Archived: Market Cross Surgery

Updated 26 August 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

• We found that a new significant event system had been put in place by a new GP partner. With a new policy and reporting form in place. Some further improvement was required to ensure that the investigations were detailed and actions were identified and implemented.

• Risks to patients were now assessed and well managed.

• The practice had embedded a process to ensure emergency equipment and medicines are checked as per the practice protocol.
• Medicine refrigerators were checked and reset on a daily basis.

• Audits were driving improvement in performance to improve patient outcomes. The practice had completed further audits in minor surgery and intrauterine contraceptive devices since the last inspection.

• Staff had received an annual appraisal

• The practice had commenced a more formalised process for the recording of minutes of meetings but the clinical meeting minutes still required more detail.

The areas where the provider should make improvements are:

• Continue to embed the new system for significant events.

• Ensure that guidance received within the practice is checked and interpreted correctly to ensure patient safety. For example, in relation to repeat prescriptions.

• Ensure all staff files have the appropriate recruitment documents as per the practice policy.

• Complete the appraisal process ensuring the notes of the discussions that had taken place are typed and added to the staff file.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

The practice is now rated as good for the care of people with long-term conditions.

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

The practice is now rated as good for the care of families, children and young people.

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

 The practice is now rated as good for the care of older people.

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

The practice is now rated as good for the care of working-age people (including those recently retired and students).

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

The practice is now rated as good for the care of people experiencing poor mental health (including people with dementia).

Updated 26 August 2016

We carried out an announced comprehensive inspection of the practice on 2 December 2015. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 21 July 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from the December 2015 by selecting the ‘all reports’ link for Market Cross Surgery on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group

The practice is now rated as good for the care of people whose circumstances may make them vulnerable.