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Archived: Redwood House Surgery

Overall: Good read more about inspection ratings

Redwood House, Cannon Lane, Maidenhead, Berkshire, SL6 3PH (01628) 826227

Provided and run by:
Dr Aisha Azeem Ahmed

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

Latest inspection summary

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Background to this inspection

Updated 24 January 2018

Redwood House Surgery is located in a converted detached house in a small town in Berkshire. It holds a general medical services (GMS) contract to provide primary medical services to just over 6,400 registered patients. The practice is part of Windsor, Ascot and Maidenhead Clinical Commissioning Group.

All services and regulated activities are provided from:

Redwood House Surgery, Cannon Lane, Maidenhead, Berkshire, SL6 3PH

Online services can be accessed from the practice website:

www.redwoodhousesurgery.co.uk

According to data from the Office for National Statistics, this part of Berkshire has high levels of affluence and low levels of deprivation. However, there are pockets of high deprivation within the practice boundary which affects registered patients. The practice population has a predominantly higher proportion of patients aged 0 to 19 and 35 to 54 compared to national averages. The ethnic mix of patients is predominantly white with approximately 12% of registered patients belonging to black and other minority ethnic groups.

Overall inspection

Good

Updated 24 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Redwood House Surgery on 5 December 2017. The current GP partnership was registered with CQC in January 2017. We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether Redwood House Surgery was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008. Any data we refer to in this report is the most up to date available data which may refer to the previous provider but is applicable for many of the same staff and patient list.

At this inspection we found:

  • The practice had some systems to manage safety. However, these were not always consistently applied and we found concerns with medicines management, staff recruitment files and identifying and managing risk.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • The practice responded to patient feedback and complaints and made changes to services where possible.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients. 

The areas where the provider should make improvements are:

  • Review training for non-clinical staff in relation to sepsis.
  • Mental capacity act training should be offered to staff.
  • Ensure staff health needs are identified, reviewed and recorded so reasonable adjustments can be made, where necessary.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice