• Doctor
  • GP practice

Archived: Romney House Surgery

Overall: Good read more about inspection ratings

41-43 Long Street, Tetbury, Gloucestershire, GL8 8AA (01666) 502303

Provided and run by:
Dr Sethi and Partners

Important: The provider of this service changed. See new profile

Latest inspection summary

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Background to this inspection

Updated 9 July 2018

Romney House Surgery is situated in the town of Tetbury in Gloucestershire. The practice is based in an extended and refurbished building with level access from the front and rear of the building. All the clinical rooms are on the ground floor.

The practice merged with another practice, based in Cirencester a town approximately 20 minutes away, in December 2016. GPs from the practice in Cirencester had joined the partnership at Romney House Surgery. Some of the partners for the previous partnership had left while others had remained as salaried GPs. GPs worked across the provider’s two practices which are registered separately.

The practice delivers its services 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) to approximately 7,800 patients at the following address:

41-43 Long Street
Tetbury
Gloucestershire
GL8 8AA

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

The practice partnership includes eight GP partners. They also employ six salaried GPs. Five are male and nine are female GPs. The nursing team includes a nurse manager, and advanced nurse practitioner, three practice nurses, a health care assistant and phlebotomist. The practice management and administration team includes a practice manager, a deputy practice manager, an assistant practice manager, a finance manager and a range of administration and reception staff.

Romney House Surgery is also a dispensing practice. The practice could 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.

The general Index of Multiple Deprivation (IMD) population profile for the geographic area of the practice, shows the practice area population is in the second 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 Care UK via the NHS 111 service and are advised of this on the practice’s website.

Overall inspection

Good

Updated 9 July 2018

This practice is rated as Good overall. (Previous inspection March 2016 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Romney House Surgery on 9 May 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had merged with another practice in Cirencester and the partners were working on developing the practice.
  • 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.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Most patients found the appointment system easy to use and reported that they could access care when they needed it.
  • The practice involved staff in future planning and staff were encouraged to make suggestions for improvement.
  • There was a focus on continuous learning and improvement at all levels of the organisation.

We saw an area of outstanding practice:

  • The practice had recently introduced six monthly joint visits between the lead GP for the care homes and the local psychiatrist to review those patients care and medicines to ensure care was optimal.

The areas where the provider should make improvements are:

  • Review the systems for monitoring all prescription forms, fridge temperatures and for the handling and recording of safety alerts.
  • Monitor patients’ experience of the service and implement actions to improve these.
  • Identify and implement actions to improve uptake for the cervical screening programme.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice