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, management of medicines was identified as requires improvement, as the practice was not meeting the legislation at that time.

Previously we found that there were insufficient systems in place to ensure out of date medicines were identified and disposed of, there were not the appropriate records kept of Controlled Drugs as well as the way prescription pads were kept in GP emergency bags.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment.

Our Key findings on the areas we inspected on 25 May 2016

  • Medicines were now managed correctly in the practice and staff had received training to improve their knowledge of managing medicines safely.

  • Evidence included new policies and procedures which had been introduced. Auditing had become more stringent and completed more frequently and the practice had made the decision to not hold any controlled drugs on site.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People with long term conditions

Good

Updated 27 August 2015

The practice is rated as good for the care of people with long-term conditions. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. All these patients had a named GP and a structured annual review to check that their health and medication needs were being met. For those people with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care. For dispensing patients’ larger print labels, and or “reminder cards” were available. Non-child resistant lids and “popping blister packs” out into “pots” were offered to those with reduced hand dexterity.

Families, children and young people

Good

Updated 27 August 2015

The practice is rated as good for the care of families, children and young people. There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations. Appointments were available outside of school hours and the premises were suitable for children and babies. We saw good examples of joint working with midwives, health visitors and school nurses.

Older people

Good

Updated 27 August 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services, for example, in dementia and end of life care. It was responsive to the needs of older people, and also offered home visits and rapid access appointments for those with enhanced needs.

Working age people (including those recently retired and students)

Good

Updated 27 August 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs of this age group.

People experiencing poor mental health (including people with dementia)

Good

Updated 27 August 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). 95% of people experiencing poor mental health had their care plan reviewed and documented in the preceding 12 months. The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia. It carried out advance care planning for patients with dementia.

The practice signposted patients experiencing poor mental health to various support groups and voluntary organisations. It had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health. Staff had received training on how to care for patients with mental health needs and dementia.

People whose circumstances may make them vulnerable

Good

Updated 27 August 2015

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The practice held a register of patients living in vulnerable circumstances including homeless people, travellers and those with a learning disability. It had carried out annual health checks for people with a learning disability and 61% of the patients invited had received a follow-up. It also offered longer appointments for people with a learning disability.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. It had told vulnerable patients about how to access various support groups and voluntary organisations. Staff knew how to recognise signs of abuse in vulnerable adults and children and were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.