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Reports


Review carried out on 7 October 2021

During a monthly review of our data

We carried out a review of the data available to us about Church View Surgery on 7 October 2021. 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 Church View Surgery, you can give feedback on this service.

Review carried out on 3 April 2020

During an annual regulatory review

We reviewed the information available to us about Church View Surgery on 3 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 1 June 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

This announced focused inspection was carried out on 1 June 2017 to confirm that the practice had made improvements to meet the actions falling below a regulatory breach in our previous comprehensive inspection on 13 October 2015. In October 2015 the overall rating for the practice was Good The full comprehensive report for the October 2015 inspection can be found by selecting the ‘all reports’ link for The Church View Surgery on our website at www.cqc.org.uk.

This report covers our findings in relation to improvements made since our last inspection.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events. Learning was cascaded down to all staff.

  • The practice had introduced new protocols to ensure that blank prescriptions were stored and monitored safely.

  • Staff had the skills and knowledge to deliver effective care and treatment and there was evidence of appraisals and personal development plans for all staff.

  • The latest patient survey results showed an improvement with how easy patients found it to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice was clean and tidy had good facilities and was well equipped to treat patients and meet their needs.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 13/10/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Church View Surgery on 13 October 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.

  • 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.
  • Patients said they found it easy to make an appointment, although not necessarily with their own GP and that urgent appointments were 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.

There were also areas where improvements should be made:

  • Review procedures for storing and recording blank prescriptions to ensure national guidance is followed.
  • The recommendations made from the last infection control audit should be implemented.

  • Allocate more administrative time to key nursing staff to keep policies and protocols current and up to date, and to consolidate the protocols that are already in place.

  • The planned training programme should be continued to ensure all staff are up to date with training. The planned programme of appraisals should be completed

  • Improvement should continue with regard to patients being able to get through more easily by telephone, and improve patient waiting times to less than 15 minutes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice