We carried out a review of the data available to us about Glenside Country Main Practice 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 Glenside Country Main Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.
We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk
Overall the practice is now rated as Good. The overall rating for all the population groups are rated as good.
We found that the system for significant events had been reviewed along with the policy and reporting form. Recording and investigations were detailed and actions were identified and implemented. Meeting minutes represented the discussion that took place. Themes and trends had been identified.
The practice had implemented an effective system for dealing with patient safety alerts.
Patients on the safeguarding register had been reviewed to ensure where appropriate icons and alerts were visible on the electronic patient record system.
The system in place for regular and accurate temperature monitoring of the pharmaceutical fridges on both sites to ensure that vaccines were stored safely had been improved to ensure accurate monitoring
NICE guidance was now a standing agenda item on clinical meetings which ensured all clinical staff kept up to date with national guidance and guidelines.
Further clinical audits had been completed but further work was required to ensure they demonstrated that improvements have been achieved.
Monitoring of staff training had been reviewed and staff appraisals had now taken place.
A system was now in place to check and monitor that changes to patient’s medicines following discharge from hospital was carried out in a timely manner.
The practice had reviewed the system for the identification of carers and provided written information to direct carers to the various avenues of support available to them.
The practice had continued to update policies and procedures which would provide guidance and enable staff to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.
The practice now had an effective governance system in place.
The areas where the provider should make improvement are:
Complete the work required to ensure staff and patients are safe. For example, in regard to legionella.
Ensure monitoring of legionella water temperatures are carried out monthly as per national guidance.
Carry out a full fire drill at both Castle Bytham and Corby Glen and document and issues found and actions to be completed.
Complete further clinical audits including completed cycles and ensure there is evidence to demonstrate improvement in patient outcomes.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Glenside Country Main Practice on 23 June 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
Information about services and how to complain was available and easy to understand.
The provider was aware of and complied with the requirements of the duty of candour
The areas where the provider must make improvements are:
Improve governance arrangements systems for addressing and monitoring risks and ensure identified actions are addressed. For example, infection control, incoming post, referrals.
Improve the system in place for the regular and accurate temperature monitoring of both thermometers within the pharmaceutical fridges on both sites to ensure that vaccines are stored safely.
Have a system in place to check and monitor that changes to patient’s medicines following discharge from hospital is carried out in a timely manner.
Improve the training system in place to ensure that relevant training is undertaken, kept up to date and monitored. For example, GPs receive training in areas such as infection control or fire safety and all staff have an awareness of the Mental Capacity Act 2005.
Embed a system of appraisal and clinical supervision for the practice nurses to include clinical input.
The areas where the provider should make improvement are:
Review the system for safety alerts to ensure when received that they are acted upon.
Review all patients on the safeguarding register to ensure where appropriate icons and alerts are visible on the electronic patient record system.
Further embed the system in place to ensure all clinicians are kept up to date with national guidance and guidelines.
Carry out further clinical audits and ensure re-audits demonstrate that improvements have been achieved.
To improve the system for the identification of carers and provide written information to direct carers to the various avenues of support available to them.
Update policies and in order for staff to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.
Chief Inspector of General Practice