The Crest Family Practice

Updated 13 November 2018

• The registered provider is The Crest Family Practice. The registered manager for this service is Marie King (also the business manager).

• The Crest Family Practice is located at William Budd Health Centre, Downton Road, Knowle, Bristol, BS4 1WH. The practice has a personal medical services contract with NHS England for delivering primary care services to the local community. The practice website address is www.crestfamilypractice.co.uk

• The practice has a registered patient population of 6,918 patients. The practice is located in Knowle West, one of the most deprived areas of the South West of England.

• The practice team is made up of a GP Partner (female) and a business partner (female- also the registered manager). The partners are supported by four salaried GPs (two male and two female), an advanced nurse practitioner (female), a visiting nurse practitioner (female), two clinical pharmacists (female), two physiotherapists (one male and one female), three practice nurses (female) and an HCA (female). There was also a team of receptionists and administrators.

• The practice is part of NHS Bristol, North Somerset and South Gloucester Clinical Commissioning Group. Out of hours care is accessed by contacting NHS111.

• The Crest Family Practice is registered for the following regulated activities: Maternity and midwifery services, Surgical procedures, Diagnostic and screening procedures, Treatment of disease, disorder or injury and Family planning.

Updated 13 November 2018

This practice is rated as Good overall. (Previous rating March 2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at The Crest Family Practice on 28 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

• The practice worked with five other practices Bristol Community Health (BCH) on a community based approach to the management of leg ulcers. This meant that all patients with leg ulcers were treated in a community clinic. As a result, there have been improved outcomes for patients, both clinically and socially.

The areas where the provider should make improvements are:

• Monitor and improve higher than average quality outcome framework exception reporting.
• Continue to monitor the improvements made to the infection prevention and control policy, to ensure they are effective.
• Consider improving the system for identifying stock levels of emergencies medicines held in clinical areas.
• Continue to monitor the improvements made to monitoring safety alerts, to ensure they are effective.
• Continue to monitor the effectiveness of the newly implemented information leaflet provided to patients following minor surgery.

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.

Updated 13 November 2018

Updated 13 November 2018

Updated 13 November 2018

Updated 13 November 2018

Updated 13 November 2018

Updated 13 November 2018