Corner Ways Surgery

Updated 27 April 2016

Corner Ways Surgery is situated in a large detached two storey house converted for the sole use as a surgery. The property is located in a mainly residential area of Beckenham, in the London Borough of Bromley. Bromley Clinical Commissioning Group (CCG) is responsible for commissioning health services for the locality.

Corner Ways Surgery was established in the current building in 1928 as the surgery and family home of the original GP. The property underwent extensive renovation in 1991 with further updates in 2013 to accommodate the changing needs of the practice and the increase in patient population.

The practice has 8611 registered patients. The practice age distribution is similar to the national average for most age groups with a lower than average rate for patients 5 to 25 years old.

The practice is registered with the CQC as a partnership. There are currently four partners. Services are provided from one location at 50 Manor Road, Beckenham, BR3 5LG. Services are delivered under a General Medical Services (GMS) contract. The practice is registered with the CQC to provide family planning; surgical procedures; maternity and midwifery services; treatment of disease, disorder and injury and diagnostic and screening procedures.

Clinical services are provided by four full time GP partners (two female and two male) and two part-time Practice Nurses (1.2 wte). There is a Practice Manager (1.0 wte) and administrative, reception and secretarial staff (5.0 wte).

The surgery is open between 08.00 and 18.30 hours Monday to Friday. Pre-booked and urgent appointments are available Monday to Friday from 08.30 to 18.20 hours.

Extended hours are provided by the local GP Alliance Hub service. Appointments are available until 20.00 hours Monday to Friday and from 09.00 to 13.00 hours Saturday and Sunday. Appointments must be booked through the surgery. The service is staffed by GPs from the practices who are members of the GP Alliance and full access to GP electronic records is available for all consultations.

When the surgery is closed the out of hours GP services are available via NHS 111.

A practice leaflet was available and the practice website www.cornerways.gpsurgery.net included details of services provided by the surgery and within the local area.

Updated 27 April 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Corner Ways Surgery on 17 February 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.
• Risks to patients were assessed and well managed. However, some staff were unclear about their responsibilities under the practice Chaperone Policy.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

• Feedback from patients about their care was consistently and strongly positive.

• 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.
• Patients said they found it easy to make an appointment with a named GP and that 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.

• The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been produced with stakeholders and was regularly reviewed and discussed with staff.

The areas where the provider should make improvement are:

• The provider should ensure that all staff are aware of and comply with the practice Chaperone Policy.

• The provider should ensure there is a system in place for the safe storage and monitoring of prescription pads and blank prescriptions in printers.

• The provider should review the fire safety arrangements in the practice to ensure all staff are aware of the procedure to follow in the event of a fire.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 27 April 2016

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

• Nursing staff worked in collaboration with GPs in the management of long term conditions.

• Patients at risk of frequent hospital admission were identified and followed up as a priority. Regular meetings were held to review unplanned admissions. Meetings were minuted and information shared as appropriate.

• Longer appointments and home visits were available when needed.

• Patients with long-term conditions were offered a structured annual review to ensure that their health and medicines needs were being met. For those patients with the most complex needs the named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

• Nationally reported data showed that outcomes for patients with diabetes were higher than the CCG and national average.

Updated 27 April 2016

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

• There were systems in place to identify and follow up children who were at risk, for example, children and young people who had a high number of A&E attendances.

• Immunisation rates were comparable with the CCG average for all standard childhood immunisations.

• Patients told us that children and young people were treated in an age-appropriate way and were recognised as individuals.

• We saw positive examples of joint working with health visitors and midwives. The health visitor and midwife held weekly clinics at the surgery. The GP lead for safeguarding children held a weekly meeting with the health visitor to review any families of concern.

• Cervical screening rates were higher than the CCG average.

• The practice had achieved the highest screening rate for chlamydia screening in Bromley CCG in 2014/15.

• Appointments were available outside of school hours.

• The premises were suitable for children and babies and baby feeding and changing facilities were available if required. However, mothers with young babies informed us that there was nowhere to park pushchairs securely in or outside the premises.

Updated 27 April 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 population.

• All patients over 75 years have been allocated a named GP and were invited to attend an annual health check.

• The practice was responsive to the needs of older people, and offered home visits and urgent appointments for those who required them. Home visits for flu vaccination was also available for patients who required it.

• Longer appointments and home visits were available for older people when needed. This was acknowledged positively in feedback from patients.

• Nationally reported data showed that most outcomes for patients with conditions commonly found in older people were higher than the CCG and national average.

Updated 27 April 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 population had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care.

• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflects the needs for this age group.

Updated 27 April 2016

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

• The percentage of patients with diagnosed poor mental health who had a comprehensive agreed care plan in the last 12 months was 92.1%.This was comparable to the national average of 88.5%.

• The percentage of patients diagnosed with dementia who had their care reviewed in a face to face meeting in the last 12 months was 80.8%. This was comparable to the national average of 84.0%.

• The practice regularly worked with multi-disciplinary teams in the case management of people experiencing poor mental health, including those with dementia.

• There was up to date information available in the waiting area informing patients about various support groups and voluntary organisations.

• The practice had a system in place 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 27 April 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.

• The practice offered longer appointments for patients with a learning disability if requested.

• The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people.

• 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.

• Annual health checks for people with a learning disability had recently been implemented.

• There was up to date information available in the waiting area informing patients about various support groups and voluntary organisations.