York House Medical Centre

Background to this inspection

Updated 8 November 2018

York House Medical Practice is based in a purpose built two storey health centre where another GP practice and a community pharmacy are also located. There are treatment and consulting rooms on both floors. There is also a branch surgery which was not inspected as part of this inspection.

At the time of our inspection there were approximately 12,300 patients on the practice list. The practice holds a General Medical Services (GMS) contract and provides GP services commissioned by NHS England. A GMS contract is one between the practice and NHS England and the practice where elements of the contract such as opening times are standard. Deprivation amongst children and older people is low when compared to the population nationally.

The practice has five GP partners (one male and four female) and three salaried GPs (female) who are supported by one nurse practitioner, four nurses, and two health care assistants. There is also a practice manager and deputy practice manager and a team of reception and administration staff. The practice is open from 8am to 6.30pm Monday to Friday. Patients requiring a GP outside of normal hours are advised to call the NHS 111 service or 999 for medical emergencies.

The practice is part of a federation of GP practices that offer evening appointments until 9pm and weekend appointments 9am until 12pm. These appointments are run from locations in Walton-on-Thames, Ashford, Sunbury-on-Thames and Woking.

For further details please see the practice website .

The practice is registered with CQC to provide the following regulated activities; Diagnostic and screening procedures, Treatment of disease, disorder or injury, Family planning services, Maternity and midwifery services and Surgical procedures.

Services are provided from the following locations:

York House Medical Centre Heathside Road Woking Surrey GU22 7XL

Goldsworth Park Health Centre Denton Way Woking Surrey GU21 3LQ

Only the Goldsworth Park Health Centre location was inspected during this inspection.

Overall inspection

Good

Updated 8 November 2018

This practice is rated as Good overall. (Previous rating October 2017 – Good)

The key questions at this inspection are rated as:

Are services responsive? – Good

We carried out an announced focused inspection at York House Medical Centre on 9 October 2018. This was to follow up on a breach of regulations identified at our previous inspection. At our previous inspection on the 2 October 2017 we found that the provider had not acted on patient feedback regarding difficulty accessing appointments or completed the practice action plan submitted to CQC following their inspection in July 2016. The details of these can be found by selecting the ‘all reports’ link for York House Medical Centre on our website at www.cqc.org.uk.

At this inspection we found:

The practice had completed their action plan and implemented changes to both the telephone and appointment systems.
Skill mix at the practice had been increased by employing a practice pharmacist and introducing minor illness appointment with a nurse practitioner.
The practice had continued to develop communication within the practice and with other stakeholders.
Significant events were discussed at clinical and staff meetings to ensure learning was shared appropriately.
The practice had reviewed the range of medicines held on site to deal with medical emergencies and introduced a new system for checking these.

The areas where the provider should make improvements are:

Take action to review the impact of changes made in response to patient feedback about accessing care.

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.