Background to this inspection
Updated
16 August 2018
The Dower House practice is located at 27 Pyle Street, Newport, Isle of Wight. PO30 1JW. It occupies a grade two building the front of which is listed.
The practice website can be found at www.dowerhousesurgery.co.uk
The practice is registered with the Care Quality Commission to perform the following regulated activities:
Diagnostic and screening procedures Family planning. Maternity and midwifery services. Surgical procedures. Treatment of disease, disorder or injury.
The practice has an NHS general medical services (GMS) contract to provide health services to approximately 12,500 patients.
Surgeries are held daily between the hours of 8.30am and 6.30pm, Monday to Friday.
The practice has opted out of providing out-of-hours services to its patients and refers them to Isle of Wight out-of-hours service via the 111 services.
The practice’s patient list for gender (male/female) is almost half and half. The practice has a higher number of patients aged over 65 years old when compared to the England average.
The practice has a high number of patients who have a long-term condition and those in receipt of disability-related benefits when compared to the England average and is situated in an area of high deprivation.
The practice has four GP partners and one salaried GP. In total there are three male and two female GPs.
The practice also has three advanced nurse practitioners, a lead nurse, six practice nurses and three health care assistants. GPs and nursing staff are supported by a business manager, a finance manager and a team of 19 administration staff which the practice referred to as the data management team.
Dower House Surgery is also a training practice for doctors training to be GPs.
Updated
16 August 2018
This practice is rated as Good overall. (Previous inspection February 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 The Dower House on 13 June 2018. This was as part of our inspection programme.
At this inspection we found:
- The practice had 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.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management.
- The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider should make improvements are:
- There was a system for recording and acting on safety alerts. The practice should improve the recording of the actions taken when they received the alerts.
- Continue to improve telephone access for patients.
- Monitor and work to increase the results of some childhood immunisation indicators.
- Continue to improve the number of eligible patients who were screened adequately for cervical cancer.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice