Archived: Bruton Surgery

Updated 24 December 2015

The Bruton Surgery is situated in Bruton, Somerset. The practice had approximately 6,071 registered patients including those patients from the outlying villages within a five mile radius of the practice. The practice provides care and support to patients in four care homes and three boarding schools in the area and based on information from NHS England and the practice shows us that the practice has a larger that average population of children and young people aged 0 to 19 years.

The practice is located in premises with patient areas on the ground floor; one small office area is on the first floor. The practice has six consulting rooms and one nurses or minor operations room. There are also two rooms used for either phlebotomy and for chronic disease management. The practice is on a primary medical service contract with Somerset Clinical Commissioning Group.

The Bruton Surgery is only provided from one location:

The Bruton Surgery

Patwell Lane

Bruton

Somerset

BA10 0EG

The practice supported patients from all of the population groups such as older people; people with long-term conditions; mothers, babies, children and young people, working-age population and those recently retired, people in vulnerable circumstances who may have poor access to primary care and people experiencing poor mental health.

Over 35% of patients registered with the practice were of working age from 15 to 44 years; just fewer than 28% of patients were aged from 45 to 64 years old. Just below 11% were over 65 years old. Around 6% of the practices patients were 75-84 years old and just over 2% of patients were over 85%. Just below 19% patients were less than 14 years of age. Information from Public Health England showed (2012/2013) that 60% of the patients had long standing health conditions, which was above the national average of 53%. The percentage of patients who had caring responsibilities was just over 19% which is above the national average of 18.5%. Less than 1% of the working population were unemployed which is below the national average of 6.3%.

The practice consisted of four partners who employed one salaried GP.  Of these five GPs there were three male and two female GPs. Three practice nurses and one health care assistant provided health screening and treatment five days a week. There were three phlebotomists (Phlebotomists are specialist clinical support workers who take blood samples from patients for testing) and 14 support staff employed.  The practice was open between the hours of 8:30am and 6.00pm Monday to Friday. Evening surgeries were available between 6pm to 7.30pm on Mondays and every alternate Tuesdays. The practice referred patients to another provider, NHS 111 service for an out-of-hours service to deal with any urgent patient needs when the practice was closed. 

Updated 24 December 2015

Letter from the Chief Inspector of General Practice

We carried out a focussed inspection of The Bruton Surgery, Patwell Lane, Bruton, Somerset BA10 0EG.

Our previous inspection on 11 November 2014 found breaches of regulations relating to the safe delivery of services. We found at that inspection the practice was inadequate for the provision of safe services and was rated as requiring improvement for well led services. Effective, caring and responsive service provision was rated as good. Overall the practice was rated as one which required improvement.

We found during this inspection that the practice was meeting the regulations that had previously been breached and had taken action in relation to providing a safe and well led service. The areas of improvement related to the safe management of medicines, an improved quality assurance processes to ensure emergency equipment was fit for purpose and also for ensuring that infection control systems were in place. We also found that risk assessments were now in place to identify where a Disclosure and Barring Service check on staff should be carried out for those staff employed.

This report only covers our findings in relation to those areas in which were inadequate or required improvement found during our 11 November 2014 inspection. These areas were identified within our last inspection report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Bruton Practice on our website at www.cqc.org.uk.

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

• Medicines were stored securely. There were systems in place to monitor stock control, expiry dates and use of medicines at the practice.

• Emergency medicines and equipment were safely stored, regularly checked and fit for purpose. Oxygen was stored safely and in accordance to health and safety legislation.

• The systems for the management of infection control were carried out effectively.

• Risk assessments were in place to ensure that an appropriate Disclosure and Barring Service Checks were required to be carried out on staff before they commenced working at the practice.

• A risk assessment was regularly carried out and actions put in place in regard to ensuring safe access arrangements for patients to the practice building and facilities.

  We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.

Updated 24 December 2015

Since our last inspection safe and well led systems have been implemented for medicines management, infection control and for responding to medical emergencies. Risks were now assessed in regard to patients’ safety and the necessity to carry out a Disclosure and Barring Service check when recruiting staff.