• Doctor
  • GP practice

Archived: Clayton Brook Surgery

Overall: Good read more about inspection ratings

Tunley Holme, Clayton Brook, Bamber Bridge, Preston, Lancashire, PR5 8ES (01772) 313950

Provided and run by:
Clayton Brook Surgery

Latest inspection summary

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Background to this inspection

Updated 22 February 2018

Clayton Brook Surgery is situated in Tunley Holme in the Bamber Bridge area of Preston at PR5 8ES. The building is two stories high and was purpose built as a doctors’ surgery in 1977. It has had a small extension to the building and provides patient facilities of a waiting area and treatment and consulting rooms. One of the consulting rooms is on the first floor and is used when the practice is hosting a medical student. The practice provides level access for patients to the building with disabled facilities available.

There is parking provided for patients at the nearby free public car park and some parking on the road and the practice is close to public transport.

The practice is part of the Chorley with South Ribble Clinical Commissioning Group (CCG) and services are provided under a General Medical Services Contract (GMS).

There is one male GP partner and one regular male locum GP assisted by an advanced nurse practitioner, a practice nurse and a healthcare assistant who also works as an administrator. A practice manager and six further administrative and reception staff also support the practice. At the time of our inspection, the practice nurse was temporarily not in the practice and there was a locum practice nurse employed in her place. The practice is registered as a teaching practice for GPs in training and medical students, although at the time of the inspection, the practice was not hosting any GP trainees or medical students.

The practice is open from Monday to Friday from 8am to 6.30pm. Appointments are offered every weekday between 9am and 6pm except Thursday afternoons when the surgery is open for emergency appointments only. When the practice is closed, patients are able to access out of hours services offered locally by the provider GotoDoc by telephoning 111.

The practice provides services to 3,358 patients. There are higher numbers of patients aged under 18 years of age (22%) than the national average (21%) and fewer numbers of patients aged over 65 years of age (14%) than the national average (17%).

Information published by Public Health England rates the level of deprivation within the practice population group as three on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest. Both male and female life expectancy is the same as the national average, 83 years for females and 79 years for males.

The practice has a higher proportion of patients experiencing a long-standing health condition than average (65% compared to the national average of 53%). The proportion of patients who are in paid work or full time education is lower (54%) than the local average of 62% and national average of 63% and the proportion of patients with an employment status of unemployed is 8% which is higher than the local average of 3% and the national average of 4%.

Following our inspection in May 2017 we rated the practice as requires improvement for providing effective, caring and well-led services and as requires improvement overall. We issued a requirement notice in relation to good governance.

At the time of our first inspection on 30 May 2017 the practice was not registered correctly with CQC; it was registered as a partnership when it was operating as an individual provider. At the time of this inspection, the practice registration with CQC was correct.

Overall inspection

Good

Updated 22 February 2018

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Clayton Brook Surgery on 30 May 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the May 2017 inspection can be found by selecting the ‘all reports’ link for Clayton Brook Surgery on our website at www.cqc.org.uk.

Following our inspection in May 2017 we rated the practice as requires improvement for providing effective, caring and well-led services and as requires improvement overall. We issued a requirement notice in relation to good governance.

This inspection was an announced focused inspection carried out on 17 January 2018 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 30 May 2017. 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 were as follows:

  • The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes. There were comprehensive records kept to evidence shared learning.

  • The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured care and treatment was delivered according to evidence- based guidelines.

  • Staff involved and treated people with compassion, kindness, dignity and respect.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.
  • There were good systems in place for the safe storage of refrigerated vaccines. Following our last inspection, staff had been trained in monitoring fridge temperatures and there was a documented process attached to the practice fridges.
  • The practice had changed its recruitment procedure to ensure GP locum staff were of good character and were suitably trained. There was evidence of this in the new locum GP file that we viewed.
  • We saw a new infection prevention and control audit had taken place and that the practice had produced an action plan. They had addressed this plan in all areas save for those relating to premises refurbishment which were in the process of being reviewed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice