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Inspection Summary


Overall summary & rating

Good

Updated 3 May 2019

We carried out an announced comprehensive inspection at Barbly Surgery on 28 February 2019 as part of our inspection programme.

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.

We rated the practice as requires improvement for providing safe services because:

  • There were gaps in safety systems. This was in relation to single use equipment checks, health and safety, high-risk medicines.

We rated the practice as good for providing effective, caring, responsive and well-led services because:

  • Patients received effective care and treatment that met their needs.
  • The practice had a comprehensive programme of quality improvement and used information about care and treatment to make improvements.
  • 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 promoted the delivery of high-quality, person-centre care.
  • The practice had a strong visible and managerial leadership and a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Review significant events policy to ensure all events are recorded as per the policy.
  • Monitor that non-clinical staff are aware of sepsis red flags and the actions to take in the event of a sharps injury.
  • Monitor vaccines fridge to ensure that old vaccines stock is not mixed with new stock.
  • Develop a system to check that relevant staff have read safety alerts.
  • Take action to analyse learning from complaints received.

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

Requires improvement

Updated 3 May 2019

Effective

Good

Updated 3 May 2019

Caring

Good

Updated 3 May 2019

Responsive

Good

Updated 3 May 2019

Well-led

Good

Updated 3 May 2019

Checks on specific services

People with long term conditions

Good

Updated 3 May 2019

Families, children and young people

Good

Updated 3 May 2019

Older people

Good

Updated 3 May 2019

Working age people (including those recently retired and students)

Good

Updated 3 May 2019

People experiencing poor mental health (including people with dementia)

Good

Updated 3 May 2019

People whose circumstances may make them vulnerable

Good

Updated 3 May 2019