The Hackwood Partnership - Care Quality Commission

Background to this inspection

Updated 28 September 2017

The Hackwood Partnership is registered as a partnership provider operating from Basingstoke, Hampshire. The practice provides services under an NHS General Medical Services contract and is part of the NHS North Hampshire Clinical Commissioning Group (CCG).

The practice is located at Essex House, Essex Road, Basingstoke RG21 8SU and has a list size of 13224. The practice is based in an area of low deprivation compared to the national average for England. For example, income deprivation affecting children was 13% compared to the national average of 20%. The male life expectancy for the area is 80 years compared with the CCG average of 81years and the national average of 79 years. The female life expectancy for the area is 83 years, which is the same as CCG and national averages. A total of 56% of patients at the practice have a long-standing health condition, which is similar to the CCG and national average of 54%. Approximately 7% of the practice population describe themselves as being from an ethnic minority group; the majority of the population describe themselves as White British. The practice told us there was a high proportion of Nepalese and Polish patients registered at the practice.

There are five GP partners, all female, and five salaried GPs one male and four female. Together the GPs provide care equivalent to approximately six whole time equivalent GPs over 49 sessions per week. The all- female nursing team comprises of four nurses and one healthcare assistant.

There is practice manager who has been in post since October 2016 and a team of receptionists and administration staff who support the medical staff.

The practice is a recognised GP training practice and at the time of this inspection supported two GP trainees.

The practice is open from 8:15am to 6:30pm Monday to Friday. It is closed Thursday lunchtime between 1pm and 2:30pm for staff training; however the phone lines remain open. Pre-bookable extended hour’s appointments are available on Monday, Tuesday and Thursday evenings until 7:30pm. The practice is closed at weekends. Telephone lines are open from 8am.

Patients are encouraged to use the NHS 111 service before 8am and after 6.30pm.

The practice is spread across three floors, two of which are clinical. The middle floor is mainly administrative but is also shared with the community physiotherapy team and a podiatrist. There is level access to the practice but the entrance door is not automatic and opens outwards. The practice has installed a bell so that people requiring assistance can call for help. There is car parking available at the back of the practice. There is a lift to access all floors with a reception and waiting area available on the ground and top floor. There is a disabled toilet located on the ground floor.

Overall inspection

Good

Updated 28 September 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Hackwood Partnership, on 15 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for The Hackwood Partnership on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 24 August 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 on 15 September 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 for this inspection were as follows:

The practice had now ensured that actions were recorded, completed and reviewed following infection control audits.
The practice now ensured that the quality and safety of the services provided were assessed, monitored and improved. For example, by reviewing and analysing significant events and complaints to identify common trends, maximise learning and ensure actions identified to improve quality and safety were completed.
The practice ensured all locum staff received safeguarding training and recruitment processes for locum staff were consistently documented.
The practice was continuing to identify carers in order that they could be signposted to support services and supported. The practice has recorded 323 patient carers which represents 2.4% of the patient list.
The practice had reviewed the arrangements available for patients with hearing impairments. The practice has purchased and installed a new hearing loop and information is given about the hearing loop on the practice web page, Facebook, twitter and on display screens in the practice.
The call monitoring system had been upgraded and was now working to allow monitoring and analyse access to the appointment system to meet patient’s needs.
The practice had reviewed arrangements for keeping the premises clean and the completion of remedial work to minimise the risk from legionella infection. A new cleaning company started in April 2017 who undertook regular monthly monitoring and auditing. A further legionella risk assessment took place in July 2017 and the practice had a plan for any required actions.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice