Archived: Green Surgery Greenwich London

We looked at five patient records and found the medicines prescribed and treatments provided were appropriate. Medicines were suitably stored and prescriptions we saw were appropriate to treat conditions patients were diagnosed with.

Staff recruitment records showed appropriate checks were made before staff started work and there was evidence of indemnity insurance for 16 of the 17 doctors and dentists employed. After our visit the provider wrote to us and told us that they would not use one doctor until they had the required insurance documentation.

The complaints procedure was displayed at the surgery and available to patients on the provider's website. Records seen showed complaints were responded to appropriately.

We found people using the service experienced care that met their needs and were cared for by skilled and experienced staff. However, we were unable to assess the impact of formal staff supervision meetings and clinical staff appraisals as they had not been completed at the time of our inspection. There was evidence that quality monitoring audits had taken place on a regular basis, and that learning from the audits was taking place and necessary changes had been implemented.

The provider had undertaken all outstanding staff recruitment checks including: satisfactory criminal records disclosures, written references and professional indemnity cover. Most checks had been completed satisfactorily; however three out of the 15 staff criminal records disclosure applications that had been made were in progress at the time of our inspection.

We found that people had given their consent before they had received any care or treatment. People's health care needs were assessed, treatment plans developed and delivered in line with their individual care plan. Medicines were kept securely and supplied appropriately. However, the provider had not completed all appropriate checks for most of the staff before they began work and some staff had not received all mandatory training. All the staff had not received supervision and annual appraisals in accordance with the surgery's policy and procedure. Regular quality audits had not taken place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.