The Care Quality Commission
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  • GP practice

Archived: Chelmer Village Surgery

Overall: Good read more about inspection ratings

Ashton Place, Chelmer Village, Chelmsford, Essex, CM2 6ST (01245) 467759

Provided and run by:
Dr Timothy Macpherson

Important: The provider of this service changed. See new profile

All Inspections

12 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a desk based review for Chelmer Village Surgery on 12 August 2016. This was to follow up on actions we asked the provider to take after our announced comprehensive inspection on 7 January 2016.

During the inspection in January 2016, we identified that the practice had not considered the need to complete a Disclosure and Barring Service check for all staff who acted as a chaperone. We also identified that the practice had not carried out an infection control audit since 2013.

The practice wrote to tell us how they would make improvements and we have reviewed records they provided to show their actions had been completed.

Our key findings were;

  • Staff acting as chaperones had received appropriate safety checks in order to safeguard patients.
  • Shortly after our inspection in January 2016, the practice carried out an infection control audit

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chelmer Village Surgery on 07 January 2016. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for all of the population groups.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received most training appropriate to their roles and any further training needs had been identified and planned.
  • Patients we spoke to said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a leadership structure and staff felt supported. The practice sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must

  • Ensure all DBS checks are completed for staff carrying out chaperone duties

In Addition, the provider should

  • Carry out an up to date infection control audit

Have suitable arrangements in place to deal with bereavement

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 January 2014

During a routine inspection

We inspected Chelmer Village Surgery on 06 January 2014.

We saw there were notices in the waiting room to provide people with information such as health promotion, safeguarding and other support services.

We received positive comments from people about the care provided by the practice.

We saw that staff spoke politely to people and consultations were carried out in private treatment rooms.

People told us they experienced treatment and care that met their needs.

The surgery had systems in place to reduce the risk of infection.

People's health safety and welfare were protected when more than one provider was involved because the surgery worked in co-operation with others.

We saw the surgery had appropriate medicines management arrangements in place.

Staff were supported by annual appraisals and were able to obtain further relevant qualifications.

We found staff records and other records relevant to the management of the surgery were kept secure for confidentiality.