Archived: Botley Surgery

Updated 19 November 2021

The registered provider is;

Eastleigh Southern Parishes Network Limited

Satchell Lane

Hamble

Southampton

Hampshire

SO31 4NQ

The service inspected is delivered from the following location;

Botley Surgery

Mortimer Road

Botley

Southampton

Hampshire

SO32 2UG

The provider, Eastleigh Southern Parishes Network (ESPN), is a company with three directors, one of whom is the registered manager and one is a GP and clinical lead. ESPN also partners with a company that assists the provider with writing tenders and the business side of projects. The five practices that make up the network and the consultancy are shareholders. The registered location, Botley Surgery, is registered to deliver four regulated activities; diagnostic and screening procedures, family planning, treatment of disease, disorder or injury and maternity and midwifery services. It is registered to treat the whole population.

The provider’s website is available at https://www.espnetwork.co.uk/

The service is open 6.30pm-10.30pm on weekday evenings, 8am-10.30pm on Saturdays and 8am-6.30pm on Sundays.

How we inspected this service

We requested documents to review before and after the onsite visit, which we undertook on 2 October 2021. During the visit we spoke with staff and reviewed a range of care records.

To get to the heart of patients’ experiences of care and treatment, we always 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.

Updated 19 November 2021

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Botley Surgery as part of our inspection programme. This service first registered with CQC in September 2017 and this was our first inspection of the service.

The service at Botley Surgery provides extended hours primary care appointments for patients of the Eastleigh Southern Parishes Network (ESPN) and a limited number of urgent care appointments booked via the NHS 111 out-of-hours call centre. These appointments are offered at evenings, weekends and on bank holidays.

The provider, Eastleigh Southern Parishes Limited, is a federation of five practices within the Eastleigh Southern Parishes Network, which was formed in 2015. The network covers the patient population of Blackthorn Health Centre, West End Surgery, Hedge End Medical Centre, Bursledon Surgery and St Lukes Surgery, with a total population of about 50,000 patients. The service’s clinical care is provided by a mix of GPs, nurse practitioners (including prescribers), practice nurses, musculoskeletal physiotherapists and mental health “first point of contact” practitioners.

The ESPN operations director is the registered manager of this service. 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 direct access to patient information to deliver safe and effective care.
• Patients accessed appointments and advice in a timely way.
• Staff treated patients with kindness, respect and compassion.
• The provider sought feedback from patients and this was consistently positive about the quality and timeliness of care and treatment.
• Staff knew what actions to take to safeguard people from abuse.
• There were systems in place to ensure patients were cared for by trained staff.
• The leaders had the skills to deliver high-quality care and work collaboratively with others.
• A positive culture was supported encouraged within the service.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• Information was collected routinely and used by leaders to make informed decisions about the service.
• There was a culture of reporting and learning from incidents and complaints.

The areas where the provider must make improvements are:

Care and treatment must be provided in a safe way, in respect of

• the management of prescription stationery,
• the review of prescribing competency,
• assuring safety alerts are acknowledged, read and acted upon by relevant staff.

The areas where the provider should make improvements are:

• Create a checklist for staff recruitment to provide a record that staff checks are completed safely.
• Set up regular systems of assurance relating to the safety of the premises used for the delivery of services.
• Continue to identify and manage risks relating to the quality and safety of the service.

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