We carried out a review of the data available to us about The Saxon Spires Practice on 6 July 2023. 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 Saxon Spires Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection at the Saxon Spires Practice on 9 August 2016. The overall rating for the practice was Good however a breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to:
The full comprehensive report of the inspection on 9 August 2016 can be found by selecting the ‘all reports’ link for The Saxon Spires Practice on our website at www.cqc.org.uk.
This inspection was a desk-based focused follow up inspection carried out on 27 March 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 9 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as ‘Good’.
From the inspection on 9 August 2016, the practice was told they must:
We also told the practice that they should make improvements to the follows areas:
Our key findings were as follows:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Saxon Spires Practice on 9 August 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. However monitoring and recording systems relating patients receiving high risk medication, and recording systems related to safety alerts, and significant events needed strengthening.
Staff assessed needs and delivered care in line with current evidence based guidance.
Practice specific policies were implemented and were available to all staff. However some policies we reviewed were undated and needed a review.
The practice had recently recommenced staff appraisals and the practice manager shared with us a schedule of appraisals for the five staff members (out of 40) yet to be appraised.Their appraisal was scheduled for completion by the end of October 2016.
The areas where the provider must make improvement are:
Introduce systems for the monitoring and recording of patients who received high risk medicines.
Ensure systems are in place to check emergency equipment including oxygen cylinders kept at the practice to ensure they are ready for use in an emergency.
The areas where the provider should make improvement are:
Strengthen the recording systems relating to safety alerts, and significant events so a strategic overview of performance is available.
Ensure the staff appraisals programme is completed as per the timetable; end of October 2016.
Ensure periodic review of practice specific policies so they reflect current requirements and are dated.
Continue to encourage patients to attend for breast screening when invited.
Chief Inspector of General Practice
Patients told us that they were treated with respect and were always engaged by their GP on decisions about their care and treatment. One patient said, 'My GP explains everything and checks that I am happy with the treatment proposed and that I have understood what was involved.'
Patients told us that were able to get an appointment when needed. The provider held surgeries in the villages of Guilsborough and Brixworth and patients could access primary care services at either surgery. A patient told us, 'I can get to see a doctor the same day, but sometimes it may have to be at the other surgery, and that is alright. But travelling to the other surgery can take some time.'
Practice staff we spoke with were aware of whom they should refer to should they have any concerns about people's safety, or if they suspected any patient including a child had been abused. This ensured patients were protected from harm.
We found that the provider had carried out checks on staff before they were employed to make sure they were fit to carry out their roles and responsibilities.
The provider had systems in place that monitored the quality of service provision.