Background to this inspection
Updated
21 December 2018
L85029 - Vine Surgery Partnership is based at Vine Surgery (a purpose-built building built in 1993) Vine Health Park, Hindhayes Lane, Street, Somerset BA16 0ET which we visited as part of our inspection. Further information about the practice can be found at https://www.vinesurgery.nhs.uk.
Since our previous inspection the two practices at Vine Surgery had merged (April 2018) and formed a new leadership team. The Partnership is registered with the CQC in respect of the regulated activities: Diagnostic and screening procedures; Family planning; Maternity and midwifery services; Surgical procedures and Treatment of disease, disorder or injury. They provide primary medical services to approximately 12,844 patients over an area with three acute hospital Trusts. The surgery is co-located with a dentist and pharmacy.
The practice partnership consists of two male and two female GPs, the practice manager and a female nurse practitioner. The four GP partners work alongside four salaried GPs (female) to provide a whole time equivalent (WTE) of 5.7. The practice team includes three nurse practitioners (WTE 2.1), five practice nurses (WTE 3.4), a practice manager and deputy, health care assistants, patient assistants and administrative staff.
The practice is a training practice for medical students and doctors undertaken general practice speciality training. At the time of the inspection, a GP registrar (a trainee GP) was working at the practice.
The Index of Multiple Deprivation 2015 is the official measure of relative deprivation for small areas in England. The deprivation decile for this area is seven with one being the most deprived and 10 the least. The practice age profile is in line with local and national averages.
The practice has opted out of providing Out Of Hours services to their own patients. Patients can access a local Out Of Hours GP service via NHS 111.
Updated
21 December 2018
This practice is rated as Good overall. (Previous rating 02 2016 – Good)
The key questions at this inspection 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 announced comprehensive inspection at L85029 - Vine Surgery Partnership on 20 November 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. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Evaluate prescription security and implement measures in line with NHS England guidance for the safety of prescriptions.
- Review health and safety risk assessments to ensure they are available on site and overarching documentation of any actions taken recorded.
- Improve overarching document for oversight of clinical revalidation and professional body registration, staff vaccination and significant events.
- Complete annual appraisals for salaried GPs.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
People experiencing poor mental health (including people with dementia)
Updated
21 December 2018