Culverhay Surgery

Updated 23 August 2018

The Culverhay surgery is located in the market town of Wotton Under Edge and provides primary medical services to approximately 6,200 patients under a General Medical Services (GMS) contract. (A GMS contract is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract).

The practice provides its services at the following address:

The Culverhay Surgery,

Wotton Under Edge,

Gloucestershire,

GL12 7LS.

Information about the practice can be obtained through their website at:

The practice partnership includes two male GP partners. The practice also employs four female salaried GPs. The nursing team includes three practice nurses (one of whom is an independent prescriber) and a health care assistant. The practice management and administration team includes a practice manager, an IT manager and a range of administration and reception staff.

The Culverhay Surgery is also a dispensing practice. The practice was able to offer dispensing services to those patients on the practice list who lived more than one mile (1.6km) from their nearest pharmacy. The dispensary team includes a dispensary manager and two dispensers.

The practice is an approved teaching practice for qualified doctors training to become GPs and a training practice for medical students undertaking training to becomes qualified doctors. At the time of our inspection, the practice was supporting a GP registrar during their training.

The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice, shows the practice is in the least deprived decile. (An area itself is not deprived: it is the circumstances and lifestyles of the people living there that affect its deprivation score. Not everyone living in a deprived area is deprived and that not all deprived people live in deprived areas). The practice has a higher than average patient population aged 65 and over.

The practice is registered to provide the following Regulated Activities:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.
• Maternity and midwifery services.
• Surgical Procedures.
• Family Planning.

The practice has opted out of providing out of hours services to its patients. Patients can access the out of hours services provided by CareUK via the NHS 111 service and are advised of this on the practice’s website.

Updated 23 August 2018

This practice is rated as Good overall. (Previous rating April 2018 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

We carried out an announced comprehensive inspection at Culverhay Surgery on 10 April 2018. Overall the practice was rated as good for providing effective, caring, responsive and well-led services as well as overall. However, the practice was rated as requires improvement for providing safe services. The full comprehensive report of the 10 April 2018 inspection can be found by selecting the ‘all reports’ link for Culverhay Surgery on our website at .

This inspection was an announced focused inspection carried out on 14 August 2018. The purpose was to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 10 April 2018. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe services. Overall the practice remains rated as good.

At this inspection we found:

• 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.
• Acute prescriptions for Controlled Drugs were signed by a GP before being dispensed to patients.
• There were systems and processes in place to ensure actions were taken when medicine fridges showed signs they had operated outside of the recommended safe temperature range.
• Systems in place had been reviewed and improved to ensure emergency medicines were in date.
• The practice had formalised processes in the dispensary so that medicines checks, including those for controlled drugs and near misses were recorded.
• There were arrangements in place to ensure only authorised staff had access to the dispensary.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 19 June 2018

Updated 19 June 2018

Updated 19 June 2018

Updated 19 June 2018

Updated 19 June 2018

Updated 19 June 2018