During a check to make sure that the improvements required had been made
We therefore cannot follow up the compliance actions set as the service no longer operates.
We therefore cannot follow up the compliance actions set as the service no longer operates.
Patients we spoke with told us that although they had confidence in the regular doctor who worked full time at the practice they had concerns about the risks to continuity of care because of the regular use of locum GPs and practice nurses. One patient said, 'We always try to see the same GP. Seeing locums worries me, not that there's a particular problem, it's more about confidence that they don't know us so well'
There was a safeguarding lead for the practice however not all staff had received safeguarding adults and children training.
The practice was not following the policy and procedure for setting on staff and we found there were risks associated with the recruitment procedures.
The practice didn't have a formal system of support for staff to gain suitable skills to meet the requirements of their role. There were also no formal arrangements for the regular appraisal and supervision of staff.
There was a process in place for documenting, learning from and reviewing significant events and complaints however, some concerns had been expressed by patients but had not been looked into.
We saw that records were updated regularly with details of the care, treatment and support provided in relation to the people who used the surgery however, we also found that records and confidential patient information was not always held securely.