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Inspection Summary

Overall summary & rating


Updated 4 April 2019

We previously carried out an announced comprehensive inspection at Poplar House Surgery on 06 December 2018 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.

The full comprehensive report following the inspection in December 2018 can be found on our website here:

At our inspection in December 2018, we rated the practice as requires improvement for providing safe services because:

  • The practice did not have safe and effective systems and processes to recruit staff.

On 25 March 2019 we undertook a focussed inspection of the safe key question. We visited the practice to confirm it had carried out the plan to meet the legal requirements in relation to the breach in regulation identified in our previous inspection in December 2018. This report covers our findings in relation to that requirement.

At this inspection, we found that the provider had satisfactorily addressed the legal requirement and any suggestions for improvements.

We have rated this practice as good for providing safe services.

We found that recruitment procedures had been established to ensure only fit and proper persons are employed. This provided assurance that staff employed at the practice had been recruited in a safe way.

We also found that improvements had been made to:

  • The recording and documentation of discussions at safeguarding meetings.
  • The oversight of professional registration and staff immunisations.
  • The records kept in relation to complaints to include those made verbally.

There were areas where the provider should make improvements:

  • Obtain evidence of medical indemnity for locum practitioners to gain assurance that appropriate cover is in place.

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
Checks on specific services

People with long term conditions


Families, children and young people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable