Background to this inspection
Updated
23 July 2018
The name of the registered provider of Wellington Medical Centre. The service is provided from one address; Mantle Street, Wellington, Somerset, TA21 8BD, and delivers a primary medical service to approximately 15,169 patients, including 327 patients living in care and nursing homes in the area. The practice is situated in a purpose-built building near the centre of the town of Wellington. Information about Wellington Medical Centre can be found on the practice website www.wellingtonmedicalcentre.co.uk.
According to information from Public Health England the practice area population is in the fourth least deprived decile in England. The practice population of children and those of working age is similar to local and national averages. The practice population of older people 65 years and above are slightly above local and national averages. Of patients registered with the practice, 98% are White or White British, 1.1% are Asian or Asian British, 0.2% are Black or Black British, 0.7% are mixed British and 0.1% are Other.
The practice team is made up of ten partners and one salaried GP. Overall the practice has the equivalent of just over 8 WTE (whole time equivalent) GPs at the practice (five male and six female). There are six practice nurses and four health care assistants. The practice has additional clinical specialist staff including two primary care practitioners, two practice pharmacists and a Musculoskeletal practitioner. In addition, the practice staff included a dedicated patient wellbeing advisor. The practice manager is supported by administrators, secretaries, and reception staff.
When the practice is not open patients can access treatment via the NHS 111 service.
The practice provides family planning, surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
23 July 2018
This practice is rated as Good overall. (Previous inspection 4 November 2014 – Good)
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 unannounced comprehensive inspection at Wellington Medical Centre on 24 May 2018 as part of our inspection programme.
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. They ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a strong focus on continuous learning, mentorship and improvement at all levels of the organisation.
- The practice was in the process of implementing an initiative called ‘House of Care’. A holistic approach to managing patients with long term conditions to be more informed and involved in their care and a shared approach to providing the care and treatment they needed.
- The practice worked with other local health, social care and voluntary services. For example, the Taunton and Area Wellbeing Service to provide additional support in the community, signposting and enabling patients to take better control of their health and wellbeing.
- The practice initiated a project with Weston Power, Western Water and Taunton Borough Council and was aimed at patients with long term conditions to improve some of their living environments (cold homes) by signposting them to other organisations for support to initiate change in their homes
The areas where the provider should make improvements are:
- Review arrangements for maintaining a list of those staff who had attended fire drills to ensure that all staff had participated.
- Review arrangements to continue maintaining the records of the training achieved by the clinicians.
- Continue to review the arrangements for their mental health register, those patients diagnosed with schizophrenia, bipolar affective disorder and other psychoses so that they had a comprehensive, agreed care plan documented in the previous 12 months.
- Review arrangements for maintaining a consistent use of consent forms by clinicians for the provision of treatment.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice