• Doctor
  • GP practice

Archived: New Larchwood Surgery

Overall: Good read more about inspection ratings

Waldron Avenue, Coldean, Brighton, BN1 9EZ (01273) 682682

Provided and run by:
Carden Surgery

All Inspections

28 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of New Larchwood Surgery on 28 January 2015. We visited the practice location at Waldron Avenue, Coldean, Brighton BN1 9EZ.

Overall the practice is rated as good. Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

The inspection team spoke with staff and patients and reviewed policies and procedures. The practice understood the needs of the local population and engaged effectively with other services. The practice was committed to providing high quality patient care and patients told us they felt the practice was caring and responsive to their needs.

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

Our key findings were as follows:

  • 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 care and decisions about their treatment.
  • The practice engaged effectively with other services to ensure continuity of care for patients.
  • The practice understood the needs of the local population and planned services to meet those needs.
  • The practice was located within shared premises which provided a focal point for the wellbeing of the local community in tackling social isolation. A community café, hairdressing salon, art club and reading club were located within the same premises.
  • Although the practice was open for a limited number of hours each day, patients reported good access to appointments.
  • The practice had improved arrangements to ensure patients were able to access advice and urgent appointments when they were closed, at their associated practice, Carden Surgery.

However, there were areas of practice where the provider needs to make improvements.

The provider should:

  • Ensure continued development of a virtual patient representation group (VPRG) to further enhance the use of patient feedback to promote continuous improvement.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

30 May 2014

During a routine inspection

New Larchwood Surgery is a purpose built GP surgery within the New Larchwood residential complex, in the heart of the Coldean area of Brighton and Hove. The Practice provides general medical services for approximately 900 registered patients within the Coldean area which includes the student halls of residence of Varley Hall. The practice is located at Waldron Avenue, Coldean, Brighton BN1 9EZ.

A range of services was provided for patients, which included the management of long term conditions and child health. New Larchwood Surgery patients were well supported by local community support groups with whom the practice had developed close and effective working relationships. The practice had an understanding of some of the different patient groups within the practice  population and had taken some steps towards responding to their needs.

Patients experienced poor access to care. The practice provided a combination of GP appointments and nurse practitioner led appointments. Access to appointments was highly restricted by the limited opening hours. The practice was open from 8.30am-12pm each day and from 1.30-3.30pm on two afternoons per week. The practice was closed to patients outside of those hours and telephones were not answered. Some patients expressed concerns about access to urgent appointments within daytime hours when the practice was closed. The practice had not assessed the potential risks presented to patients who were unable to access urgent appointments in a safe, effective and timely manner.

Patients were treated in a caring manner and with dignity and respect. They reported that they felt well supported and cared for. Staff demonstrated a compassionate and caring attitude and had built good relationships with their patients. There was some good evidence of multi-disciplinary working and collaborative care. The practice delivered care and treatment mostly in line with recognised best practice and guidelines.

Overall the service was not well led. Arrangements for assessing the quality of the service were not well defined. Systems for reporting and learning from incidents were not consistently applied. The practice management team provided only sessional input within the practice due to their commitments at their associated practice, Carden Surgery. As a result, leadership and the day to day management of the practice was not clearly defined.

We found that the practice was breaching regulations concerned with quality and safety in relation to assessing and monitoring the quality of service provision; requirements relating to workers; supporting workers and safety, availability and suitability of equipment. We have asked the provider to send us a report, setting out the action they will take to meet these safety standards. We will check to make sure that this action is taken.