Bedminster Family Practice

Background to this inspection

Updated 27 June 2017

Bedminster Family Practice is located in the Bedminster area of Bristol. There are approximately 11288 patients registered who live within the Bedminster area of Bristol. The practice operates from one location:

Regent Road

Bedminster

Bristol

BS3 4AT

The Bedminster Family Practice is situated in a purpose built surgery close by to retail and residential areas. The consulting, treatment rooms and some of the main administration areas for the practice are situated on the ground and first floor of the building. There is no patient parking and a small number of parking spaces for staff. There is short stay parking in the local vicinity.

The practice is made up of eight GPs in total including four partners and four salaried GPs. Four male and four female. They are supported by a practice manager, assistant practice manager and administration team. The practice is a teaching practice with three GPs as trainers and two GPs as appraisers and they had two GP registrars and a foundation doctor at the time of this inspection. One GP was a GP with Specialist Interest (GPwSI) in dermatology. They have two nurse prescribers and another in process of completing their qualification for this. There is one healthcare assistant and two phlebotomists (for taking blood samples). They have recently employed a pharmacist.

Bedminster Family Practice is open from 8.30am until 6.30pm Monday to Friday Tuesday, Thursday and Friday. There are extended opening hours Tuesday and Thursday 6.30pm until 7.15pm, Wednesday 7.00pm until 7.45pm. On Fridays patients can access early morning appointments from 7.30am until 8.00am. The practice also opens two mornings, usually the first and third Saturday each month.

The practice has a Personal Medical Services contract with NHS England (a locally agreed contract negotiated between NHS England and the practice). The practice is contracted for a number of enhanced services including extended hours access, patient participation, immunisations and unplanned hospital admission avoidance.

The practice is a training practice and also offers placements for foundation doctors and trainee GPs.

The practice does not provide out of hour’s services to its patients, this is provided by BrisDoc. Contact information for this service is available in the practice and on the practice website.

Patient Age Distribution

0-4 years old: 7% (the national average 5.9%)

5-14 years old: 9.6% (the national average 11.4%)

Under 18 years old: 18.8% (the national average 20.7%)

65-74 years old: 10.7% (the national average 17.1%)

75-84 years old: 4.9% (the national average 5.9%)

85+ years old: 1.5% (the national average 23%)

Other Population Demographics

% of Patients with a long standing health condition is 49.2% (the national average 54%)

% of Patients in paid work or full time education is 66.8% (the national average 61.5%)

Practice List Demographics / Deprivation Index of Multiple Deprivation 2015 (IMD): is 28% (the national average 21.8%)

Income Deprivation Affecting Children (IDACI): is 22.6% (the national average 19.9%)

Income Deprivation Affecting Older People (IDAOPI): is 26.6% (the national average 16.2%)

Overall inspection

Good

Updated 27 June 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bedminster Family Practice on 9 March 2016. The practice was rated as requiring improvement for providing safe, responsive and well-led services; and was rated as good for providing effective and caring services. As a result, the practice was given an overall rating of requires improvement. Following the inspection we issued two requirement notices. A notice was issued due to a breach of Regulation 12 of The Health and Social Care Act (Regulated Activity) Regulations 2014, relating to safe care and treatment; and a notice was issued due to a breach of Regulation 17 of The Health and Social Care Act (Regulated Activity) Regulations 2014, relating to good governance.

Within our last inspection report we reported that the provider must ensure that:

A risk assessment process was in place so that all clinical staff employed on either a permanent basis or as locum GPs had had their employment history and qualifications verified by a GP Partner, and a record of this stored on file.
There was an overarching health and safety policy with a defined list of procedures or risk assessments in place to wholly meet the needs of the practice.
There was a system to ensure that complaints were satisfactorily handled and monitored, and learning led to improvements being made to prevent reoccurrence.
Compliments were monitored effectively and good feedback shared with staff.
Practice policies were reviewed and updated to reflect changes in regulations and guidance.

The full comprehensive report on 9 March 2016 inspection can be found by selecting the ‘all reports’ link for Bedminster Family Practice on our website at www.cqc.org.uk.

We undertook a focused follow-up inspection of the practice on 6 June 2017. The inspection was to confirm that the practice had implemented its action plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 9 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

There were key findings across all the areas we inspected during this follow-up inspection. We saw documentary evidence:

The practice had revised its employment application form to ensure that all prospective applicants were required to declare a full employment history, and explain any gaps in employment.
The practice had revised its risk assessment processes so that all clinical staff employed on either a permanent basis or as locum GPs had had their employment history and qualifications verified by a GP Partner, and a record of this stored on file.
The practice employment checklist had been updated to reflect the full range of immunisations required for clinical staff.
Of a written risk assessment for all staff, covering professional registration, previous employment references, evidence of a Disclosure and Barring Service (DBS) check, and measures to ensure patient safety if clinical staff were employed before this information had been received.
The practice had an overarching health and safety policy in place which included risk assessments for legionella’s disease (Legionella is a term for a particular bacterium which can contaminate water systems in buildings), and for the use of a platform lift.
The practice had reviewed its policy for the management of complaints; and had taken steps to monitor complimentary feedback from patients, and share this information with staff.

Following this inspection the practice was rated as good across all domains, which changed its overall rating to Good.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice