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Review carried out on 10 March 2020

During an annual regulatory review

We reviewed the information available to us about Leybourne Surgery on 10 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Review carried out on 27 February 2020

During an annual regulatory review

We reviewed the information available to us about Leybourne Surgery on 27 February 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 3 July 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating September 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 at Leybourne Surgery on 3 July 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. The practice proactively identified carers and supported them. A total of 150 patients have been identified as carers, this represents over 3% of the practice population.
  • 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 practice.

The areas where the provider should make improvements are:

  • Continue to take action to improve cervical screening uptake.

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.

Inspection carried out on 13 September 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an inspection of Leybourne Surgery on 13 September 2016. This review was performed to check on the progress of actions taken following an inspection we made in May 2015. Following that inspection the provider sent us an action plan which detailed the steps they would take to meet their breaches of regulation. During our latest inspection on 13 September 2016 we found the provider had made the necessary improvements.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in August 2016. This can be done by selecting the 'all reports' link for Leybourne Surgery on our website at www.cqc.org.uk

Our key findings at this inspection were as follows:

The practice had improved the governance systems to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk. This included the introduction of:

  • Improving communication and feedback with staff through meetings, policies and emails.

  • Updates on the patients charter and vision for staff.

  • Clear guidelines of who to report concerns to within the practice.

  • Systems to monitor the governance processes. For example, a system to keep all policies under review.

  • Ensuring all staff had received performance reviews.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 28 May 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Leybourne Surgery 1 Leybourne Avenue, Ensbury Park, Winton, Bournemouth, Dorset, BH10 6ES on 28 May 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring and responsive services. It was also good for providing services for older people, people with long term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia). It required improvement for providing well led services.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.

  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • In 2014 national patient survey 97% of respondents said they had confidence and trust in the GP treating them. This was slightly higher than the national average

  • Information about services and how to complain was available and easy to understand.

  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • At the time of our visit the practice did not have a dedicated practice manager. In order to fulfil the business needs of the practice the senior partner employed locum GPs to manage patient appointments. The senior partner was also working extended hours to fulfil their duties both as the practice manager and GP.

The areas where the provider must make improvements are:

The management hours and associated responsibilities must be reviewed to ensure the on-going governance of the quality and safety of the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 3 June 2014

During a routine inspection

Leybourne Surgery is a GP practice situated in the North of Bournemouth and has approximately 3,900 registered patients. The practice provides a range of services for patients.

We spoke with patients about their experiences of care at this practice and also received written feedback from patients about the quality of services. The majority of patients gave positive feedback about the practice and staff. We reviewed the results of the last patient survey undertaken in 2014. This showed patients were consistently pleased with the service they received.

Leybourne surgery was patient-focused in its approach to care and treatment. It provided information and support to help patients understand their care and treatment and help them make informed choices. The practice ran a number of specialist clinics to help patients manage their long term conditions. Patients were treated kindly and with dignity and respect. There was clear leadership within the practice, with a focus on learning from incidents and events and continuous professional development. The practice actively sought comments and feedback from patients and acted on these to improve the service.