We carried out a review of the data available to us about Dr Philip West 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 Dr Philip West, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr Philip West on 17 May 2016. The overall rating for the practice was good. The practice was rated as requires improvement for safe for shortfalls around safeguarding training, infection control audits and recruitment. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr Philip West on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 11 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 17 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
The practice had addressed the shortfalls and therefore has now been rated as good for providing safe services. The overall rating for the practice remains as good.
Our key findings were as follows:
The practice had located induction training records for staff which included safeguarding adult training. Safeguarding adult training had been added to the practice’s training matrix, with dates of completion for each staff member. The practice was monitoring training and had identified staff who required refresher training within the next 12 months.
All staff had completed safeguarding children training to the appropriate level for their role.
The practice had undertaken a new infection control audit in February 2017. The practice had identified any areas where they required improvement and deemed no further action was required.
The practice had not had any new employees since our May 2016 inspection. The practice had improved its recruitment processes.
Health and safety risk assessments such as for legionella and heating supply had been completed with no further actions required.
Expiry dates of medicines within the dispensary, vaccine fridges and stock rooms were monitored and medicines were in date.
Contact details for translation services had been obtained to be used when required.
Policies, such as the safeguarding adult and children policies had been updated to contain practice specific information such as the name of the safeguarding lead. The business continuity plan had also been updated to reflect the most up to date staffing list and contact details.
Meeting minutes evidenced that outcomes of significant events and complaints were discussed and reflected upon to ensure lessons were learned.
There are areas where the practice should make improvements:
Consider having a written document to evidence that cleaning checks had been completed for treatment and consulting rooms.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Philip West, also known as The Boundaries Surgery, on 17 May 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
We saw areas of outstanding practice:
The practice told us they were a patient centred practice and wished to provide the best possible care to patients registered with them. This attitude was reflected in the positive GP patient survey responses and comments made by patients spoken to on the day of inspection. Results from the GP patient survey were extremely positive with nearly all scoring in the 90-100% satisfied ranges and all responses being above national averages. Many patients stated they received first class, excellent care and that they loved the practice. Comments also reflected the responsiveness of the practice and examples included being able to attend the daily walk in clinic when pre-bookable appointments were unavailable.
The areas where the provider must make improvement are:
In addition the provider should:
Chief Inspector of General Practice