5 September 2018
The Rowan Tree Practice is currently located in a temporary modular clinical building following a fire in July 2017, which destroyed the primary care centre where the practice was previously located. Also located in the building is another GP practice and a treatment room nurse service. The practice has a GMS (General Medical Services) contract and offers personal medical services to the population of Weybridge. At the time of our inspection, there were approximately 11,000 patients on the practice list.
The practice has four GP partners (three male and one female) and three associate GPs (female), one nurse practitioner, three nurses and one health care assistant. They are supported by a practice manager and a team of reception and administration staff. Treatment room nursing services are provided for patients of this practice by another organisation, which is contracted to provide these services.
The Rowan Tree Practice is open 8.30am to 6.30pm Monday to Friday. Extended hours surgeries are offered 7.10am to 8am and 6.30pm to 10.10pm three evenings a month. Patients requiring a GP outside of normal hours are advised to call the NHS 111 service or 999 for medical emergencies.
Further information about the practice can be found on the practice website:
The practice is registered with CQC to provide the following regulated activities; Diagnostic and screening procedures, Treatment of disease, disorder or injury, Family planning services, Maternity and midwifery services and Surgical procedures.
The service is provided from the following location;
Rowan Tree Practice22 Church StreetWeybridgeSurreyKT13 8DW
5 September 2018
This practice is rated as Good overall. (Previous rating March 2016 – Good)
The key questions at this inspection 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 Rowan Tree Practice on 2 August 2018 as part of our inspection programme.
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.
- 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.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
The building that the practice was located in was destroyed in a large fire in July 2017. Through strong team work and by working with external stakeholders the practice provided a basic service to their patients for the first 48 hours following the fire. A full service was provided by the practice based in a local community hospital for six months before moving back to the original location in temporary modular buildings. The practice worked to ensure that a service was provided to patients throughout this period minimising impact to patients and staff. Feedback we received from patients praised the practice for the service provided following the fire.
The areas where the provider should make improvements are:
- Review and improved the recording of significant events.
- Review and improve the overview system for monitoring patients prescribed high risk medicines.
- Review and implement a system for recording checks of emergency medicines.
- Review and improve how results for cervical smears are managed.
- Review and improve the system for how patients, experiencing learning difficulties, are reviewed.
- Consider the meeting structure to improve opportunities for the nursing team to attend meetings.
- Consider and improve options for viewing the outcomes of risk assessments undertaken on behalf of the landlord within an appropriate timescale.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.