Threeways

Updated 20 July 2018

Threeways is a GP practice located in Stoke Poges and provides general medical services to approximately 6,350 registered patients in Stoke Poges in Buckinghamshire and the surrounding area.

Clinical services are provided from:

• Threeways Surgery, Pennylets Green, Stoke Poges, Buckinghamshire SL2 4AZ

The practice website is:

• www.threewayssurgery.co.uk

The practice has core opening hours from 8am to 6.30pm Monday to Friday to enable patients to contact the practice. Extended hours appointments (GP and nurse) were available between 7.30am and 8am every Tuesday, Thursday and alternate Wednesday/Friday mornings. Further extended hours appointments were available until 7pm every Tuesday and Wednesday.

The practice also provides primary care GP services for three local care and nursing homes (35 patients) within the local area and two specialist residential homes for people with learning disabilities (approximately 28 patients).

The practice comprises of three GP partners (two females, one male) and two Salaried GPs. The all-female nursing team consists of a minor illness nurse prescriber, a practice nurse and a health care assistant with a mix of skills and experience.

A practice manager and a team of reception and administrative staff undertake the day to day management and running of the practice.

Out of hours care is accessed by contacting NHS 111.

The practice is registered by the Care Quality Commission to carry out the following regulated activities: Maternity and midwifery services, Family planning, Treatment of disease, disorder or injury, Surgical procedures and Diagnostic and screening procedures.

Updated 20 July 2018

This practice is rated as Good overall.

The previous inspection was in August 2016 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? - Good

We carried out an announced comprehensive at Threeways in Stoke Poges, Buckinghamshire on 22 June 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 clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• The practice had increased activity to proactively identify and support people with caring responsibilities. This included work with Carers Bucks (an independent charity to support unpaid, family carers in Buckinghamshire) to increase identification of carers who were registered at the practice.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a focus on continuous learning and improvement at all levels of the organisation. The practice was fully aware of the developments within South Buckinghamshire and the local health economy.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018

Updated 20 July 2018