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Reports


Inspection carried out on 2 & 3 May 2018

During a routine inspection

This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Radnor House Surgery and Ascot Medical Centre on 2 May 2018. This inspection was carried out as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • 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.
  • Patients found the appointment system easy to use and most patients reported that they were able to access care when they needed it.
  • Complaints were investigated and dealt with appropriately although not all complaints we reviewed had an acknowledgement and the practice needed to review how they offered details of the health service ombudsman to patients in complaints responses.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Review the processes for responding to and acknowledging complaints to bring in line with practice policy and to include details of the health ombudsman.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on We have not visited Radnor House Surgery and Ascot Medical Centre as part of this review because they were able to demonstrate that they were meeting the standards without the need for a visit.

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Radnor House Surgery and Ascot Medical Centre on 10 November 2016. The practice was rated as requires improvement for safe and effective services and good for caring, responsive and well led. Overall the practice was rated as requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Radnor House Surgery and Ascot Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 July 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 10 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

  • Prescription security and tracking had been improved and was in line with legislation.
  • Fridge temperature checking and recording was being undertaken daily. Where breaches of the cold chain had been identified, action was taken and learning shared to mitigate risk.
  • The practice had implemented actions to improve the quality of care for patients with long term conditions. Specifically, improvements to care for patients on the diabetes and mental health registers and patients receiving annual blood pressure checks.

We have changed the rating to reflect the findings for the provision of safe and effective services. Overall the practice is now rated as good.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice