The Care Quality Commission
  • Doctor
  • GP practice

St Johns Surgery

Overall: Good read more about inspection ratings

BHI Parkside, Stourbridge Road, Bromsgrove, Worcestershire, B61 0AZ (01527) 872393

Provided and run by:
St Johns Surgery

All Inspections

13 December 2019

During an annual regulatory review

We reviewed the information available to us about St Johns Surgery on 13 December 2019. 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.

During a routine inspection

This practice is rated as good overall. (Previous rating 19 March 2015 – 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 St Johns Surgery on 22 October 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. The practice had carried out nine audits in the last two years.
  • 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. Several members of staff had been provided with extra training in order to progress and improve the the practice.
  • The practice was the lead provider for extended hours provision in Redditch and Bromsgrove and provided the hub service.
  • Same day appointments were available for urgent and non-urgent concerns.
  • The practice had a very flexible approach with prescriptions. If prescriptions were requested by 11am then they were provided to the patient on the same day.
  • The practice looked after a ward in the community hospital a mile away called Red Ward. There were 12 beds in Red Ward for patients. This resulted in fewer unplanned acute admissions this figure was currently at 9% of the practice population which was lower than other practices in the area. This service was accessible by GPs in surrounding practices by calling a dedicated number to make the referral. Therefore patients from other practices benefited from this service.
  • The practice carried out minor surgery for their own patients and for patients of neighbouring practices. For example between 2017 to 2018 the practice had carried out 61 procedures for patients who were at different practices and 438 for patients registered at the practice .
  • The practice looked after 57 patients under the violent and aggressive scheme. If there had been any incidents in a GP surgery the police were informed and the individual practices would then apply to have patients removed to this scheme. The practice had no say in who was referred to them. Patients were referred to the scheme by NHS England. Patients often seen under the scheme would be rehabilitated and be seen in ordinary general practice again once they were ready.

We saw an area of outstanding practice:

The practice had a one stop dermatology clinic. Patients with moles for example were treated in one stop as they had dermoscopy facilities.

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.

21 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 21 November 2014 as part of our new comprehensive inspection programme. The practice also has a branch surgery at Wychbold which we did not inspect on this occasion.

The overall rating for this service is good. We found the practice to be good in the safe, effective, caring, responsive and well-led domains. We found the practice provided good care to older people, people with long term conditions, families, children and young people, the working age population and those recently retired, people in vulnerable circumstances and people experiencing poor mental health.

Our key findings were as follows:

  • Patients were kept safe because there were arrangements in place for staff to report and learn from incidents that occurred. The practice had a system for reporting, recording and monitoring significant events over time.
  • There were systems in place to keep patients safe from the risk and spread of infection.
  • Evidence we reviewed demonstrated that patients were satisfied with how they were treated and that this was with compassion, dignity and respect. It also demonstrated that the GPs were good at listening to patients and gave them enough time.
  • The practice had an open culture that was effective and encouraged staff to share their views through staff meetings and significant event meetings.

There were however areas of practice where the provider needs to make improvements.

The practice should:

  • Ensure all GPs complete infection control training including regular updates as required.
  • Ensure that all GPs can be assured that referral letters contain accurate information prior to correspondence being sent to consultants.
  • Ensure clinical meetings are formalised and minutes kept, particularly when guidelines are updated to ensure that the whole clinical team are aware of current best practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice