Background to this inspection
Updated
18 December 2018
This report relates to the regulatory activities being carried out at Wonford Green Surgery which is situated in Exeter. The practice is comprised of one site. The address of the site is Burnthouse Lane, Exeter, Devon, EX2 6NF. We visited this site during our inspection. The practice has a website www.wonfordgreen-surgery.co.uk.
The deprivation decile rating for this area is five (with one being the most deprived and 10 being the least deprived). The practice is located in a deprived area of Exeter. The practice provides a primary medical service to approximately 5,800 patients of a diverse age group. The 2011 census data showed that majority of the local population identified themselves as being White British.
There is a team of three GP partners, one female and two male. The practice employed two salaried GPs and one GP registrar. The whole-time equivalent is 2.7 GPs. The GP team were supported by a practice manager, an office manager, three practice nurses, two health care assistants, and additional administration staff.
Patients using the practice also have access to health visitors, counsellors, carer support workers, district nurses, and midwives. Other health care professionals visited the practice on a regular basis.
The practice is open from 8.20am to 6pm Monday to Friday. Appointments are offered between those times. Extended hours are offered on Thursday from 6pm to 8pm. Outside of these times patients are directed to contact the out of hour’s service and the NHS 111 number. This is in line with local contract arrangements.
The practice offers a range of appointment types including face to face same day appointments, telephone consultations and advance appointments (two months in advance) as well as online services such as repeat prescriptions.
The practice is registered for the treatment of disease, disorder or injury, diagnostic or screening procedures, maternity and midwifery, and family planning services.
Updated
18 December 2018
This practice is rated as Good overall. (Previous rating June 2015 – 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 Wonford Green Surgery on 13 November 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.
- The practice was working to relaunch its patient participation group through networking events in the local community. This included working with community builder staff and other professionals in this deprived area of Exeter.
- The practice used a system called WebGP where patients could contact their GP online. The number of patients was one or two contacts per week on average.
The areas where the provider should make improvements are:
The practice should review its protocols for the cleaning of fabric curtains around its treatment couches to ensure these were cleaned or changed in line with current infection prevention control guidelines.
The practice should review its arrangements for monitoring fridge temperatures during periods the practice is closed, in line with the Department of Health’s Green Book 2013.
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