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Review carried out on 4 November 2021

During a monthly review of our data

We carried out a review of the data available to us about The Maltings Surgery on 4 November 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Maltings Surgery, you can give feedback on this service.

Inspection carried out on 15 January 2020

During a routine inspection

We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, this inspection looked at the following key questions: safe, effective, caring, responsive and well-led.

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 rated the practice as good overall. We rated the practice as requires improvement for the families, children and young people population group and good for all other population groups.

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

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs. The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Staff involved patients in their care and treatment decisions and treated them with kindness, dignity and respect.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high quality, person-centred care and an inclusive, supportive environment for staff. There was a focus on continuous learning and improvement at all levels of the practice.

Whilst we found no breaches of regulations, the provider should:

  • Implement comprehensive staff related processes to include all staff completing essential training at the appropriate level for their roles, a review of the policy and process around staff Disclosure and Barring Service (DBS) checks including considering if all staff who chaperone should receive one, and nursing and paramedic staff receiving a formal, structured audit of their work (including prescribing and minor illness roles) against set criteria to assess their competency and autonomous decision-making.
  • Take steps so that existing infection prevention and control processes are strengthened. This includes those relating to defining, updating, or removing infection control audit actions and ensuring water temperatures at the practice are within the required levels.
  • Strengthen policies, systems and processes in relation to the appropriate management of Patient Group Directions (PGDs), the coding of completed patient medicine reviews on the clinical system, the timely and appropriate receipt of safety alerts including Medicines and Healthcare products Regulatory Agency (MHRA) alerts.
  • Increase the uptake of child immunisations and women attending for their cervical screening.
  • Continue to identify and support carers in the practice population.
  • Make the full complaints process and procedure readily available and accessible on the practice’s website.
  • Continue to take steps to improve levels of patient satisfaction in relation to the National GP Patient Survey results and access to the practice.

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 carried out on 22 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Maltings Surgery on 22 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for older people, people with long-term conditions, people whose circumstances make them vulnerable, families, children and young people, working people and those who have recently retired and people experiencing poor mental health.

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 well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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.
  • Patients said they found it easy to make an appointment 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.

There was an area of practice where the provider needs to make improvements.

The provider should:

  • Consider a more robust mechanism to communicate with locum GPs to inform them of changes in the practice following practice meetings.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice