• Doctor
  • GP practice

St Melor House Surgery

Overall: Good read more about inspection ratings

St Melor House, Edwards Road, Amesbury, Salisbury, Wiltshire, SP4 7LT (01980) 622474

Provided and run by:
St Melor House Surgery

Latest inspection summary

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Background to this inspection

Updated 18 September 2018

St Melor House Surgery is a GP practice located in the Wiltshire town of Amesbury. It is one of the practices within the Wiltshire Clinical Commissioning Group and has approximately 5,300 patients. The practice building is purpose built with patient services located on the ground and first floors which include four consulting rooms and two treatment rooms. The main entrance is not wheelchair accessible but there is a side door with a door bell that rings in reception for those requiring assistance to access the practice. There is a lift to the first floor and a toilet with access suitable for patients with disabilities. The area the practice serves has relatively low numbers of people from different cultural backgrounds and is in the low range for deprivation nationally. The practice has a slightly higher than average patient population who are over 40 years old. Average male and female life expectancy for the area is 79 and 83 years respectively, which is the same as the national averages. The practice is close to a number of military bases and has a higher than average patient turnover. The practice provides a number of services and clinics for its patients including: childhood immunisations, family planning, minor surgery, and a range of health lifestyle management and advice for asthma, diabetes, heart disease and high blood pressure.

There are two GP partners. One full-time and one part time. They are supported by a part time salaried GP, a full time advanced nurse practitioner, a senior practice sister, three practice nurses, two health care assistants and an administrative and dispensing team of seven led by the practice manager. The practice is open from 8am to 6pm each weekday, but telephone access remains until 6.30 pm. The telephone lines are closed from 12.30pm to 1.30pm and during this period the answer machines direct patients to phone the practice emergency number if required. GP appointments are available between 8.30am and 12.00pm every morning and 2pm to 3pm and 4pm to 6pm every weekday. Extended hours appointments are offered from 7.30am to 8.30am on Mondays and Wednesdays, and 6.30pm to 7.30pm on Tuesdays. Appointments can be booked up to six weeks in advance over the telephone, online, or in person at the practice. The practice has an “on the day” appointment system where anyone who requests it, is offered an on the day appointment. If all the appointment slots are used then the patient’s request is triaged by the GP who will phone them back, to discuss their request and agree on an appropriate course of action. This may include an appointment that day with a nurse or GP depending on the needs of the individual. When the practice is closed, patients are advised via the practice’s website to either call the out of hours service or go to the local walk in centre in Salisbury. Out of hours services are provided by Medvivo and can be accessed by calling NHS 111. The practice has a General Medical Services contract to deliver health care services. This contract acts as the basis for arrangements between NHS England and providers of general medical services in England.

The practice provides services from its sole location at: St Melor House Surgery, Edwards Road, Amesbury, Wiltshire, SP4 7LT.

Overall inspection

Good

Updated 18 September 2018

We undertook an announced focused inspection of St Melor House Surgery on 20 December 2017. This was to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified in our previous (follow-up, desk based) inspection on 19 June 2017. At that inspection the practice continued to be rated as Good overall. The practice continued to be rated as Requires Improvement for providing effective services, because not all of the mandatory training we had identified as not being completed at our June 2017 inspection had been completed. The reports of the follow up inspections carried out on 19 June 2017 and 20 December 2017, can be found by selecting the ‘all reports’ link for St Melor House Surgery on our website at www.cqc.org.uk.

This report covers the announced focused follow-up inspection we undertook at St Melor House Surgery on 14 August 2018, to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations we identified in our previous inspection on 20 December 2017.

Our key findings were as follows:

  • All clinical staff had received training relevant to their role.
  • All staff had completed mandatory training.
  • The practice had reviewed their policies and procedures for identifying essential training appropriate to each staff member and communicated this requirement to staff.
  • The practice continued to work to develop a mechanism for gathering feedback from patients. Specifically:
    • The practice had taken steps to develop a patient participation group, by advertising for members on the practice website and also on a noticeboard in the practice reception area. A patient participation group was formed in December 2017 and we saw agendas and minutes of meetings held in January 2018 and June 2018. Going forwards, the group plans to meet twice-yearly.
    • We saw documentary evidence that the practice is collating and analysing the results of a recent patient survey. The practice told us the results will be published in the next few months.

Overall the practice continues to be rated as Good, and is now rated Good for providing effective services.