• Doctor
  • GP practice

Archived: St Lukes Medical Centre

Overall: Good read more about inspection ratings

17 New Road, Brixham, Devon, TQ5 8NA (01803) 852731

Provided and run by:
St Lukes Medical Centre

Important: The provider of this service changed. See new profile

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Background to this inspection

Updated 30 September 2016

We inspected the practice in April 2016 and found improvements were needed in the area of safe patient care and good governance. The provider sent us an action plan which detailed the steps they would take to meet the breaches in regulation. During our latest inspection on 7 September 2016 we found the provider had made the required improvements.

The practice is situated in the coastal town of Brixham, Devon. The area is ranked fifth in the level of deprivation decile, with one being least deprived and ten being the most deprived. 96.7% of the local population identified their ethnicity as being white English in the 2011 census.

The practice provides a primary medical service to 10,100 patients of a predominantly older age group. The practice is a training practice for GP registrars (doctors who are training to become GPs). There was one registrar working at the practice.

There is a team of one GPs partners and five salaried GPs. The whole time equivalent is 5.6 GPs. Partners hold managerial and financial responsibility for running the business. The team are supported by a practice manager, two nurse practitioners, five practice nurses, two health care assistants, three phlebotomists and additional administration staff.

Patients using the practice also have access to midwife clinics and depression and anxiety counsellors at the practice. Other health care professionals such as community nurses, mental health teams and health visitors attended the practice on a regular basis.

The practice is open between the NHS contracted opening hours of 8am - 6.30pm Monday to Friday. Appointments are offered anytime within these hours. Extended hour’s surgeries are offered at the following times; Monday, Tuesday, Thursday mornings from 7.30am and on Tuesday evening until 7.30pm.

Outside of these times patients are directed to contact the Devon doctors out of hour’s service by using the NHS 111 number.

The practice offers a range of appointment types including book on the day, telephone consultations and advance appointments. The practice has a Personal Medical Services (PMS) contract with NHS England.

St Lukes Medical Centre is comprised of two locations both of which carry out regulated activities. The main site is located at 17 New Road, Brixham TQ5 8NA and the branch site is located at 1 Greenswood Road, Brixham TQ5 9HN.

During our inspection we visited the New Road location on 7 September 2016. We did not visit the Greenswood Road location as evidence was seen at the St Lukes branch. The

Greenswood branch inspection is covered in a separate report.

Overall inspection

Good

Updated 30 September 2016

Letter from the Chief Inspector of General Practice

We carried out an inspection of St Lukes Medical Centre on the 7 September 2016. This review was performed to check on the progress of actions taken following an inspection we made in April 2016. Following that inspection the provider sent us an action plan which detailed the steps they would take to meet their breaches of regulation. During our latest inspection on 7 September 2016 we found the provider had made the necessary improvements.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in August 2016. This can be done by selecting the 'all reports' link for St Lukes Medical Centre on our website at www.cqc.org.uk

Our key findings at this inspection were as follows:

The practice ensured the health and safety for patients by improving the arrangements for managing medicines (vaccines). This included the introduction of:

  • Secure systems for the storage and distribution of prescription stationary.
  • A system where patient group directions (PGDs) were kept under review.
  • A process to frequently conduct Medicines and Healthcare product Regulatory Agency (MHRA) searches to check for any medicine alerts.
  • Further processes to monitor rises and drops in fridge temperatures.

The practice had sought feedback from patients following lower than national average scores in January 2016. The national survey results from July 2016 remained lower than average for GP interactions but internal survey findings in March 2016 had been positive.

The practice had improved the governance systems to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk. This included the introduction of:

  • Written care plans for all patients with the long term conditions including chronic obstructive pulmonary disease and diabetes.
  • Written records for palliative care meetings.
  • Clearly displayed chaperone signs in every treatment room and waiting areas.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice