Oakfield Surgery

Oakfield Surgery is a provider registered with CQC. The practice was previously rated requires improvement after our inspection on 12 September 2018. You can read our findings from our last inspection by selecting the ‘all reports’ link for Oakfield Surgery on our website at https://www.cqc.org.uk/location/1-4257854470.

At this inspection we followed up on breaches of regulations identified at our last comprehensive inspection on 12 September 2018. To follow up on breaches of regulation 12 and 17 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The concerns related to staff not following the practice procedure for monitoring the vaccine refrigerator and insufficient checking or recording locum staff were up to date with role specific training.

We carried out an announced comprehensive inspection at Oakfield Surgery on 18 December 2019 and (due to illness in the inspection team) 21 January 2020 to check whether the provider was now meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups except for Working age people (including those recently retired and students) which is rated as requires improvement.

At this inspection we found:

• Staff were following the practice procedure for monitoring the vaccine refrigerator.
• The practice was checking and recording locum staff were up to date with role specific training.
• The outcomes for patients with diabetes were now inline with or in some cases above local and national averages.

We rated the practice as good for providing safe services because:

• There were appropriate processes in place to keep patients safe.
• Policies and procedures were monitored, reviewed and updated.

We rated the practice as good for providing effective services because:

• Patients’ needs were assessed, and care and treatment were delivered in line with current legislation, standards and evidence-based guidance.
• There was evidence of quality improvement activity.
• Staff were receiving regular appraisals.

We rated the practice as good for providing caring services because:

• The practice respected patients’ privacy and dignity.
• Patients we spoke with during our inspection and those who completed comments cards, spoke favourably about the practice: that the staff treated them with respect, that they felt listened to.
• Patient feedback from the GP patient survey results were in line with local and national averages.

We rated the practice as good for responsive services because:

• Complaints were managed in a timely fashion and detailed responses were provided.
• Feedback from the patient survey indicated that respondents’ ease of access care and treatment was in line with local area and national averages.

We rated the practice as good for providing well-led services because:

• The practice had improved since our inspection 12 September 2018 and had addressed the concerns we found at our previous inspection.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.

The areas where the provider should make improvements are:

• Review safeguarding training staff undertake to assure it is the appropriate level.
• Continue to monitor and review children attending childhood immunisation and patients’ uptake for screening.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care