The Care Quality Commission
  • Doctor
  • GP practice

Concord Medical Centre Also known as Dr Boyd & Partners

Overall: Good read more about inspection ratings

Braydon Avenue, Little Stoke, Bristol, BS34 6BQ (01454) 616767

Provided and run by:
Concord Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Concord Medical Centre 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 Concord Medical Centre, you can give feedback on this service.

19/9/19

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at Concord Medical Centre on 19 September 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

Safe

Effective

Caring

Responsive

Well led

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 good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • All PGDs were authorised prior to use, however, additional staff had signed the documents post authorisation. Immediate action was taken on the day of the inspection to rectify PGDs and the practice said that this would be kept under review to ensure it did not occur again
  • Patients received effective care and treatment that met their needs.
  • All staff who were permanently employed had the required checks undertaken prior to starting employment. However, there were shortfalls in ensuring training had been completed and immunisation status was known for all staff. Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The practice continues to:

The areas where the provider should make improvements are:

  • Should review their policy to ensure patient group directions (PGDs) are appropriately implemented and followed by staff

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

23 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Concord Medical Centre on Friday 23 January 2015. Overall the practice is rated as outstanding.

Specifically, we found the practice to be outstanding for providing responsive, caring and effective services and for being well led. They were also outstanding for providing services for the all the population groups. They were good for providing safe services.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised and used to enhance services for patients.
  • The practice used innovative and proactive methods to improve patient outcomes, working with other providers; locally and within the self-care forum to share best practice.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients.
  • The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand
  • The practice had a clear vision which had quality and safety as its top priority. A business plan was in place which was monitored and regularly reviewed and discussed with all staff. High standards were promoted and owned by all practice staff with evidence of team working across all roles.

We saw several areas of outstanding practice including:

  • The practice had invested in a DEXA scanner to aid diagnosis of Osteoporosis and they provide a free assessment for its own patients and a private service for those from other practices. This provided a much faster access to diagnosis for local patients and reduced the need for those patients to attend hospital. In the last year the practice had provided a total of 213 individual patient scans and resulted in improved treatment outcomes for those patients.
  • The practice had developed an integrated service provision with the Bristol Oncology Centre hospital staff to provide in house oncology treatment, a branch of medicine which deals with cancer, for their own patients and patients from other practices within the community. The service started in April 2014 and they have the facilities to see up to 20 patients per day. The Oncology unit has provided care to 336 patients since opening and out of these approximately two to four patients from the practice are seen daily.
  • The practice employed a full-time mental health nurse consultant who had improved faster patient access for mental health treatment and reduced patient referrals to secondary care by 85%. The practice had employed the mental health consultant in replacement of a GP which had proved successful for reducing GP workload as they saw 40 patients and produced 20 prescriptions per week. This would have otherwise been part of the GPs workload and GPs now report less pressurised surgeries. The mental health nurse consultant also had an important role in working closely with health visitors and GPs to help prevent families from reaching crisis point and needing intervention.
  • The practice had been accredited with the Royal College of General Practitioners quality practice award in 2008 and was awaiting reaccreditation in January 2015. This was awarded in recognition of how they improved patient quality care and outcomes, and had demonstrated good practice and organisational and clinical excellence in their practice. Only three other practices in the Bristol and South Gloucestershire area have achieved the award.
  • The practice is involved in a programme called ‘Productive General Practice’ supported by the NHS Improving Quality. The practice had been very involved with this scheme and had helped to develop a number of guides to support other practices involved within the scheme. One of the GPs had produced ‘shaping our future practice’ and a number of other staff within the practice helped develop ‘improving todays practice’. One of the GPs led on this and they told us the programme sought to provide better care through a structured whole practice approach. (Both modules are still available on the NHS Institute of Innovation and improvement website). So far the practice had achieved innovation and improvement by empowering members of the administration team in ways such as, dealing with safeguarding correspondence with the GP having the overall responsibility. They had also recruited a mental health nurse consultant following a review of their patient needs. The practice wanted to further develop this and they were planning on reviewing the patient pathway for musculoskeletal conditions and how they could improve a more effective patient focused service.
  • Leaders motivated staff to succeed. There was a staff recognition award held twice a year for three staffing areas; nursing, administration and reception. The recognised member of staff would have their picture taken and was celebrated in the patient newsletters. This was one instance of many that contributed to an extremely cohesive and motivated team.
  • The practice had recently developed a carers group in September 2014 working with the carers association to ensure patients received the most up to date support and guidance. The practice arranged with the carers association to see carers (may not necessarily be registered patients of the practice) once a week at the practice. The practice made the room freely available as they recognised the benefits of this contact to the carers of their patients. The carers association worked with the practice to deliver a carers awareness evening in September 2014 to provide additional support to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Monday 4 August 2014

During a routine inspection

Concord Medical Centre is situated in Little Stoke, South Gloucestershire. The practice serves approximately 14,000 patients. The services provided include, child health care, ante and post natal care, immunisations, sexual health and contraception advice, management of long term conditions and smoking cessation clinics. Additional services included scanning for osteoporosis, ear nose and throat (ENT) procedures including mircosuction specifically for cleaning of the ears and a full time mental health nurse consultant.

During our inspection, we spoke with 12 patients. All of the patients spoken with on the day were very positive about the service provided with a collective view that patients were at the centre of the practices service delivery.

There were systems in place to ensure effective patient care and we heard about a high level of patient satisfaction with the care and treatment provided. Patients were treated with dignity and respect in a purpose built environment which was accessible and ensured their privacy. The appointment system enabled patients to be seen quickly and for the amount of time their needs required. The practice was responsive to the needs of the patient and continuously strived to improve the service it provided through active engagement with the patient group. The practice was well led by the practice manager and their partner GPs. They were supported by a practice nursing and staff team.

The practice must protect patients against the risks associated with the unsafe management of medicines, by making appropriate arrangements for the recording, safe keeping and disposal of medicines.

Patients over the age of 75 had been allocated a dedicated GP to oversee their individual care and treatment requirements delivered in the practice or in the patients own home.

Mothers, babies, children and young people had access to dedicated specialised staff as well as dedicated practice clinics, such as child immunisations.

The practice made provision for the working-age population and those recently retired with some additional early morning and evening appointments and alternate Saturday clinics as well as telephone consultations.

Patients in vulnerable circumstances who may have poor access to primary care were also provided with services by the practice.

Patients experiencing poor mental health had access to a practice mental health nurse consultant who provided additional therapies and support.