The Crane Surgery - Care Quality Commission

Background to this inspection

Updated 3 May 2017

The Crane Surgery is a GP practice based in Cranbrook, Kent. There are approximately 1, 934 patients on the practice list.

The practice is similar across the board to the national averages for some population groups. For example, 11% of patients are aged 0 -14 years of age compared to the CCG and national average of 17%. They were lower for patients aged under 18 years of age, with 15% compared to the CCG

and the national average of 22%. They were much higher for patients aged over 65, with 51% compared to the CCG average of 30% and the national average of 27%. The practice is in one of the least deprived areas of Kent.

The practice holds a General Medical Service contract and consists of one GP (male). The principal GP was supported by a locum GP (a former partner at the practice), a practice manager, two practice nurses (female), two healthcare assistants and an administrative team. A wide range of services and clinics are offered by the practice including asthma and diabetes.

The practice building is arranged over two storeys, with all the patient accessible areas being located on the ground floor. The practice is accessible to patients with mobility issues, as well as parents with children and babies.

The Crane Surgery is open 8am to 6.30pm Monday, Tuesday, Thursday and Friday and 8am to 12pm and Wednesday 8am to 12.30pm. Morning appointments are from 9am to 11.30am and afternoon appointments are from 4pm to 5.50pm. There is an early morning clinic every Wednesday from 6.45am to 8am. The principal GP is contactable by telephone in order to ensure patients can access a GP when the practice is closed on Wednesday afternoons.

The practice is not a teaching or training practice (teaching practices have medical students and training practices have GP trainees and FY2 doctors).

There are arrangements with other providers (Integrated Care 24) to deliver services to patients outside of the practice’s working hours.

Services are provided from:

• The Crane Surgery, Rectory Fields, Cranbrook, Kent, TN17 3JB

Overall inspection

Good

Updated 3 May 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Crane Surgery on 2 June 2016. The overall rating for the practice was good. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for The Crane Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 2 March 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 2 June 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:

Since our inspection in June 2016 the practice had improved their medicine checking system in order to ensure that medicines which expired were replaced at appropriate intervals.

The practice had revised the processes for the prevention and control of infection, to include annual infection control audits.

The practice had reviewed the processes for obtaining Disclosure and Barring Service (DBS) checks for staff.
The practice had reviewed the processes for maintaining personnel files.

The practice had reviewed the business continuity plan in order to ensure it is current and contains up to date information.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice