We carried out a review of the data available to us about Summercroft Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Summercroft Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Summercroft Surgery on 9 June 2016. As a result of our findings during that visit the provider was rated as good overall and requires improvement for providing safe services. The full comprehensive inspection report from that visit was published on 2 August 2016 and can be read by selecting the ‘all reports’ link for Summercroft Surgery on our website at www.cqc.org.uk.
The provider submitted an action plan to tell us what they would do to make improvements and meet the legal requirements. We undertook an announced comprehensive follow-up inspection on 31 October 2017 to check that the provider had followed their plan, and to confirm that they had met the legal requirements. As a result of our findings the provider is rated good.
Our key findings were as follows:
All staff had completed adult and child safeguarding training appropriate to their level.
The practice had carried out a Legionella risk assessment and infection control audit which had not been conducted at the previous comprehensive inspection.
The practice was able to demonstrate that they had obtained evidence of immunisation for several key staff which was not demonstrated at the pervious inspection.
The practice had carried out a health and safety risk assessment and fire assessment which had not been conducted at the previous inspection.
The practice had good facilities and was well equipped to treat patients and meet their needs.
Although there was a process in place for the collection of prescriptions some staff members were unsure of it.
Not all staff had undertaken role appropriate training, specifically infection control and information governance.
Communication was not effective, although regular staff meetings were conducted staff spoken to on the day were unsure of some systems and processes.
There were areas where the provider should make improvements.
The provider should:
Monitor action on processes and policy and also keep appropriate notes on patients’ files when deviating from policy or guidance.
Review training to ensure all staff members have completed role specific training.
Consider how best to ensure staff are aware of the practice’s prescription collection processes.
Continue to review and improve how patients with caring responsibilities are identified and recorded on the clinical system to ensure that information, advice and support is made available to them.
Conduct a risk assessment for emergency medicines.
Consider reviewing communication with staff with a view to make it more effective.
Continue to review patients access in relation to GP patient survey results.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Summercroft Surgery on 09 June 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
Ensure that risks to staff and patients are fully assessed and mitigated. For example, the practice must address identified concerns with infection prevention and control at the practice including, but not limited to, waste management, monitoring systems and audits, and the protection of staff through appropriate immunisation.
The areas where the provider should make improvement are:
Review the practice’s safeguarding training to ensure that it covers both children and adults, all staff are trained to an appropriate level for their role, and all staff are aware of their responsibilities
Review governance arrangements including systems for assessing and monitoring risks and the quality of the service provision.
Review the protocol for completing accurate, complete and detailed records relating to employment of staff. This includes keeping up to date evidence of registration with professional bodies.
Review how they identify carers to ensure their needs are met.
Chief Inspector of General Practice