We carried out a review of the data available to us about The Anstey 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 The Anstey Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr NW Osborne & Partners on 8 November 2016. The overall rating for the practice was requires improvement. The ratings for providing an effective, caring and responsive service were good but the ratings for providing a safe and well led service were requires improvement as we identified a breach in regulations. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Dr NW Osborne & Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 9 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 8 November 2016. This report covers our findings in relation to those requirements.
Overall the practice is now rated as good and the ratings for providing a safe and well led service are also good.
Our key findings were as follows:
Uncollected prescriptions were documented on the patient record system and destroyed after six months; the system had been reviewed to ensure uncollected prescriptions were raised to the attention of a GP in case the patient was known to be vulnerable.
The system in place to monitor the use of blank prescription forms and pads had been reviewed and audited and was now effective. Prescription forms were stored securely.
There was now a process in place to ensure nurses and GPs had renewed their registration with the appropriate professional body on an annual basis.
A comprehensive training matrix had been developed and was in use to monitor training needs for all staff and identify when training was due.
The practice recorded informal complaints as well as formal complaints in order to identify themes or trends.
Practice meetings had taken place at regular intervals.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr NW Osborne & Partners on 08 November 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
There was an effective system in place for reporting and recording significant events and lessons were shared to make sure action was taken to improve safety in the practice.
Uncollected prescriptions were documented on the patient record system and destroyed after six months; however these were not raised to the attention of a GP in case the patient was known to be vulnerable.
There were systems in place to monitor the use of blank prescription forms and pads; however we found some discrepancies in the monitoring process. We also found that not all prescription forms were stored securely.
The practice carried out appropriate recruitment checks before staff commenced employment. However, there was no process in place to ensure nurses and GPs renewed their registration with the appropriate professional body on an annual basis.
The practice used specific templates and care plans to ensure patients received care and treatment in line with best practice guidance.
Mandatory training had been completed for most staff and the training matrix did not reflect the training staff confirmed they had completed.
Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs.
Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
Information about how to complain was available and easy to understand and evidence showed the practice responded quickly to issues raised. However, the practice did not record informal complaints to enable detailed trend analysis.
The practice had a clear vision and strategy to deliver high quality care and promote good outcomes for patients.
Clinical meetings were held on a regular basis, however whole practice meetings and administration team meetings did not take place according to the meeting schedule.
The areas where the provider must make improvement are:
Ensure systems and processes are in place which operate effectively, including:
Prescription forms are securely stored at all times.
Healthcare assistants administer vaccines and medicines with legal authorisation, which is documented.
Carry out appropriate safety checks in relation to the electrical installation.
Record temperatures at water outlets and ensure all water outlets are run in line with the practice policy.
Review the monitoring system of prescription pads to ensure they are accurate.
Review the process in which uncollected prescriptions are reviewed before they are destroyed.
Review the COSHH safety data sheets and ensure the risk assessment is accurate.
Review the ongoing process to ensure GPs and nursing staff continue their registration with the relevant professional body.
Review the training schedule with staff to ensure it is accurate and reflects mandatory training completed.
Review the frequency of scheduled meetings for the whole practice and administrative team.
The areas where the provider should make improvement are:
Consider recording informal complaints to enhance trend analysis.
Chief Inspector of General Practice