• Doctor
  • Independent doctor

Archived: Chessel Branch Surgery

Overall: Good read more about inspection ratings

4 Chessel Avenue, Southampton, Hampshire, SO19 4AA

Provided and run by:
Southampton Primary Care Limited

Latest inspection summary

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Background to this inspection

Updated 11 February 2020

Chessel Branch Surgery is one of eight registered locations of the provider Southampton Primary Care Limited (SPCL). SPCL is a GP federation delivering primary healthcare services to approximately 283,000 patients across the city of Southampton. Of the 26 GP practices in Southampton, 24 are member practices and are shareholders in the federation. The member practices are:

  • Aldermoor Surgery
  • Alma Medical Centre
  • Atherley House Surgery
  • Bath Lodge Surgery
  • Brook House Surgery
  • Cheviot Road Surgery
  • Highfield Health
  • Hill Lane Surgery
  • Living Well Partnership
  • Lordshill Health Centre
  • Mulberry Surgery
  • Old Fire Station Surgery
  • Raymond Road Surgery
  • Shirley Health Partnership
  • St Mary’s Surgery
  • St Peters Surgery
  • Stoneham Lane Surgery
  • Townhill Surgery
  • University Health Service
  • Victor Street Surgery
  • Walnut Tree Surgery
  • West End Road Surgery
  • Woolston Lodge Surgery

SPCL has eight registered locations which act as hub sites for patients to access the services it delivers.

The registered hub sites are:

  • Aldermoor Surgery
  • Chessel Branch Surgery
  • Lordshill Health Centre
  • Nicholstown Surgery
  • Shirley Health Partnership
  • Southampton Primary Care Ltd
  • St Mary’s Surgery
  • Woolston Lodge.

Locations have been chosen to provide the best spread of access for patients across the city. There are three hub sites open across the city at any one time.

Southampton Primary Care Limited as a provider provides the following services to the public:

Enhanced access, physiotherapy, long acting reversable contraception, acute visiting service and enhanced healthcare in homes.

The following services operate from the hub location Chessel Branch Surgery:

Extended access service.

If a patient cannot get an appointment with their own GP patients can have access to the enhanced access service offered by SPCL. There are a range of clinicians available including HCAs, nurse practitioners and GPs. Patients can access this service by contacting their main GP practice and requesting a hub appointment.

The registered location Chessel Branch Surgery operates from the following address:

Chessel Branch Surgery

4 Chessel Avenue

Southampton

SO19 4AA

The service is registered to provide the following regulated activities:

Diagnostic and screening services

Family Planning

Surgical Procedures

Treatment of disease disorder and injury

This inspection focused on the registered location Chessel Branch Surgery. This location acted as one of the hub sites which delivered extended and enhanced services to the registered population of Southampton. On the day of our of our inspection, Chessel Branch Surgery was only being utilised to deliver physiotherapy services which are not in scope for regulation. On other days in November regulated activities were being delivered from this location. The types of services delivered from this location varied on a daily basis. This hub site, when in use, is only open during daytime core GP hours and does not operate in the evening as a hub site location.

Chessel Branch Surgery as a hub site for SPCL is located in the GP practice Chessel Branch Surgery (also now known as Peartree Practice). This GP practice holds its own registration with CQC for providing core GP services and has been rated separately by CQC.

On the day of our inspection the location as a hub site was only being used for physiotherapy services. Extended access services for GPs, nurses or healthcare assistants were being delivered from other hub locations.

How we inspected this service

During our visit we:

  • Reviewed information held about this service.
  • Spoke with the registered manager. (Staff feedback mentioned in this report was collected from other hub site locations representing staff for this location as staff worked in an across site model).
  • Reviewed provider documents and policies
  • Reviewed feedback from staff and patients as obtained from survey results and public data.

To get to the heart of patients’ experiences of care and treatment, we ask the following five questions:

  • Is it safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive to people’s needs?
  • Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection. However, we could not rate the service for the key questions of caring and responsive, due to the nature of service operation.

Overall inspection

Good

Updated 11 February 2020

We carried out an announced comprehensive inspection at Chessel Branch surgery on 28 November 2019 as part of our inspection programme. Due to the way in which the service operated, we were unable to rate the key questions of caring and responsive.

This service is registered with Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The chief executive officer is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

  • Staff had the information they needed to deliver safe, effective and holistic support to patients.
  • The provider organised and delivered services to meet patients’ needs.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.
  • Staff felt supported to engage in further training as required in order to successfully undertake their role.
  • There were clear systems and processes in place to keep people safe and safeguarded from abuse.
  • Staff had the information they required in order to deliver safe holistic care to patients even when the clinician had not seen the patient previously.
  • There were clear documented processes in place to record significant events and share learning from these.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.

The areas where the provider should make improvements were:

  • Consider including all staff in quality improvement activities.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care