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Archived: Shannon Court Surgery Good

This service was previously registered at a different address - see old profile

Reports


Inspection carried out on 18 September 2018

During a routine inspection

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

We carried out an announced comprehensive inspection at Shannon Court Surgery on 18 September 2018 as part of our comprehensive inspection programme.

At this inspection we found:

  • We found communication with the practice required strengthening as staff were aware of where policies were kept, but unsure of what policies were available.
  • The practice was unable to demonstrate that an infection control audit had been completed and we found some of the staff had not completed the appropriate training for infection control relevant to their role.
  • 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.
  • Clinical staff immunisation status was not recorded for some of the clinical team and no risk assessments had been completed to identify duties undertaken, risks and actions to minimise the risk to staff and patients.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use, but some patients commented on difficulties in getting routine appointments.
  • Patients commented positively on the care received by the practice.
  • Staff involved and treated patients with compassion, kindness, dignity and respect. Results from the August 2018 national GP patient survey showed that the practice scored above local and national averages in a number of areas.

The areas where the provider must make improvements as they are in breach of regulations are:

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

The areas where the provider should make improvements are:

  • Continue to review process to identify carers.
  • Review and monitor staff training to ensure staff have completed training updates appropriate to their role.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice