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Review carried out on 27 September 2019

During an annual regulatory review

We reviewed the information available to us about Orchard Medical Centre on 27 September 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 3 April 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This was a focused inspection of Orchard Medical Centre in one area within the key question safe. The evidence was reviewed at Orchard Medical Centre.

At this inspection we found the practice had made all required improvements. Overall, the practice is rated as good.

The practice was previously inspected on 14 September 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall but required improvement for providing safe services.

Our key findings at this most recent inspection were as follows:

  • At the inspection on 3 April 2017 we reviewed a range of documents and found that all of the required improvements had been made.
  • Recruitment folders were in place for staff and all staff acting as chaperones had an up to date Disclosure and Barring Service (DBS) check in place.
  • Recruitment checks were carried out for all employees as outlined in schedule three of the Health and Social Care act.
  • An appraisal system was now in place to ensure all staff received an annual performance review.
  • The practice now had a legionella risk assessment in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 14 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Orchard Medical Centre on 14 September 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed with the exception of recruitment checks, DBS checks and legionella.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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 clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Ensure recruitment checks are completed for each employee prior to employment.

  • Ensure staff acting as chaperones have a DBS check in place or a risk assessment.

The areas where the provider should make improvement are:

  • Consider the need to appraise any staff that have not had a recent appraisal.

  • Consider the need for the practice to have a legionella risk assessment in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice