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

Inspection Summary


Overall summary & rating

Good

Updated 24 October 2018

At our previous inspection in April 2018 we told the provider they should make improvements in several areas. We saw at this inspection that improvements had been made;

  • Regular checks were made to ensure clinical staff remained registered with the appropriate professional bodies.
  • Access had been improved at the branch surgeries by the practice placing door bells at the entrance to the surgeries.
  • The monitoring of refrigerator temperatures had been reviewed and was in-line with Public Health England guidance.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 24 October 2018

At our previous inspection on 18 April 2018, we rated the practice as requires improvement for providing safe services as the arrangements in respect of medicines management were not satisfactory.

These arrangements had significantly improved when we undertook our focused inspection on 11 October 2018. The practice is now rated as good for providing safe services.

Safe and appropriate use of medicines

  • At our previous inspection we saw that Patient Specific Directions (PSDs) did not comply with legal requirements or national guidance (PSDs are specific guidance on the administration of medicines authorising nurses and health care assistants to administer them). At this inspection we saw that the practice had devised a policy in relation to the process for PSDs. They showed us examples of how this was working, what the PSD included, the prescriber responsibilities and examples of PSDs.

  • Previously we saw that the storage and tracking of prescriptions was not in line with national guidance. At this inspection we saw that the blank prescriptions were logged on arrival into the practice and securely locked away. Once they were distributed in the practice or the branch surgeries the numbers were logged and the room where they were placed noted. The rooms where the printers held the prescriptions were secure.

  • Previously there was no risk assessment to determine which emergency medicines were suitable for the practice to stock. At this inspection we saw the practice had implemented a briefing document and full risk assessment for which emergency medicines the practice would hold and why.

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