12 November 2018
Davenal House Surgery Partnership provides primary care services for patients in Bromsgrove and the surrounding area. It has a General Medical Services (GMS) contract. This is a contract between NHS England and general practices for delivering general medical services and is the commonest form of GP contract. The service is responsible for providing primary care for 8,614 patients. It is located in a semi-rural area with a large elderly population. The practice has low levels of deprivation.
The practice has five GP partners (three male and two female), three salaried GPs (all male), a practice manager, a clinical services manager, a nursing team, healthcare assistant, pharmacist along with receptionists and other staff who provide administrative support.
Davenal House Surgery Partnership is an approved training practice for trainee GPs. A trainee GP is a qualified doctor who is training to become a GP through a period of working and training in a practice. There were two trainee GPs working at the practice at the time of our inspection.
The practice is able to provide pharmaceutical services to those patients on the practice list who live more than one mile (1.6km) from their nearest pharmacy premises. We visited the branch site at Stoke Prior as part of the inspection in order to look at the dispensary. Patients are able to book appointments at either the main practice or the branch site.
Davenal House Surgery Partnership provides a range of NHS services including blood testing, chiropody, physiotherapy and anti-coagulant testing. Bereavement and mental health counselling sessions were also held there.
The practice does not provide an out of hours service to their own patients. Patients are provided with information about the local out of hours service which they can access by using the NHS 111 phone number.
Please see the evidence table for details of the opening hours and extended hours provision.
Information about the practice website is available to download from their website:
12 November 2018
This practice is rated as Good overall. (Previous rating 25/11/2014– 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 inspection at Davenal House Surgery on 12 October 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. We received positive comments from patients who had completed CQC comment cards.
•Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Patients were positive about having telephone access to GPs.
•One of the practice nurses carried out home visits to elderly housebound patients and visited them if they had falls or when they had been discharged from hospital.
•There was a strong focus on continuous learning and improvement at all levels of the organisation. The trainees at the practice gave positive feedback about the support and training they have received.
•The practice was recently given an award from the Deanery for the high quality support offered to trainees.
•The practice had developed innovative ways of using the IT system in order to respond to patients’ needs.
There were a few areas where the practice should make improvements:
•Ensure all staff are aware who the safeguarding lead is.
•Ensure all members of staff have received annual appraisals.
•Record near misses at the dispensary and ensure the date on which medicines are checked is recorded in the dispensary as this was not always formalised.
•Ensure the door of the dispensary is kept locked at all times.
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.