Endless Street Doctors' Surgery - Care Quality Commission

Background to this inspection

Updated 29 March 2017

Endless Street Surgery is located in three converted Georgian townhouses close to the centre of Salisbury. Some of the consulting and treatment rooms are on the 1^st floor. There is no lift but arrangements are in place to see patients in a downstairs consulting or treatment room where necessary. The practice has a branch surgery in the village of Winterslow.

Endless Street Surgery is a dispensing practice and has a dispensary in both the main and branch surgeries. The practice delivers services to approximately 8,600 registered patients and has a higher than average number of patients over the age of 45. The general Index of Multiple

Deprivation (IMD) population profile for the geographic area of the practice is in the second least deprivation decile. (An area itself is not deprived: it is the circumstances and lifestyles of the people living there that affect its deprivation score. It is important to remember that not everyone living in a deprived area is deprived and that not all deprived people live in deprived areas). Average male and female life expectancy for the practice is 80 and 86 years, which is above the national average of 79 and 83 years respectively.

There are six GP partners and three salaried GPs providing a working time equivalent of five and a half GPs. Five are female and four are male. There are two practice nurses, two health care assistants, six dispensers, a driver (who delivers prescriptions) and a team of eight receptionists and administrators who support the practice manager and operations manager.

It is a training and teaching practice. (Teaching practices take medical students and training practices take qualified doctors training to be GPs).

The practice is open between 8am and 6.30pm Monday to Friday. Appointments with GPs are from 8.30am to 5pm daily. Extended hours appointments are offered between 6.30pm and 7.30pm on Monday and 7.30am to 8am on Tuesday. The practice has opted out of providing out of hours services to their patients. The out of hours service is provided by MEDVIVO which patients can access by calling NHS 111.

Services are delivered via a General Medical Services (GMS contract). (GMS contracts are negotiated between NHS England and general practices for delivering medical services and are the commonest form of GP contract).

All services are provided from the following sites:

72 Endless Street, Salisbury, SP1 3UH.
Winterslow Surgery, Middleton Road, Winterslow, SP5 1PQ.

Overall inspection

Good

Updated 29 March 2017

Letter from the Chief Inspector of General Practice

When we visited Endless Street Doctors' Surgery on 17 May 2016 to carry out a comprehensive inspection, we found the practice was not compliant with the regulation relating to the need for consent. Overall the practice was rated as good.

We found the practice required improvement for the provision of effective services because GPs were not routinely getting written consent for minor surgery which involved excisions (cutting the skin) in line with guidance. We also told the provider they should ensure appropriate action was taken and recorded whenever the vaccine fridge temperature goes outside the recommended limits, and ensure there was a full program of infection control audits undertaken.

Following the inspection the provider sent us an action plan that set out the changes they would make and subsequently supplied information to confirm they had completed the actions.

This focused inspection was undertaken to ensure that the practice was meeting the regulation previously breached. For this reason we have only rated the location for the key questions to which this related. This report should be read in conjunction with the full report of our inspection on 17 May 2016, which can be found by selecting the ‘all reports’ link for Endless Street Doctor’s Surgery on our website at www.cqc.org.uk .

We found the practice had made improvements since our last inspection. The information we received enabled us to find the practice was meeting the regulation that it had previously breached.

Overall the practice continues to be rated as good.

Specifically, Endless Street Doctors' Surgery:

Was now ensuring that they obtained written consent for all minor surgery which involved excisions (cutting the skin) in line with guidance.
Had reviewed it’s procedures for identifying, recording and responding to issues with the vaccines fridges.
Had reviewed it’s programme of infection control audits and had completed an appropriate range of infection control audit.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice