The Care Quality Commission
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Archived: Endless Street Doctors' Surgery

Overall: Good read more about inspection ratings

72 Endless Street, Salisbury, Wiltshire, SP1 3UH (01722) 336441

Provided and run by:
Endless Street Doctors' Surgery

Important: The provider of this service changed. See new profile

All Inspections

The evidence provided by the practice enabled the Care Quality Commission to conduct this review without the need for a visit. The review of the evidence was carried out on 24 February 2017.

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

When we visited Endless Street Doctors' Surgery on 17 May 2016 to carry out a comprehensive inspection, we found the practice was not compliant with the regulation relating to the need for consent. Overall the practice was rated as good.

We found the practice required improvement for the provision of effective services because GPs were not routinely getting written consent for minor surgery which involved excisions (cutting the skin) in line with guidance. We also told the provider they should ensure appropriate action was taken and recorded whenever the vaccine fridge temperature goes outside the recommended limits, and ensure there was a full program of infection control audits undertaken.

Following the inspection the provider sent us an action plan that set out the changes they would make and subsequently supplied information to confirm they had completed the actions.

This focused inspection was undertaken to ensure that the practice was meeting the regulation previously breached. For this reason we have only rated the location for the key questions to which this related. This report should be read in conjunction with the full report of our inspection on 17 May 2016, which can be found by selecting the ‘all reports’ link for Endless Street Doctor’s Surgery on our website at www.cqc.org.uk .

We found the practice had made improvements since our last inspection. The information we received enabled us to find the practice was meeting the regulation that it had previously breached.

Overall the practice continues to be rated as good.  

Specifically, Endless Street Doctors' Surgery:

  • Was now ensuring that they obtained written consent for all minor surgery which involved excisions (cutting the skin) in line with guidance.
  • Had reviewed it’s procedures for identifying, recording and responding to issues with the vaccines fridges.
  • Had reviewed it’s programme of infection control audits and had completed an appropriate range of infection control audit.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Endless Street Doctors' Surgery on 17th May 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

  • Risks to patients were assessed and well managed, with the exception of those relating to infection control and vaccine storage.

The areas where the provider must make improvement are:

  • Ensure written consent is obtained for minor surgery which involved excisions (cutting the skin).

The areas where the provider should make improvements are:

  • Ensure appropriate action is taken and recorded whenever the temperature recorded in the vaccine fridge goes outside the recommended limits.

  • Ensure there is a full program of infection control audits undertaken.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice