We carried out a review of the data available to us about St Stephens House Surgery 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 St Stephens House Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at the St Stephens House Surgery on 6 September 2016 and a focused follow up inspection on 17 August 2017. The practice was rated good overall. However, we found that the practice required improvement for the provision of safe services because breaches of regulation were identified. The full comprehensive report on the 6 September 2016 inspection can be found by selecting the ‘all reports’ link for St Stephens House Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused follow up inspection carried out on 6 February 2018. This was to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 August 2017. This report covers our findings in relation to those issues identified only.
Overall the practice is still rated as good and is now good in the safe domain.
Our key findings were as follows:
The practice had incorporated a new on line training system that all staff had access to.
Staff had received the appropriate training for their role.
The practice manager had access to a training matrix and certificates of training were held in staff files.
The GPs had quarterly training from the local clinical commissioning group.
The practice was identifying potential areas of additional training support for non clinical staff in their everyday roles.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at the St Stephens House Surgery on 6 September 2016. We found that the practice required improvement for the provision of safe services because breaches of regulation were identified. The full comprehensive report on the 6 September 2016 inspection can be found by selecting the ‘all reports’ link for St Stephens House Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 17 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 6 September 2016. This report covers our findings in relation to those issues identified.
The practice remains requires improvement for the provision of safe services. Overall the practice remains rated as good.
Our key findings were as follows:
Safety and security of medicines including blank prescriptions had improved.
Health and safety risks had been assessed and mitigated.
Appropriate staffing checks were in place.
Significant events were documented and there was evidence of learning .
At the previous inspection on 6 September we also said that the practice should:
Review systems for recording staff training to ensure up to date information can be readily obtained. At this inspection we found that there was now a system to have oversight of training that staff had completed. However we found staff had not received training appropriate for their role.
Monitor and ensure the appraisal system is fully embedded and delivered to all staff. During this inspection we saw that all staff had now received appraisals within the last 12 months
There was an area of practice where the provider must make improvements.
Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at St Stephens House Surgery on 6 September 2016. Overall the practice is rated as Good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
The areas where the provider should make improvement are:
Chief Inspector of General Practice