PPCA Ltd/ Cosham Park House Surgery

Updated 25 October 2021

The registered provider is located at:

Portsmouth Primary Care Alliance Ltd.

Station House,

North Street,

Havant

PO9 1QU

The service inspected is located at:

Cosham Park House Surgery

Cosham Park Avenue

Portsmouth

Hampshire

PO6 3BG

The provider, Portsmouth Primary Care Alliance Ltd (PPCA), is a company made up of nominated GP partners from all 13 GP member practices in the Portsmouth Clinical Commissioning Group (CCG) area. The five PPCA directors are from Portsmouth’s five primary care networks (PCNs). PCNs are groups of practices working together to focus on local patient care. PPCA offers integrated primary care services to approximately 230,000 patients registered with Portsmouth CCG’s practices. PPCA Ltd/Cosham Park House Surgery is registered to deliver the acute visiting service (AVS). The provider also offers extended access and overnight services and these are delivered under a different registered location.

PPCA/Cosham House Park Surgery provides the AVS to the all patients within the CCG aged over 18 years of age, apart from patients detained under the Mental Health Act. The AVS is registered with CQC to provide the following regulated activities: Treatment of disease, disorder or injury and Maternity and midwifery services.

The AVS provides home visits within core operating hours, between 9am and 6pm Monday to Friday excluding bank holidays. These visits are booked via the member GP practices.

PPCA/Cosham House Park Surgery is staffed by employees, who undertake administration and managerial roles, and locum clinical staff. Some of the locums are also employed directly by member practices within Portsmouth CCG.

How we inspected this service

We requested documents to review before and after the onsite visit, which we undertook on 2 September 2021. During the visit we spoke with staff and reviewed a range of care records. To limit the time spent on site, we spoke with other staff via video on different days after the site visit.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 25 October 2021

This service is rated as Good overall. This service had not previously been inspected.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at PPCA Ltd/Cosham Park House Surgery as part of our inspection programme. This service had not previously been inspected and this inspection covered all five key questions. We inspected the service on Thursday 2 September 2021.

PPCA Ltd/Cosham Park House provides an acute visiting service to adult patients registered with the 13 GP practices in the Portsmouth Clinical Commissioning Group.

The registered manager has been in post since the service was first registered in 2015, when the service was delivered from a different location. The service moved to Cosham Park House in May 2019. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The service has not been inspected since initial registration.

From this inspection we rated the service as Good for all five key questions, and Good overall. We found no breaches of regulations and we have advised of areas where the service should make improvements.

Our key findings were:

• The service provided care in a way that kept patients safe and protected them from avoidable harm. It did not seek assurance that locum drivers, who used their cars for business, had suitable insurance and vehicle safety checks.
• Patients received effective care and treatment that met their needs. Results of the audit programme were consistently high, which indicated scope for reviewing and refocusing the audit approach.
• People were treated with dignity, respect and compassion and staff involved them in decisions about their care
• The service was designed to meet patients’ specific needs for same-day home visits. Feedback and complaints were taken seriously, to support the complainant and for service improvement. The provider did not display its complaints process on their website.
• The service was led and managed to promote high-quality, person-centred care.

The areas where the provider should make improvements are:

• Consider how it shares its complaints policy to ensure it is accessible to all patients.
• Review the audit programme to identify areas for developing the audit approach to promote further improvement.
• Gain assurance that staff who use their own vehicles for business have the necessary insurance and vehicle safety checks.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care