The Care Quality Commission
  • Doctor
  • GP practice

Twin Oaks Medical Centre

Overall: Good read more about inspection ratings

Ringwood Road, Bransgore, Christchurch, Dorset, BH23 8AD (01425) 672741

Provided and run by:
Twin Oaks Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Twin Oaks Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Twin Oaks Medical Centre, you can give feedback on this service.

24 February 2020

During an inspection looking at part of the service

We carried out an announced focused inspection at Twin Oaks Medical Centre on 24 February 2020 as part of our inspection programme. The previous comprehensive inspection, published in March 2015, rated the service as good overall, with some areas of outstanding practice. We rated safe as requires improvement due to a breach of Regulation 12 of the Health and Social Care Act 2018 (Regulated Activities) Regulations, in relation to cleanliness and infection control. Subsequently, we rated the key questions safe as good on 26 July 2016. This resulted in the service carrying an overall rating of good and a rating of good for the five key questions.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following three key questions: is the service effective, responsive and well-led?

We based our judgement of the quality of care at this service is on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall.

We rated the practice as good for providing effective services because:

  • Patients received a high standard of care, with regular reviews, based on good practice guidelines. This resulted in good outcomes for patients of all ages and with different needs.
  • There was a holistic approach to assessing, planning and delivering care and treatment. The service worked collaboratively with health, social care and educational professionals to support individuals with specific needs.
  • Staff consistently supported patients to live healthier lives, including identifying those who needed extra support. The practice had developed innovative ways to improve engagement.
  • Staff had additional skills and special interests to support the needs of local patients.

We rated the practice as outstanding for providing responsive services because:

  • Services were tailored to meet the needs of families children and young people and vulnerable patients within the local community. They were delivered in a flexible way that ensured choice and continuity of care.
  • There were innovative approaches to providing integrated person-centred care.
  • The practice had identified areas where there were gaps in provision locally and had taken steps to address them. Such as tailoring services for patients living in a community for travellers and for those with a learning disability.
  • The practice had reviewed and changed their appointment system to ensure patients could access services and appointments in a timely way. Patients reported positive access compared to other practices in the area and nationally.

We rated the practice as good for providing well-led services because:

  • The leadership and culture of the practice promoted the delivery of high-quality, person-centred care.

We carried over the rating of good for providing safe and caring services from our previous inspections.

We rated the population groups of families, children and young people and vulnerable people as outstanding because:

  • The practice had implemented an effective protocol to encourage those eligible to attend for cervical screening. This including those with a learning disability.
  • The practice liaised with local schools to support vulnerable families and their children in the community.
  • The GPs worked closely with the care navigator and social prescriber to support individuals with their physical and mental health care.
  • For the traveller community, the practice provided healthcare services that met their specific needs and encouraged engagement with health and social care services.

The areas where the provider should make improvements are:

  • Establish a procedure to secure access to archived files.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

26/07/2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a desk top review of Twin Oaks Medical Centre on 26 July 2016. This review was performed to check on the progress of actions taken following an inspection we made on 4 November 2014. Following that inspection the provider sent us an action plan which detailed the steps they would take to meet the breaches in regulation. At this review we found the provider had made the necessary changes.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published on 15 March 2015. This can be done by selecting the 'all reports' link for Twin Oaks Medical Centre on our website at www.cqc.org.uk

Our key findings at this inspection were as follows:

  • The practice had improved health and safety for patients by implementing a system of checks to reduce the risk of legionella.

  • The practice had improved health and safety for patients by the completion of a risk assessment for the disposal of any clinical waste generated in consultation rooms.

  • All staff had received training in infection control.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

4 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

This was a comprehensive inspection of the Twin Oaks Medical Centre which was carried out on 4 November 2014.

We rated this practice as good overall. The practice was well led by the GP partners and the practice manager who provided a caring, compassionate service. GPs and practice staff demonstrated good communication and involvement with the local community.

Our key findings were as follows:

  • The practice was rated highly by patients for the respect they were shown, their confidence in the ability of the doctor or nurse and their ability to listen.
  • The practice provided GP appointments at times that met the needs of their patients with same day appointments or telephone consultations. Some appointments were available from 7.30am and some available until 7.30pm for patients who could not attend during working hours.
  • The practice worked closely with the community nursing team and palliative care team to ensure good provision of end of life care.
  • The practice worked closely with midwives and health visitors who used the practice premises to meet with their patients.

We saw areas of outstanding practice including:

  • The practice had developed a health and education initiative with a local school to identify the needs of children and to improve their health and education outcomes.
  • GPs at the practice gave their personal mobile telephone numbers to patients at the end of life so they could continue to provide care out of hours for their patient.
  • The practice was aware of the health, social and cultural beliefs of a nearby housed gypsy and traveller community. They had a flexible approach to appointments to ensure GPs made themselves available to see these patients if they attended outside their appointment time.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Have a risk assessment and policy for the management and testing of Legionella.
  • Carry out a risk assessment around the disposal of any clinical waste generated in consultation rooms.
  • Carry out a full audit of the practice in relation to infection prevention and control.
  • Provide the lead member of staff for infection control with appropriate training for their role.

In addition the provider should:

  • Ensure the access needs of patients with disabilities are met including access to a toilet.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice