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Archived: Alderley Edge Medical Practice

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During a check to make sure that the improvements required had been made

Following our last inspection of Alderley Edge Medical Practice the provider sent us an action plan which outlined the steps they were going to take in order to become compliant with the requirements of regulations relating to safeguarding people and the checks made to ensure that people who work there are suitable.

We saw from the action plan that training had been provided for staff in relation to safeguarding adults. This complemented the training already completed in respect of safeguarding children. We saw that appropriate Disclosure and Barring Service checks had now been obtained for certain clinical staff working at Alderley Edge Medical Practice.

Inspection carried out on 23 January 2014

During an inspection looking at part of the service

We undertook this follow up inspection because when we visited Alderley Edge Medical Practice in August 2013 we found that they did not comply with the regulations and essential standards relating to safeguarding and requirements for staff. The provider sent us an action plan outlining the steps they would take in response to this.

When we visited Alderley Edge Medical Practice on this occasion we talked to the practice manager and to a member of staff. We saw that some training in safeguarding had been provided since we had first visited but that this did not include the safeguarding of adults. We looked at six staff records but we found that these did not contain all of the information which a provider must obtain in order to ensure that staff who work in health care are suitable to do so.

Inspection carried out on 11 September 2013

During a routine inspection

When we inspected Alderley Edge Medical Practice we spent time at both of the surgeries which are part of the practice. We talked to six patients and to five staff at the surgeries and looked around the buildings. We also looked at how records were kept although we did not look at individual records or directly observe any patient consultations with doctors.

Patients told us that they were very satisfied with the care and treatment provided by Alderley Edge Medical Practice. They said �It is marvellous�, �I have no complaints� and �The reception staff are all very nice.� Most patients told us that it was easy to contact the surgery and to make an appointment. At the Prestbury surgery we were told it was often possible to be seen by a doctor on the same day although at Alderley Edge one patient told us that they found the appointment system lengthy.

Patients said that they felt that the doctors spent the time they required to meet their needs � �The care that I have here has been very good.� �The doctor listens to me and I get on fine with them.� Patients told us that they felt they were treated with dignity and respect.

We saw that the practice provided a number of clinics including for asthma, diabetes, and heart diseases. There were also facilities available for visiting professionals such as district nurses and other therapists. We talked to some of these professionals who spoke very positively about the practice.

We looked at the arrangements for safeguarding but did not find that these were currently robust. When we looked at the premises used by Alderley Edge Medical Practice we found them to be suitable and clean. We looked at staff records to see what precautions were taken when employing staff. We found that whilst most of the requirements had been met there were gaps in the documentation which meant that we could not always check that this was the case.