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The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 14 May 2019

We carried out this announced comprehensive inspection of The Rowans Surgery on 25 April 2019. We had previously carried out an announced comprehensive inspection on 27 February 2018. At that time the service was rated as requires improvement. It was rated as requires improvement for the safe, effective, responsive and well led domains and good for caring. All population groups were rated as requires improvement.

The areas where we said that the provider must make improvement were:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care with regards to: monitoring single use equipment, emergency medical equipment, cleaning of clinical equipment, vaccine refrigerator temperatures, uncollected prescriptions and cascading information effectively to staff.
  • Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards or care and treatment with regards to timely access to appointments.

The areas where we said the provider should make improvements were:

  • Review and improve uptake for immunisations and screening programmes.
  • Improve patient satisfaction with care and treatment and access to the service.
  • Make information about how to make a complaint or raise concerns readily available to patients and the public.
  • Review practice policies and procedures so the duty of candour is clearly reflected.
  • Improve systems for engaging with patients, obtaining patient feedback and acting on concerns.

At the inspection on 25 April 2019 we found that these areas had been addressed by the practice which is now rated as good in all areas.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue to develop systems to improve the management of patients with long term conditions, particularly hypertension.
  • Continue to review and act on patient satisfaction surveys.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good