Archived: Southview Park Surgery

Updated 16 November 2017

Southview Park Surgery is situated in a residential area of Basildon and has approximately 3966 patients registered with the practice. There are patient parking facilities and street parking nearby.

• The practice operates from a single location: London Road, Basildon, Essex.

• Services provided include: a range of clinics for long term conditions, health promotion and screening and childhood vaccinations.

• They serve a broad demographic with high levels of deprivation amongst children and older people. Their male and female patients have a lower than the local average life expectancy.

• There are four permanent GPs, one female GP and three male GPs. They are supported by a nurse practitioner, a healthcare assistant and reception and administrative team.

• The practice is open from 8am to 6.30pm on Monday to Friday. Clinical appointments are available from 8am to 12.30pm and 4pm to 6.30pm. The practice has a practice nurse working Monday to Friday and a healthcare assistant who works three days a week. Appointments can be booked several months in advance. The practice also provides telephone appointments for on the day call backs. The practice does not operate extended hours. Occasionally the practice will hold clinics from 6.30pm to 8.30pm.

• When the practice is closed patients are advised to call the surgery and be directed to the out of hours service. Alternatively they may call the national NHS 111 service for advice. Out of hours provision is commissioned by Basildon and Brentwood CCG, and provided by IC24.

• The practice has a clear well produced comprehensive website. It provides details of services and support agencies patients may find useful to access.

Updated 16 November 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Southview Park Surgery on 13 July 2016 and a follow up focused inspection on 01 March 2017. At our July 2016 inspection the practice received a good rating overall. It achieved a good rating in effective, caring, responsive and well-led services and requires improvement for providing safe services. At our follow up inspection in March 2017 the practice had made sufficient improvement for providing a safe service but required improvement for providing effective services. Overall the practice was rated as good in March 2017. A good rating was achieved in safe, caring, responsive and well-led however the effective domain required improvement. The July 2016 and March 2017 reports can be found by selecting the ‘all reports’ link for Southview Park Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 01 March 2017. A requirement notice was issued for improving governance in relation to quality improvement processes. This report covers our findings in relation to those requirements.

The practice is now rated as good for providing effective services. During our October 2017 inspection we found:

• The practice had changed their quality improvement processes and had introduced a clinical lead to provide oversight and identify the areas of clinical practice which benefited from being reviewed.

• The practice had conducted four audits since the last inspection to improve clinical practice. The audits identified clear aims, portrayed results and analysis in order to drive quality improvement.

• Quality improvement processes were discussed at monthly team meetings and more regularly between the clinical lead and the practice manager.

• We found areas of improvement and future change as a result of their findings.

• The practice had discussed and documented risks in relation to the medicines patients were prescribed. We saw discussions were noted within patients’ medical records.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 9 August 2016

The practice is rated as good for the care of people with long-term conditions.

• The practice conducted comprehensive registration health checks for their new patients to aid the timely identification of conditions.
• Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority.
• Patients at risk of infections were offered appropriate vaccinations such as the seasonal flu vaccination.
• The practice offered rescue packs for COPD patients.
• The practice had higher than the local and national average for reviews undertaken of their patients with COPD, including an assessment of breathlessness in the preceding 12 months. They achieved 93% in comparison to the local average of 88% and the national average of 90%.
• Longer appointments and home visits were available when needed.
• All these patients had a named GP and a structured annual review to check their health and medicines needs were being met.
• The named GP worked with relevant health and care professionals to deliver a multidisciplinary package of care.

Updated 9 August 2016

The practice is rated as good for the care of families, children and young people.

• We saw positive examples of joint working with midwives who attended the practice.
• The practice offered confidential family planning and sexual health are available to young people.
• On the day appointments for children and outside of school hours.
• Immunisation rates were relatively high for all standard childhood immunisations.
• There were systems in place to identify and follow up children living in disadvantaged circumstances and who were at risk, for example, the practice followed up with partners and guardians of children who failed to attend immunisations and hospital appointments.
• The practice’s uptake for the cervical screening programme for 25- 64year old women was good achieving 84%, which was better with the national average of 82%.

Updated 9 August 2016

The practice is rated as good for the care of older people.

• The practice worked with the local care coordinator to conduct needs assessments and liaise with partner services to coordinate health and social care provision supporting independent living.
• The practice participated in the admission avoidance programme reviewing the care of those patients at risk of admission to hospital. Despite this, they had high accident and emergency admissions compare to the national average.
• Dosette boxes were available for patients from the local pharmacy to promote the safe management of medicines by patients.
• Shingle and flu vaccines were available for applicable patients.
• Senior health checks were conducted for over 65year olds
• Longer appointments were available.
• The practice actively identified carers and informed them of services that may assist them.

Updated 9 August 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

• The practice offered face to face and telephone consultations with their clinical team from 8am to 6.30pm Monday to Friday.
• The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group.

Updated 9 August 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

• The practice offered flexible appointments for patients with poor mental health.
• The practice achieved above the national average for their management of patients with poor mental health. For example, 97% of their patients with schizophrenia, bipolar affective disorder and other psychoses had a comprehensive care plan documented in their records within the last 12 months and 92% had their alcohol consumption recorded.
• The practice followed established crisis pathways. Patients with a propensity to self-harm were fast tracked to A&E and local hospitals.
• The practice conducted dementia screening for their patients. They achieved higher than the national average for the percentages of their patients diagnosed with dementia receiving a face to face review within the preceding 12 months. They achieved 90% in comparison with the national average of 84%.

• The practice regularly within multi-disciplinary teams in the case management of patients experiencing poor mental health, including those with dementia.
• The practice had told patients experiencing poor mental health about how to access various support groups and voluntary organisations.
• Talking therapies were provided at the practice on Thursday morning.
• Staff had undertaken training in dementia awareness and had an understanding of how to support patients with mental health needs and dementia.

Updated 9 August 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

• The practice held a register of patients living in vulnerable circumstances including those with a learning disability.
• Homeless patients were allowed to register under the practice address.
• Patients with addictions to drugs and alcohol were signposted and supported to access to local services.
• Patients subject to abuse were supported and advised of services.
• The practice offered longer appointments for patients with a learning disability.
• The practice regularly worked with other health care professionals in the case management of vulnerable patients.
• The practice worked with the local care coordinator to ensure the needs of their patients were being met and supporting them to maintain independence.
• Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies in normal working hours and out of hours.