Dr de Lusignan and Partners - Care Quality Commission

Background to this inspection

Updated 10 August 2017

Dr de Lusignan and Partners is situated in Guildford, it is also known as Woodbridge Hill Surgery. The practice is located in a two storey property, which is owned by the partners. At the time of our inspection there were approximately 11,600 patients on the practice list. This is a teaching practice and takes medical students.

The practice has four GP partners and five salaried GPs (three male and six female), three nurses, a phlebotomist, a practice manager, reception and administration staff.

The practice is open between 8.15am and 6.00pm Monday to Friday. Extended hours surgeries are offered until 8.00pm Wednesday. Patients requiring a GP outside of normal hours are advised to call NHS111 where they will be given advice or redirected to the most appropriate out of hours service. The practice has a General Medical Services (GMS) contract and offers enhanced services for example; various immunisation schemes.

The service is provided at the following location:-

Woodbridge Hill Surgery, 1 Deerbarn Road, Guildford, Surrey, GU2 8YB

The practice population has a slightly higher than average number of patients aged 25 to 49 years and a slightly lower than average number of younger patients from birth to four years and patients 55 years or older. It also has a higher than average percentage of patients with long standing health conditions which could mean an increased demand for GP services. The practice is located in one of the ten most deprived areas in Surrey, but overall is considered to be an area of low deprivation when compared nationally. However the practice does provide services to one of the most deprived wards in the country.

The practice is a member of the Royal College of General Practitioners Research and Surveillance Centre. This means they are an active research and surveillance unit which collects and monitors data, in particular influenza and other diseases, and monitors vaccine effectiveness.

Overall inspection

Good

Updated 10 August 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr de Lusignan and Partners on 5 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the April 2016 inspection can be found by selecting the ‘all reports’ link for Dr de Lusignan and Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 July 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 5 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

The required recruitment checks were in place for newly recruited staff.Staff specific inductions were in place.
Staff had completed training required by the practice including safeguarding vulnerable adults and children, fire safety, infection control and the Mental Capacity Act 2005.
The practice manager completed a training spreadsheet that recorded staff training dates and this was used to highlight when training needed to be refreshed.
Equipment had been PAT tested and clinical equipment had been calibrated. There was a system in place for recording when clinical equipment needed to be calibrated. Dates were recorded onto an electronic diary to ensure that annual testing was completed in a timely fashion.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice