Broughton House GP Surgery

We carried out an announced comprehensive inspection at Broughton House GP Surgery on 7 and 8 September 2023. This was the first rated inspection for this provider since they took over the running of this location in April 2022. Overall, the practice is rated as Good. We rated the practice as Requires Improvement for providing responsive services as outcomes from the National GP Patient Survey for access were below the local and national averages.

Safe – Good

Effective - Good

Caring - Good

Responsive – Requires Improvement

Well-led - Good

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• Reviewing staff questionnaires.
• A short site visit.

Our findings

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We found that:

• This provider had taken over the GP contract for the practice in April 2022. The practice told us there had been initial challenges with staffing and recruitment, which had potentially impacted on access and continuity of care, but they had now established a consistent team.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Outcomes from the National GP Patient Survey were below the local and national averages in some areas, particularly getting through on the telephone. Although we saw the practice was attempting to improve access, and a recent internal survey showed positive patient feedback, this was not yet reflected in the validated National GP Patient Survey.
• The practice was a training practice and had a strong emphasis on education and learning.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

• Continue to monitor and make improvements to increase the uptake of cancer screening and childhood immunisations.
• Continue to monitor and improve prescribing outcomes.
• Continue to monitor and improve patient outcomes for access, in particular accessing the practice by telephone and the experience of making an appointment.
• Continue with the drive to recruit more patients to join the Patient Participation Group representative of the practice population.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care