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Review carried out on 20 June 2019

During an annual regulatory review

We reviewed the information available to us about Bourn Surgery on 20 June 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 21 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bourn Surgery on 21 January 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.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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 accessible and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that 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.

We saw one area of outstanding practice:

  • All of the GPs and the nurse practitioner saw incoming post, and held daily meetings to discuss patients, record patient information and action incoming correspondence. Issues were discussed with the multidisciplinary team, thus minimising error and enabling peer reflection.

The areas where the provider should make improvement are:

  • Assess the suitability of the drop-off locations for the safe and appropriate storage of medicines.

  • Sustain its efforts to implement and maintain an active Patient Participation Group (PPG) so that patients are able to formally contribute to the development of the practice.

  • Ensure that  all waiting areas of the practice can be clearly seen by reception staff to ensure the safety and security of vulnerable patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice