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Thorkhill Surgery Good Also known as Dr Roberts, Mitchell & Taki

Reports


Review carried out on 18 October 2019

During an annual regulatory review

We reviewed the information available to us about Thorkhill Surgery on 18 October 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 20/12/2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Thorkhill Surgery on 4 May 2016. During this inspections we found a breach of legal requirements and the provider was rated as Good overall but with requires improvement under the effective domain. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

  • To ensure administrative staff undertake the practice’s mandatory training.

We undertook this announced focused inspection on 20 December 2016 to check the provider had followed their action plan and to confirm that they now met legal requirements. The provider was now meeting all requirements and is rated as good under the effective domain.

Our key findings across the area we inspected were as follows:

  • Administrative staff had completed the practice’s mandatory training. This included Safeguarding children and vulnerable adults, fire awareness, infection control, health and safety and information security.

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection published on 27 June 2016, by selecting the 'all reports' link for Thorkhill Surgery on our website at www.cqc.org.uk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 4 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Thorkhill Surgery on 4 May 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 been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment. However, non clinical staff had not completed the practices’ mandatory training.

  • 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 available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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.

The areas where the provider must make improvement are:

  • Ensure that all staff undertake the practices’ mandatory training including Safeguarding children and vulnerable adults, fire awareness, infection control, health and safety and information security.

In addition the provider should:

  • Review the recording of minutes or actions from meetings held to ensure the dissemination of information to staff not present and to support shared learning.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice