We carried out a review of the data available to us about St Marys 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 Marys Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr Stone & Partners on 14 June 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Dr Stone & Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 10 May 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 16 June 2017. 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.
Our key findings were as follows:
Policies within the practice had been updated and risk assessments had been reviewed and actioned.
All staff were trained in safeguarding training to the correct level for their role.
There was a well-planned cleaning schedule with a cleanliness check system for the entire practice building.
There was a clear and informative training matrix for all staff.
Clinical improvements had been evidenced in the last year, including the undertaking of several audits that had led to better processes in the care given.
The data showed that the practice now compared favourably for outcomes in most clinical areas when compared to national and local averages.
The practice now routinely offered a translation service to all new patients as required.
Complaints were followed up by the practice in order to understand if further learning or improvements could be implemented.
The practice had introduced a social media page.This enabled younger patients to receive information regarding the practice and for the practice to be able to reach this patient group more effectively.
In addition the practice should:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Stone & Partners on 14 June 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
We saw an area of outstanding practice:
The practice worked closely with local organisations in the community to provide enhanced support for its patients. For example, the practice registered all patients from the local crisis centre and homeless refuge as temporary patients. Patients from the crisis centre were seen as an urgent appointment on the day they registered and then contacted again by the practice to arrange further appointments as necessary. One of the GPs attended regular multi-disciplinary meetings with the community mental health team to discuss patients registered at the practice who had a dual diagnosis of mental health and substance misuse problems. The GP ran a substance misuse programme for patients in the community and had completed additional training to prescribe to patients who were undergoing treatment programmes for their addictions.
The areas where the provider must make improvement are:
Ensure all staff receive safeguarding training to the level appropriate for their role and ensure this is recorded.
Ensure a Legionella risk assessment has been completed and an action plan in place to evidence timescales of implementation following recommendations.
Review current systems to support a regular programme of audit and clinical improvement.
Chief Inspector of General Practice