Castle Donington Surgery

Updated 12 March 2018

Castle Donington Surgery is a GP practice providing primary medical services under a General Medical Services (GMS) contract to around 9,500 patients. The practice is located at 53 Borough Street, Castle Donington, which is a small market town in North West Leicestershire close to the Derbyshire border. The majority of its patients live in or close to Castle Donington but approximately 30% live in rural villages. The practice catchment area covers 150 square miles. It is housed in a purpose-built building in the centre of the town. There is public parking on site, with some designated disabled parking spaces. There is disabled access, with ramps and automatic doors. There is an independent pharmacy adjacent to the surgery. It has a General Medical Services (GMS) contract and is a training practice providing placements for trainee GPs and student nurses. The practice’s services are commissioned by West Leicestershire Clinical Commissioning Group (WLCCG).

The service is provided by five part time GPs, two part time salaried GPs, four practice nurses, a pharmacist and a health care assistant. At the time of our inspection there was also one trainee GP. They are supported by a management team consisting of a practice manager and a business and finance manager as well as a reception and administration team. Local community health teams support the GPs in provision of maternity and health visitor services. The GP’s provide a total of 43 sessions per week. There were both male and female GPs available.

The practice is open between 8.00am and 6.30pm Monday to Friday. The practice offers extended hours from 7.15am Monday to Wednesday. Appointments are available from 7.20am to 11.00am every morning and from 3.00pm to 5.50pm in the afternoons from Monday to Wednesday. On Thursday and Friday appointments are available from 8.20am to 11.00am in the morning and from 3.00pm to 5.50pm in the afternoons. Telephone consultations are available every day.

Out of hours services are provided by NEMs Community Benefit Services. Patients are directed to the correct numbers if they phone the surgery when it is closed.

The practice is in an area of low deprivation and has a slightly higher proportion of patients in the 40 to 74 age groups and approximately 70 patients in care homes.

The practice website can be found here.

Updated 12 March 2018

Letter from the Chief Inspector of General Practice

This practice is rated as good overall (Previous inspection September 2015, rating – 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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Castle Donington Surgery on 5 December 2017 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 fully investigated them, learned from them and implemented changes to improve their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines and in line with identified patient needs.

• 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.

• Feedback we received from patients on the day of our inspection was consistently positive about the service they received.

• Some results from the national GP patient survey published in July 2017 were lower than average in respect of access but the practice had implemented an action plan to address this.

• The system for monitoring prescription security was not effective but this was rectified following our inspection.

The areas where the provider should make improvements are:

• Ensure policies are reviewed and followed.

• Ensure the arrangements for monitoring prescription use which have been introduced are embedded.

• Ensure any actions arising from the scheduled legionella risk assessment are implemented.

• Ensure actions as a result of safety alerts received are logged as planned.

• Ensure the action plan relating to patient access is progressed and monitored.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 12 March 2018

Updated 12 March 2018

Updated 12 March 2018

Updated 12 March 2018

Updated 12 March 2018

Updated 12 March 2018