The Care Quality Commission
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Wyke Regis and Lanehouse Medical Practice

Overall: Requires improvement read more about inspection ratings

Portland Road, Wyke Regis, Weymouth, Dorset, DT4 9BE (01305) 782226

Provided and run by:
Wyke Regis and Lanehouse Medical Practice

All Inspections

During an assessment under our new approach

Wyke Regis Lanehouse Medical Practice is a GP practice that provides a range of primary medical services to approximately 13,000 patients delivered across three sites: Wyke Regis Health Centre with branch sites located at Lanehouse Medical Practice and Chickerell Surgery.

Wyke Regis Lanehouse Medical Practice is registered with the Care Quality Commission under the Health and Social Care Act 2008 to provide the following regulated activities; diagnostic and screening procedures, family planning, midwifery and maternity services, surgical procedures and treatment of disease, disorder or injury.

The practice is situated within the NHS Dorset Integrated Care Board (ICB) and delivers services under the General Medical Service (GMS) contract. The National General Practice Profiles states that demographics are in line with local and national averages. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 6th decile (6 of 10). The lower the decile, the more deprived the practice population is relative to others. This inspection considered the demographics of the people using the service, the local context and how this impacted service delivery. We inspected in response to the information we held about the service and to follow-up on the Requires improvement rating.

 

At this inspection we found, the practice did not have fully effective and embedded processes to mitigate health and safety risks, including fire safety and infection prevention and control. Although the service had oversight of risks, systems and processes were not always effective to address shortfalls in performance. The practice had not ensured that all the information specified in Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 was available for each person employed. The provider failed to notify the Commission without delay of the changes made to the registration requirements under Chapter 2 of Part 1 of the Act, whilst services are being provided in the carrying on of a regulated activity. In particular, changes to the registered partnership and the corresponding statement of purpose where such revision or change to the registration of the service is required. We have identified 4 breaches of the legal regulations in relation to safe care and treatment, good governance, fit and proper persons employed and notifications of changes. We have asked the provider for an action plan in response to the concerns found at this inspection.

However, we found there were effective systems and processes to manage medicines, including ongoing monitoring requirements for patients prescribed high-risk medicines which were in line with national guidelines. There were adequate recall processes to ensure patients with long-term conditions were managed effectively. Staff were trained appropriately in line with practice policy and were confident in providing care for patients. Safeguarding procedures were in place to protect patients, and suitable arrangements were in place to investigate incidents including outcomes shared with staff members for mitigating reoccurrence and learning purposes.

12 August 2022

During a routine inspection

We carried out an announced inspection at Wyke Regis and Lane House Medical Practice on 12 August 2022. Overall, the practice is rated as Requires Improvement

We have rated for each key question

Safe – Requires Improvement

Effective – Requires Improvement

Well-led - Good

Following our previous inspection on 30 January 2018, the practice was rated Good overall and for all key questions:

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Wyke Regis and Lane House Medical Practice on our website at www.cqc.org.uk

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit
  • A Staff Questionnaire

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Requires Improvement overall

We found that:

  • Patients mostly received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. This included contacting patients to explain about changes in service delivery and surveying patient satisfaction.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
  • The practice were aware of challenges faced and had plans in place to address these moving forward including additional recruitment to roles.

However,

  • The arrangements for managing medicines did not always keep patients safe.
  • Clinical audit activity was limited and did not demonstrate improvement to quality and safety.
  • Not all staff were up to date with essential training.

We found one breach of regulations. The provider must:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • Review and monitor cervical screening uptake rates and continue to encourage eligible women to attend for screening.
  • Continue to recruit to vacant roles and increase staff training uptake.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

30 January 2018

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection June 2015– 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 recently 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 Wyke Regis and Lanehouse Medical Practice on 30 January 2018 as part of our inspection programme.

At this inspection we found:

  • Since our last inspection the practice had undergone a merger in August 2017 and had changed its name to Wyke Regis and Lanehouse Medical Practice on 1 February 2018. Performance data in the report prior to August 2017 refers to before the time of the merger and therefore related to the main location only.

  • 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 worked jointly with other practices and external services in Weymouth to support the care needs of patients aged over 75 years and avoid admission to hospital.

  • The practice employed a chronic disease nurse specialist and three chronic disease nurses who had all received specific training to review patients with long term conditions.

  • Clinics for patients with long term conditions were available on Saturday mornings to ensure the practice continued to meet the demand of patients’ needs.

  • Children aged under 12 years were able to see a GP or nurse without an appointment, via the ‘sit and wait’ clinic which was offered each day the practice was open.

  • We saw evidence that the practice had implemented systems to improve the quality of care and positive outcomes for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17 June 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wyke Regis Health Centre, Portland Road, Wyke Regis, Weymouth, Dorset, DT4 9BE on 17 June 2015. Overall the practice is rated as good.

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

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.

• Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.

• 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.

• 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.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider should make improvements:

The practice whistleblowing policy covered how to raise concerns internally and should include how to raise a concern externally and how the whistle blower is protected by law.

The practice policies and information for staff which are held on computers should have a clear indexing or version control system to ensure staff can find the most up to date policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 June 2014

During a routine inspection

Wyke Regis Medical Practice is a GP practice providing primary care services for people in and around Wyke Regis, Dorset. It is registered to deliver a range of services including diagnosis, screening and treatment, minor surgery, family planning, maternity and midwifery services. The practice has a total of seven GPs supported by a nursing team and an administration team for approximately 8,000 registered patients. It is also a GP training practice providing educational development for new GPs. Opening times are Monday to Friday from 8.30am to 6.30pm. Late appointments are offered on Monday evenings until 7.30pm, and early appointments on Tuesday mornings from 7.30am. The practice is closed at lunchtimes between 1 – 2 pm.

Wyke Regis Medical Practice has one location registered with the CQC. This is at Wyke Regis Health Centre, Portland Road, Wyke Regis, Dorset DT4  9BE where we carried out our announced inspection visit on 6 June 2014.

The practice provided a service that was caring, responsive and well-led. There are areas needing improvement to ensure the safety of the service provided.