• Doctor
  • GP practice

Archived: West One Surgery

Overall: Good read more about inspection ratings

West Street, Crewkerne, Somerset, TA18 8AY (01460) 75746

Provided and run by:
Dr Michael Osborne

All Inspections

17 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at West One Surgery

on 19 January 2016. Overall the practice was rated as requires improvement. The practice was rated good for caring, effective and responsive care and required improvement for safe and well-led domains. We issued one requirement notice for the following:

  • Breach of Regulation 12 of The Health and Social Care Act (Regulated Activity) Regulations 2014, Safe care and treatment. The requirement notice was issued in order for the practice to implement the necessary changes. To ensure patients who used the service were protected against any risks associated with the safe management of the medicines including emergency medicines and the security of prescriptions.

A copy of the report detailing our findings can be found at www.cqc.org.uk.

At our last inspection in January 2016 the areas where the provider must make improvement were:

  • Ensure the security of blank prescriptions throughout the consulting rooms was routinely maintained.

  • Ensure stocks of emergency medicines were held in case of medical emergencies.

  • Ensure processes for keeping up to date records of Patient Group Directions are maintained.

At our last inspection in January 2016 the areas where the provider should make improvement were:

  • Review the practices training programme in regard of vulnerable adults training.

  • Review infection control processes.

  • Review the systems in place to ensure best practice guidelines are routinely available to all clinical staff.

  • Review the systems in place to monitor outcomes for patients.

This inspection we undertook a focused desk based inspection on 17 November 2016 to assess if the practice had implemented the changes needed to ensure patients who used the service were safe and ensure the practice was well-led by the provider.

Our key findings across all the areas we reviewed were as follows:

  • The practice now had an appropriate system in place to ensure prescriptions were kept secure at all times.

  • The practice now had adequate arrangements in place to ensure any medical emergencies could be dealt with safely and appropriately.

  • The practice had ensured vaccine protocols were followed through appropriate guidelines to ensure the safety of patients.

  • The practice had managed infection control appropriately by auditing its practices and taking action promptly to address areas of improvement.

  • All staffing arrangements had been assessed to ensure patient safety and changes had been implemented to reduce workloads.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

19 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at West One Surgery, Crewkerne on 19 January 2016 Overall the practice is rated as requires improvement.

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

  • Risks to patients were not fully assessed for all aspects of the practice particularly in regard of the security of prescriptions, appropriate stocks of emergency medicines and for keeping up to date records of Patient Group Directions.
  • 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 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.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had very good facilities and was well equipped to treat patients and meet their needs.
  • There was a simple leadership structure and staff told us they felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was fully aware of and complied with the requirements of the Duty of Candour.

We saw areas of outstanding practice:

  • The practice had a separate “Duty of Candour” noticeboard in the waiting area which informed patients about the learning and improvements the practice made as a result of complaints received.
  • The practice was part of the CLICK federation (Chard, Langport, Ilminster and Crewkerne) and participated in projects within the federation. One project was the provision of support for inactive patients diagnosed with diabetes, those who were pre-diabetic and those diagnosed with hypertension. Participation following referral had significantly improved the health for one patient.
  • The practice had implemented a “Walk in Friday” appointment system where patients accessed the next available appointment. Like for like period figures showed over 170 more patients were seen between January and March 2015 compared to the same period the previous year.

The areas where the provider must make improvement are:

  • Review the security of blank prescriptions throughout the consulting rooms.
  • Review stocks of emergency medicines held in case of medical emergencies.
  • Review processes for keeping up to date records of Patient Group Directions.

The areas where the provider should make improvement are:

  • Review the practices training programme in regard of vulnerable adults training.
  • Review the systems in place to ensure best practice guidelines are routinely available to all clinical staff.
  • Review the systems in place to monitor outcomes for patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice