Blackthorn Health Centre

Updated 20 June 2017

Dr SJF Goodison and Partners, also known as Blackthorn Health Centre, is located at Satchell Lane, Hamble, Southampton, SO31 4NQ. The practice is situated in a village on the outskirts of Southampton.

The practice provides services under a General Medical Services contract and is part of the NHS West Hampshire Clinical Commissioning Group (CCG). The practice has approximately 12,474 registered patients. The practices population distribution by age is similar to the national average. The practice has 121 patients registered as housebound and 175 patients registered as living in care homes.

The practice has five GP partners, one salaried GP and one GP registrar. Both male and female GPs were available to be seen at the practice. The GPs are supported by two nurse managers, three practice nurses, three health care assistants, and one phlebotomist.

The clinical team are supported by a management team including a practice manager, secretarial and administrative staff. The practice also employs a medicines management technician. Dr SJF Goodison and Partners is a teaching practice for doctors training to become GPs.

The practice reception and phone lines are open between 8am and 6.30pm Monday to Friday. Routine pre-bookable appointments are available during these times. The practice offers extended hours appointments with GPs, nurses and healthcare assistants from 7.30am to 8am Tuesday and Friday and 6.30pm to 8pm on Mondays. The practice is also open from 8am to 10am on alternate Saturdays. The practice offers three types of appointments: urgent appointments, telephone consultations with the duty GP and pre-bookable appointments. The practice have withdrawn its book on the day service due to patient feedback and dislike of this service instead replacing it with the original system of bookable appointments being released 24, 48 and 72 hours in advance.

Dr SJF Goodison and Partners has opted out of providing out-of-hours services to their own patients and refers patients to the out of hours service via the NHS 111 service. One day a month the practice holds a staff training session between 12.30 and 2pm. During this time the lunchtime telephone message for patients contacting the practice is switched on. The reception area remains manned.

The service offers online facilities for booking and cancellation of appointments and for requesting repeat prescriptions.

Updated 20 June 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Dr SJF Goodison & Partners at Blackthorn Health Centre on 24 May 2016. The overall rating for the practice was good. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr SJF Goodison & Partners on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 25 April 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 24 May 2016. We rated the practice as requires improvement for providing effective services, as not all staff had completed training appropriate to their role.

In addition, we also found that the practice needed to review the level of exception reporting of patients.

This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice remains rated as Good.

Our key findings were as follows:

• The practice had provided training updates for staff in fire safety, moving and handling, information governance, and basic life support and this was recorded on a training matrix. .

• The practice produced a Quality and Outcomes Framework (QOF) exception reporting policy, which was made available for access to all members of staff and ensured appropriate exception reporting of patients took place.

• The practice had produced a protocol for “hard to reach patients”, to help staff with their exception reporting of patients. Unverifiable data was provided by the practice to demonstrate the reduction in their exception reporting of patients.

However, there were also areas of practice where the provider should make improvements.

• Ensure all staff have completed the required mandatory training updates in a timely manner.

The practice is now rated as good for providing effective services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 13 September 2016

The practice is rated as good overall for the care of people with long-term conditions. 

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• The percentage of patients with diabetes, on the register, in whom the last blood pressure reading was acceptable was 74%. This is similar to the clinical commissioning group (CCG) average of 77% and England average of 78%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicine needs were being met. For those patients with the most complex needs, the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Patients were given a direct dial to the medicines management technician employed at the practice. They were able to call them to discuss their medicine. The technician provided personalised spreadsheets for medicines requiring regular dose changes and created patient information leaflets in a user friendly format.  

Updated 13 September 2016

The practice is rated as good for the care of families, children and young people.

• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children and young people who had a high number of A&E attendances. Immunisation rates were relatively high for all standard childhood immunisations.
• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals, and we saw evidence to confirm this.
• The percentage of women aged 25-64 whose notes record that a cervical screening

test has been performed in the preceding five years was comparable to national and CCG averages. The practice achieved 82% compared to a CCG average of 82% and national average of 82%. The practice offered cervical screening at patients’ homes for those listed as housebound or unable to attend the practice.

• Appointments were available outside of school hours and the premises were suitable for children and babies.
• We saw positive examples of joint working with midwives, health visitors and school nurses.
• The practice had adapted its friends and family test survey to be suitable for children.

Updated 13 September 2016

The practice is rated as good overall for the care of older people. 

• The practice offered proactive, personalised care to meet the needs of the older patients in its population.
• The practice was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• The practice held monthly palliative care meetings with the GPs and palliative care nurses. All patients were discussed and notes/care plans updated.
• The practice had 169 registered patients who lived in care homes in the local area.

Updated 13 September 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.
• Telephone appointments were also available for those who were unable to visit the practice during normal opening hours.

Updated 13 September 2016

The practice is rated as good overall for the care of people experiencing poor mental health (including people living with dementia). 

• A total of 82% of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months, which is comparable to the national average of 84%.
• A total of 91% of patients with schizophrenia, bipolar affective disorder and other

psychoses had a comprehensive, agreed care plan documented, in the preceding 12 months. This was comparable to the CCG average of 89% and national average of 88%.

• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those living with dementia.
• The practice carried out advance care planning for patients living with dementia.
• The practice achieved Dementia friendly status in 2015. The practice had re-developed practice signage to make it more dementia friendly. The practice also trained a member of the Patient Participation Group to become a dementia champion and provide training to staff and patients.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• The practice had a system in place to follow up patients who had attended accident and emergency where they may have been experiencing poor mental health.
• Staff had a good understanding of how to support patients with mental health needs and those living with dementia.

Updated 13 September 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including homeless patients, patients who were also carers, housebound patients, travellers and those with a learning disability.
• Home visits were available for patients who were also carers.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice informed vulnerable patients about how to access various support groups and voluntary organisations.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.