Archived: Wayfield Surgery

Updated 23 August 2016

Wayfield Surgery is a GP based practice in Walderslade, Chatham. There are approximately 1,650 patients registered on the practice list.

Services are provided at Wayfield Surgery by Sydenham House Medical Group who also provide primary medical services from other locations in the South East of England. The group took over the practice from the previous registered provider in June 2015. The previous provider had not been inspected by the CQC.

The practice staff consists of one GP (male), two practice nurses (female) and a health care assistant (female). The GP and nurses are supported by a practice supervisor, a team of reception and administration staff and staff from Sydenham House Medical Group’s central operations team.

The practice is all sited on one level. There is a reception and a waiting area and all patient areas are accessible to patients with mobility issues, as well as parents with children and babies.

The practice is open 8am to 1.30pm Monday to Friday. Sydenham House Medical Group does not offer afternoon appointments at this site, but redirects patients to one of its other nearby practices: Tunbury Avenue Surgery, Chatham and Luton Medical Centre, Chatham.

Patients requiring a GP outside of normal working hours are advised to contact the GP Out of Hours service provided by Medway On Call Care (referred to as MedOCC).

The practice has a General Medical Service Contract (a contract between NHS England and general practices for delivering general medical services.

Services are delivered from:

• Wayfield Surgery, 183B Wayfield Road, Chatham, Kent, ME5 0HD.

Updated 23 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wayfield Surgery on 15 December 2015. Breaches of the legal requirements were found, in that:

The practice did not have a defibrillator in order to respond to cardiac emergencies. The practice also did not have a risk assessment to show why a defibrillator was deemed not necessary.

As a result, care and treatment was not always provided in a safe and well-led way for patients. Therefore, Requirement Notices were served in relation to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation12 - Safe care and treatment.

Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches and how they would comply with the legal requirements, as set out in the Requirement Notices.

We undertook this desk based inspection on 2 August 2016, to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Wayfield Surgery on our website at www.cqc.org.uk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 4 February 2016

The practice is rated as good for the care of people with long-term conditions. The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.

• Longer appointments and home visits were available when needed.

• All these patients had a structured annual review to check that their health and medicines needs were being met. For those people with the most complex needs, the GP worked with relevant healthcare professionals to deliver a multidisciplinary package of care.

• The practice was reviewing previous coding of long term conditions and recalling patients for a review where necessary.

The practice had identified that some patients in this population group had not received adequate care for example patients with Chronic Obstructive Pulmonary Disease (COPD) and had responded by creating specialist clinics for these patients.

Updated 4 February 2016

The practice is rated as good for the care of families, children and young people. The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• 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.

• The practice held a safeguarding risk register for children.

• Staff were able to recognise safeguarding concerns in this population group. However, some members of administrative staff were out of date on their children safeguarding training.

• The practice management team told us they were situated in an area with high percentages of teenage pregnancies and elderly patients from ethnic minorities.

Updated 4 February 2016

The practice is rated as good for the care of older people. The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• The practice offered proactive, personalised care to meet the needs of the older people in its population.

• It was responsive to the needs of older people, and offered home visits and urgent appointments for those with enhanced needs.

Updated 4 February 2016

The practice is rated as good for the care of working-age people (including those recently retired and students). The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• 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.

• There were no online services for this group, but the practice had plans to introduce online services.

The practice offered a full range of health promotion and screening that reflected the needs of this group. The practice nurse liaised with the local family planning clinic to facilitate continuity of care in this population group.

Updated 4 February 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• It carried out advance care planning for patients with dementia.

• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.

• It 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 people with mental health needs and dementia.

Updated 4 February 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable. The provider was rated as requires improvement for providing safe care. The concerns which led to this rating apply to everyone using the practice, including this population group. The provider was rated as good for providing effective, caring, responsive and well-led services.

• The practice held a register of patients with a learning disability. These patients were given longer appointments where appropriate and annual reviews were offered.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• It had told 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.