We carried out a review of the data available to us about Ormesby Village 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 Ormesby Village Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at the Ormesby Village Surgery on 18 September 2017. The practice was rated as good for providing effective, caring, responsive and well led services and requires improvement for providing safe services. Overall the practice was rated as good. The full comprehensive report following the inspection on 18 September 2017 can be found by selecting the ‘all reports’ link for Ormesby Village Surgery on our website at www.cqc.org.uk.
We undertook a follow up focused inspection of Ormesby Village Surgery on 14 March 2018. This inspection was carried out to review in detail the actions taken by the practice to improve the quality of care and to confirm that the practice was now meeting legal requirements and also additional improvements made since our last inspection.
Overall the practice is still rated as good, and now good for providing safe services.
Our key findings were as follows:
The practice no longer used fabric curtains. All curtains were disposable and there was a clear policy outlining how often these needed to be changed and how to dispose of them correctly.
The practice had access to the hepatitis B immunity of the cleaning staff employed by an external company.
All staff that worked in the dispensary had undertaken a competency assessment.
The practice had reviewed the standard operating procedures for the dispensary for both sites. These were practice specific and had been reviewed and signed by all staff.
The security of the dispensary at the practice’s branch location in Caister had been reviewed and improved.
The practice had implemented a new policy for the checking of equipment and medicines in clinical rooms. Medicines and equipment we checked in clinical rooms were in date.
The practice kept logs of expiry date checks in the dispensary.
There was evidence that near misses were appropriately recorded for both dispensaries.
The practice had reviewed the GP patient survey results relating to access and had highlighted the areas of lower than average performance. They had implemented an action plan which included:
Liaising with the clinical commissioning group to be part of a pilot to provide extended hours as part of a hub with three other local practices, due to launch in July 2018, to offer weekend and evening appointments. The practice would provide GPs and nurses in conjunction with the other practices.
Providing additional nursing appointments.
All receptionists planned to complete a care navigator course to improve patient access to local support groups.
Adapt the appointments system to be more flexible to meet demand. For example, the practice had put on extra clinics for chest complaints and minor illnesses during the winter period.
Liaison with the patient participation group (PPG). They had devised a patient survey to gain feedback about the changes they had implemented. The PPG were reviewing the survey questions and amending them prior to conducting the survey in April 2018.
The area where the provider should make improvements:
Update the policy relating to the process for monitoring expiry dates on equipment.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Ormesby Village Surgery on 18 September 2017. 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 improvements are:
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
Continue to assess and ensure improvement to national GP patient survey results relating to patient satisfaction for access.
Chief Inspector of General Practice
On 21 October 2014 we carried out an announced inspection of Coastal Villages Practice (Ormesby Village Surgery), Ormesby, Great Yarmouth, Norfolk, under our new approach of inspection of primary medical services. The practice had three branch surgeries, two of which were included in our inspection.
We found that the practice was good overall across all the areas we inspected.
Our key findings were as follows:
However, there were areas of practice where the provider needs to make improvements.
Importantly, the provider should: