Archived: Old Road West Surgery

Updated 26 August 2016

Old Road West Surgery provides medical care from 8.30am to 6.30pm Monday to Friday, although patients are able to contact the practice from 8.00am by telephone. The practice is situated in the town of Gravesend in Kent and provides a service to approximately 11,750 patients in the locality.

Routine health care and clinical services are offered at the practice, led and provided by the GPs and nursing team. The number of patients registered below the age of 65 is comparable to the local and national averages. However, there are more patients registered over the age of 65 than both the local and national averages. The number of patients recognised as suffering deprivation within this practice boundary, including income deprivation, is lower than the national average, although it is comparable to the local average for the clinical commissioning group (CCG) area.

The practice has three female and three male GP partners, four female practice nurses, and one female health care assistant. There are a number of reception, secretarial and administration staff, as well as a practice manager.

The practice does not provide out of hours services to its patients and there are arrangements with another provider (South East Health / NHS 111) to deliver services to patients when the practice is closed. The practice has a general medical services (GMS) contract with NHS England for delivering primary care services to local communities.

Services are delivered from:

30 Old Road West

Gravesend

Kent DA11 0LL.

Updated 26 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Old Road West Surgery on 28 October 2015. Breaches of the legal requirements were found. 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.

We undertook this focussed inspection on 14 June 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 ‘all reports’ link for Old Road West Surgery on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 21 January 2016

The practice is rated as good for the care of people with long-term conditions.

• 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.
• The practice supported and encouraged patients to manage their own long-term conditions and provided specific health promotion literature and information about additional support and advice.
• For those patients with the most complex needs, the GPs worked with relevant health and care professionals to deliver a multi-disciplinary package of care.

Updated 21 January 2016

The practice is rated as good for the care of families, children and young people.

• There were systems to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, children on the child protection register. Immunisation rates were relatively high for all standard childhood immunisations.
• The practice had dedicated and extended appointments available for new mother and baby checks.
• Appointments were available outside of school hours and the premises were suitable for children and babies.
• The practice worked with midwives, health visitors and school nurses when required.

Updated 21 January 2016

The practice is rated as good for the care of older people.

• The practice offered proactive, personalised care to meet the needs of the older people in its patient population.
• It was responsive to the needs of older patients, and offered home visits and urgent appointments for those with enhanced needs.
• There were arrangements to help avoid older patients being admitted / attending hospital unnecessarily.

Updated 21 January 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The needs of the working age patient 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.
• Students were able to register with the practice as temporary patients when on leave from college / university.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 21 January 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice provided in-house counselling services and had access to a psychiatrist and community psychiatric nurse services.
• The practice regularly worked with multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• It carried out advance care planning for patients with dementia.
• The practice provided information for patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• It had a system 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 patients with mental health needs and dementia.

Updated 21 January 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability and offered longer appointments for these patients.
• The practice proactively supported local care homes with patients who were vulnerable and included those with a learning disability.
• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable patients.
• It provided information for 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.