• Doctor
  • GP practice

Walnut Tree Practice

Overall: Outstanding read more about inspection ratings

May Lane Surgery, Dursley, Gloucestershire, GL11 4JN (01453) 540555

Provided and run by:
Walnut Tree Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Walnut Tree Practice 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 Walnut Tree Practice, you can give feedback on this service.

31 December 2019

During an annual regulatory review

We reviewed the information available to us about Walnut Tree Practice on 31 December 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.

7 November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Outstanding overall. (Previous inspection 18/05/2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Outstanding

Are services well-led? - Outstanding

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 – Outstanding

Families, children and young people – Outstanding

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) - Outstanding

We carried out an announced comprehensive inspection at Walnut Tree Practice on 7 November as part of our inspection programme.

At this inspection we found:

  • 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, for example in relation to antibiotic prescribing.
  • The practice encompassed a holistic approach to meet individual patient needs, particularly in relation to mental health and chronic conditions.
  • Frail older people were well supported by the practice employed care coordinator and their engagement with social prescribing.
  • The practice had developed innovative ways of supporting people to live healthier lives across all age groups. For example the prescribing of allotments scheme, the art and crafts programmes sourced and delivered by the practice and a health resilience programme for primary schools.
  • Staff involved and treated patients with compassion, kindness, dignity and respect. The practice was above average for its satisfaction scores on consultations with GPs and nurses.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • Services were tailored to meet the needs of individual people and delivered in a way that ensured flexibility and choice. For example, the practice worked collaboratively with local practices to set up a travel clinic accessed by the entire locality and delivering a sexual health clinic at their practice for the locality.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation. When incidents did happen, the practice learned from them and improved their processes.
  • At the core of the practices ethos, was learning and development, across all staff groups.
  • Feedback from patients was consistently positive and higher than local and national averages.

We saw two areas of outstanding practice:

  • Patients with mental health issues were well supported within the practice and the practice had prioritised non-medical treatments in this area. For example, the practice employed an artist to run art classes within the practice for eight weekly sessions. Impact was assessed by the Warwick Edinburgh wellbeing score taken before the first session and at the last session and showed a 19% improvement in patient’s wellbeing.
  • The practice had been at the centre, of the initiation and maintenance of a project called the Vale Hospital Allotments which supported people with a variety of chronic health conditions as well as those suffering from bereavement. There were 46 allotments shared between local people and patients who received an allotment prescription by their GP. The practice has seen benefits to their patients in a number of ways. For example a patient was able to reduce the number of medicines taken from 11 to two items only and reported improved wellbeing in relation to their mental health.

The areas where the provider should make improvements are:

  • The practice should ensure that there are systems in place to monitor that policies are adhered to by all staff, in relation to roles and responsibilities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Walnut Tree Practice on 18 August 2015. Overall the practice is rated as good. Specifically, we found the practice to be outstanding for providing responsive services. The practice was good for providing safe; effective; caring and well-led services.

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.
  • 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.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice worked closely with other organisations to provide services to ensure that services meet people’s 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.

We saw several areas of outstanding practice including:

  • The practice used innovative and proactive methods to improve patient outcomes and working with other local providers to share best practice. For example an arts in health project; a café for people living with dementia; providing healthy lifestyle sessions at the local school and patient led projects to reorganise community care in order to prevent unnecessary emergency admissions.
  • The practice shared learning from significant events with other GP practices and partner agencies so action was taken to improve patient safety and share best practice.

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

  • The practice should make sure that the management of medicines and prescription security are proper and safe at all times.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice