The Care Quality Commission
  • Doctor
  • GP practice

Dr Wignell and Partners Also known as Windrush Surgery

Overall: Good read more about inspection ratings

21 West Bar, Banbury, Oxfordshire, OX16 9SA (01295) 251491

Provided and run by:
Dr Wignell and Partners

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Wignell and Partners on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr Wignell and Partners, you can give feedback on this service.

23 May 2019

During an annual regulatory review

We reviewed the information available to us about Dr Wignell and Partners on 23 May 2019. 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.

10 May 2017

During an inspection looking at part of the service

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

3 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Wignell and Partners on 3 October 2016. Overall the practice is rated as requires improvement. Improvements were needed in providing safe, effective and well-led services. Our key findings were as follows:

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

  • There was not a fully functional system in place for reporting and recording significant events and for learning to be circulated to staff and changes implemented where required. Reviews of complaints, incidents and other learning events were not thorough.
  • Risks to patients were not always assessed and well managed.
  • Staff assessed patients’ ongoing needs and when they delivered care to patients it was in line with current evidence based guidance.
  • The practice was performing well on most clinical outcomes in terms of national data. However, where care and treatment data suggested patients did not always access reviews they required for medicines or long term conditions, there was not always a response to identify the reason and drive improvements.
  • Reviews of patients on repeat medicines were not always recorded properly to ensure this system was monitored properly and this had not been identified as an area for improvement or further monitoring.
  • The practice planned its services based on the needs and demographic of its patient population.
  • Patients reported continuity of care, particularly for patients with the most complex health needs.
  • Staff were trained in order to provide them with the skills, knowledge and experience to deliver effective care and treatment. However, there were instances where staff required training updates but had not received these and gaps in training records were noted.
  • 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.
  • Patient feedback in CQC comment cards suggested patients felt staff were caring, committed and considerate.
  • The practice was equipped to treat patients and meet their needs.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • There was not an adequate governance structure and roles were not always clearly defined to ensure appropriate management of the practice.

Areas the provide must make improvements are:

  • Identify, assess and mitigate risks to patients where these occur through improved management of the practice and premises. Specifically undertake risk assessments related to fire and legionella, and ensure checks take place on gas appliances.
  • Review governance structures to ensure improvements to services are made where required and in order to ensure patients receive effective care and treatment where data suggests that outcomes need improving. Specifically improve the recording and monitoring of medicine reviews and identify means of improving take up of health checks for patients with long term conditions.
  • Improve the system for responding to significant events and complaints as part of the system of clinical governance to ensure any learning areas are identified and acted on.
  • Improve training monitoring and deliver training where required. Specifically train chaperones, update immunisation training for relevant staff and provide basic life support and Gillick competency training to staff.

Areas the provide should make improvements are:

  • Review staff hepatitis B immunisation records.
  • Implement a whistleblowing policy and make this available to staff.
  • Review the tools used in infection control and review which areas of the premises may need improvements.
  • Review the maintenance and improvement work planned for the practice to prioritise any work which can be completed earlier than the practice current deadline of December 2019.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice