Woolsthorpe Surgery - Care Quality Commission

Background to this inspection

Updated 15 May 2017

Woolsthorpe Surgery is based in the Vale of Belvoir at Woolsthorpe by Belvoir. It has approximately 1,431 patients. The practice’s services are commissioned by SouthWest Lincolnshire Clinical Commissioning Group (SWLCCG). The practice are the smallest surgery within the CCG and pride themselves on being friendly and approachable.

The practice has a General Medical Services Contract (GMS). The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

The practice is part of Vale Medical Group who have three locations registered with the Care Quality Commission (CQC):-

Long Clawson Medical Practice, The Surgery, The Sands, Long Clawson, Melton Mowbray, Leicestershire. LE14 4PA

The Stackyard Surgery, 1 The Stackyard, Croxton Kerrial, Grantham, Lincolnshire. NG32 1QS

Woolsthorpe Surgery, Woolshorpe by Belvoir, Grantham, Lincs. NG32 1LX

The three practices are called the Vale Medical Group.

The location we inspected on 20 April 2017 was Woolsthorpe Surgery, Woolshorpe by Belvoir, Grantham, Lincs. NG32 1LX

Overall inspection

Good

Updated 15 May 2017

Letter from the Chief Inspector of General Practice

This inspection was an announced focused inspection carried out on 20 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 21 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good

Our key findings were as follows:

There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

The system in place for medication reviews and the management of medicines prescribed by secondary care had been reviewed and effective processes were now in place.
The infection control policy had been reviewed and updated to ensure it provided appropriate guidance to staff. All staff had now completed infection control training.
An infection control action plan was in place and reviewed on a regular basis. Cleaning spot checks were regularly carried out.
Processes were in place to capture verbal complaints and comments received at the surgery. Actions were taken were appropriate.
Dispensary competencies had been reviewed and a process was in place to document any issues where appropriate.
There was a clear leadership structure and staff felt supported by management.
The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

Ensure significant events have enough clinical detail documented to demonstrate appropriate details and information are in place.
Dispensary visit reports need to have near misses documented and discussed as detailed in the practice policy.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice