Dr Wignell and Partners Also known as Windrush Surgery

Updated 7 June 2017

Dr Wignell and Partners (also known locally as Windrush Surgery) is situated in Banbury, Oxfordshire. Dr Wignell and Partners provide services from the following two locations. We visited the premises on West Bar as part of this inspection but not the Bretch Hill location.

Windrush Surgery

21 West Bar

Banbury

Oxfordshire

OX16 9SA

12 Bradley Arcade

Bretch Hill

Banbury

Oxfordshire

OX16 0LS

The main premises of Dr Wignell and partners is a converted house. The treatment and consultation rooms are located on the ground floor and have been adapted to be accessible for patients. The practice serves 7,700 patients from the surrounding area. The practice demographics closely match the national average in terms of age but there are higher numbers of five to nine year olds and 65-70 year olds according to national data. There are slightly higher levels of deprivation compared to the local clinical commissioning group (CCG) area, but in terms of national data the practice has less than average deprivation amongst its population.

The practice has encountered resource problems in 2016 for which it has sought the help of the local CCG. The partners have been working towards improving resource monitoring of the practice whilst reviewing their governance structures.

• There are 2.7 whole time equivalent (WTE) GPs and 4.8 WTE nurses who are supported by healthcare assistants and phlebotomists.
• Dr Wignell and Partners is open between 8.00am and 6.30pm Monday to Friday. There are extended hours appointments available on Monday and Wednesday mornings from 7am.
• Out of hours GP services were available when the practice was closed by phoning 111 and this was advertised on the practice website.
• This practice provided placements for GPs in training although it was not officially a training practice.

Updated 7 June 2017

Letter from the Chief Inspector of General Practice

Our previous comprehensive inspection at Dr Wignell and Partners (Windrush Surgery) on 03 October 2016 found breaches of regulations relating to the safe, effective and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for provision of safe, effective and well led services. It was good for providing caring and responsive services. Consequently we rated all population groups as requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Wignell and Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 10 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 3 October 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 10 May 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. Consequently we have rated all population groups as good.

Our key findings were as follows:

• The practice had taken steps to improve governance framework and leadership structure.
• The practice had taken steps to improve the risks associated with the premises.
• There was an effective system in place for reporting and recording significant events and complaints. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Learning outcomes were identified and lessons learned were communicated effectively.
• Data showed the practice had demonstrated improvements in patient’s outcomes.
• All staff who acted as a chaperone had received a Disclosure and Barring Service (DBS) checks to keep patients safe and safeguarded from abuse.
• Staff we spoke with on the day of inspection was aware about a whistleblowing policy.
• Staff we spoke with informed us the management was approachable and always took time to listen to all members of staff.
• We found staff annual appraisals had not always completed in a timely manner. However, dates were planned to complete all appraisals by the end of June 2017.

In addition the provider should:

• Review and monitor the system in place to ensure all staff have received annual appraisals in a timely manner.
• Arrange repairs to fix the flooring in both treatment rooms.
• Improve the outcomes for patients with dementia.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 7 June 2017

The provider had resolved the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 June 2017

The provider had resolved the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 June 2017

The provider had resolved all the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 June 2017

The provider had resolved the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 June 2017

The provider had resolved the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Updated 7 June 2017

The provider had resolved the concerns for safe, effective and well-led identified at our inspection on 3 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

• It offered annual health checks and care plans for patients with learning disabilities. Care plans were completed for 22 patients out of 27 patients on the learning disability register.