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The Bucklebury Practice Good Also known as Chapel Row Surgery

Reports


Review carried out on 2 April 2020

During an annual regulatory review

We reviewed the information available to us about The Bucklebury Practice on 2 April 2020. 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 15 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Bucklebury Practice on 15 June 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.
  • 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.

However,

  • The practice used patient group directions (PGDs) for some travel vaccines. We found two of these had expired in March 2016. The practice nursing team were unaware of the expiry date, they had not been informed by NHS England and there were no further updates or extensions to the existing ones. Once it was brought to their attention, one of the nurses completed a significant event record and initiated the use of a patient specific direction to cover the small number of patients requiring these vaccines. During a root cause analysis of the event, it transpired the GPs were signing the travel assessment form which prescribed the vaccine by default.

The areas where the provider should make improvements are:

  • To ensure a system is in place for checking the patient group directions expiry dates for travel vaccines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice