This practice is rated as Good overall.
The previous inspection was in December 2014 and the practice was rated Good.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Outstanding
We carried out an announced comprehensive inspection at Westongrove Partnership – Wendover Health Centre in Buckinghamshire on 23 April 2018. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.
This inspection was planned to check whether the practice was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
At this inspection we found:
- The practice had comprehensive systems in place to manage and monitor risks to patients, staff and visitors. This included risks to the building, environment, medicines management, staffing, equipment and a range of emergencies that might affect operation.
- Patient outcomes and information collected for the Quality Outcome Framework (QOF), the local performance scheme (known as Primary Care Development Scheme) and performance compared to national screening programmes was high.
- The practice routinely reviewed the quality and effectiveness of the care it provided. Care and treatment was delivered according to evidence based guidelines. We saw that a wide range of clinical audits were carried out and there was a whole practice approach to improvement.
- The leadership, governance and culture were used to drive and improve the delivery of its service. All staff were involved in the development of the practice and were proud of their achievements.
- The practice reviewed the needs of their local population and had initiated positive services for patients.
- Services were tailored to meet the needs of individual people and were delivered in a way that ensured flexibility and choice.
- There was a strong focus on education, continuous learning and improvements at all levels in the practice. When incidents did happen, the practice learned from them and improved their processes.
- There was evidence that service improvement was a priority among staff and leaders. High standards were promoted by all practice staff and there was strong team working and a commitment to personal and professional development.
We saw several areas of outstanding practice:
- The practice leadership was committed to meeting the needs of its population. This was evidenced through themed and targeted services, clinical audits and health promotion. This included a range of initiatives to meet the needs of specific groups – for example older people and people with dementia.
- The practice was aware of an increasing elderly population within the community. This led to the development of a service specifically for older people; this service was known as The Weston Service. The focus was to support patients (aged over 75) and their carers with a GP led nurse team to oversee and co-ordinate health and social needs. We saw the practice reviewed and audited the efficiency of the service; we saw recent data which indicated the service had 70 new cases and reduced hospital admissions by 33% (101 avoided admissions). The service and the impact on patients have been recognised both locally and nationally. For example, the project won an innovation award from the Queen’s Nursing Institute (a nationally recognised award celebrating innovation and commitment to patient care and nursing practice) and Bucks County Council Dignity and Respect awards.
- There was clear, inclusive and effective leadership at all levels. Leaders demonstrated the high levels of experience, capacity and capability needed to deliver sustainable care. There were deeply embedded systems of leadership which aimed to ensure that senior staff had considered the needs for the future.
There was an area where the provider should make improvements:
- Consider the implementation of a hearing loop system at all three sites to support patients with impaired hearing.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice