The Care Quality Commission
  • Doctor
  • GP practice

The Adam Practice Also known as Hamworthy Surgery

Overall: Outstanding read more about inspection ratings

306 Blandford Road, Hamworthy, Poole, Dorset, BH15 4JQ (01202) 679234

Provided and run by:
The Adam Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about The Adam Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Adam Practice, you can give feedback on this service.

7 April 2020

During an annual regulatory review

We reviewed the information available to us about The Adam Practice on 7 April 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

23 and 24 January 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Adam Practice on 23 and 24 January 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service is on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as outstanding overall.

We rated the practice as outstanding for providing responsive services because:

  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
  • There were innovative approaches to providing integrated person-centred care.
  • The practice had identified areas where there were gaps in provision locally and had taken steps to address them.

We rated the practice as outstanding for providing well-led services because:

  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.

We rated the population groups: Older people; Families, children and young people; and People whose circumstances may make them vulnerable as outstanding.

We also rated the practice as good for providing safe, effective and services because:

  • Feedback from patients was consistently positive and was higher than local and national averages.
  • There was a strong person-centred culture.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.

We saw several areas of outstanding practice including:

  • The Adam Practice had an established service and team for their frail population called TAPAAS (The Adam Practice Admission Avoidance Service). The team visited older and frail patients to provide additional clinical and social support, including onward referral and signposting to enable patients to remain in their homes and retain a good quality of life. The nurse manager of the practice was leading a project to coordinate similar teams across the Poole Central Network to share best practice and focus resources in the most effective way.
  • The Best Foot Forward Leg Club service has moved to larger premises to cater for more patients, and included armchair exercises for those who attend. The nurse manager who set up the leg ulcer club has received a Queen’s Nurses Award for this work. They have also written reflective accounts for nursing publications.
  • There was an efficient executive structure in place for the operational organisation of the practice that ensured high quality care and development of the service provided. There were clear constitutions on what could be discussed at operational and partner meetings which enabled clear lines of responsibility and accountability. All actions from meetings were captured on an overall plan for the practice and action plans with monitoring systems were in place.
  • The ethos of the practice was to put patients at centre of their care and treatment. Throughout the inspection visit staff demonstrated the ethos and values of the practice. For example, when talking about the service provided for patients; staff spoke about the need to engage patients in their care and treatment, and prioritise according to patient wishes, whilst managing risk.

Whilst we found no breaches of regulations, however the provider should:

  • Review systems for ensuring that training records are up to date.
  • Review processes to improve the number of carers identified.
  • Continue to review systems for promoting cervical screening uptake.
  • Review arrangements to make sure health and safety risk assessments are carried out at all sites in line with practice policy.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

13/09/2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Adam Practice on 13 September 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • Outcomes for patients who used services were consistently very good. Nationally reported Quality and Outcomes Framework (QOF) data, for the past four years and up to 2015/16, showed the practice had performed very well in obtaining 100% of the total points available to them for providing recommended care and treatment to patients.

  • Risks to patients were assessed and well managed. The practice had safe and effective systems for the management of medicines, which kept patients safe.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.

  • Some audits had been carried out however, we saw no evidence that audits were driving improvement in performance to improve patient outcomes.

  • The continued development of staff skills, competence and knowledge was recognised as integral to ensuring high-quality care. We saw evidence and staff we spoke with told us they were supported to acquire new skills and share best practice.
  • Clearly followed, methodical recruitment procedures and checks were completed and documented efficiently to ensure that staff were suitable and competent to fulfil their roles.
  • High standards were promoted and owned by all practice staff with evidence of team working across all roles. We observed the practice proactively sought feedback from staff and patients, which it acted on.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw several areas of outstanding practice:

  • The practice had responded to the needs of the community by undertaking a pilot project aimed at patients aged over 75 years old (The Adam Practice Admission Avoidance Service’ ‘TAPAAS’ scheme). The practice employed two registered nurses and a health care assistant, who bridged the gap between clinical and social care.Older people were identified in various ways from clinicians, reception staff, frailty measures and outside agencies who may be at risk of hospital admission. These patients were comprehensively assessed in their own homes for their social, physical and mental well-being. They were offered a health check and then their ongoing care was discussed at multi-disciplinary meetings to ensure appropriate services were provided.

  • The practice had reached out to the local community by supporting people who were vulnerable by facilitating a ‘Leg Club’ called ‘Best Foot Forward’. The club was an evidence based initiative which provided community-based treatment, health promotion, education and ongoing care for people of all age groups who were experiencing leg-related problems. The emphasis of the Leg Club was to empower patients to participate in their care, in a social environment that eased loneliness by providing congenial surroundings where old friends could meet and new friendships be formed.

  • The practice had put measures in place to further protect children by using a policy and procedure which utilised background searches for children with three or more admissions to the hospital emergency unit. This was followed up by communications with members of the community teams to identify any potential increased risks and take appropriate action.

The areas where the provider should make improvement are:

  • Review arrangements for services provided to military veterans to ensure they are inline with the military veterans covenant .

  • Review arrangements for the provision of chairs of differing heights and with arms in the waiting room to aid patients who have difficulties sitting or standing.

  • Review how audit processes are established to ensure an on-going audit programme is in place to show that continuous improvements have been made to patient care in a range of clinical areas as a result of multi cycle clinical audits.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice