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Reports


Review carried out on 26 November 2019

During an annual regulatory review

We reviewed the information available to us about Ivy Grove Surgery on 26 November 2019. 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 6 June 2017

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Ivy Grove Surgery on 18 January 2016. The overall rating for the practice including are services safe was good. The full report dated 18 January 2016 can be found by selecting the ‘all reports’ link for Ivy Grove Surgery on our website at www.cqc.org.uk.

We carried out this focused announced inspection on 6 June 2017 in response to information we received from the Coroner concerning a serious incident. We visited Ivy Grove Surgery as part of this inspection to check that the practice had taken action to improve safety relating to the management of controlled drugs (medicines that require extra checks because of their potential for misuse), and ensure that significant events were appropriately reported and managed.

We reviewed the practice against part of one of the five questions we ask about services: are services safe. We found that the practice had carried out an action plan to address the above issues to improve patient safety. The evidence supported that the previous inspection rating of good for are services safe was still accurate.

Our key findings were as follows:

  • The practice had carried out an action plan to improve patient safety relating to the management of controlled drugs.

  • There was an open culture to reporting safety incidents and near misses.

  • The practice had taken action to ensure that significant events including serious incidents were appropriately reported, recorded and acted on to minimise the risk of further occurrences.

  • Following the inspection, the significant events policy was updated to detail all processes followed in practice. We received assurances that all staff had been made aware of this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 18 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ivy Grove Surgery on 18 January 2016. Overall the practice is rated as good.

  • Feedback from patients was consistently positive about the care and services they received. Patients were treated with compassion, dignity and respect, and they were involved in decisions about their care and treatment. Patients told us they were usually able to get appointments or telephone consultations when they needed them.

  • The services were delivered in a way to ensure flexibility, choice and continuity of care. Overall comprehensive and embedded systems were in place to keep patients safe. The practice had good accessible facilities and was well equipped to treat patients and meet their needs.

  • There was effective teamwork and a commitment to improving patient experiences. Staff had the skills, knowledge and experience to deliver effective care and treatment. The practice worked in partnership with other services to meet patients’ needs, and used innovative ways to improve outcomes for patients.

  • The practice was well led. The culture and leadership promotes the delivery of high-quality, compassionate care. There was a strong focus on continuous learning and improvement at all levels. The practice had implemented significant improvements to their IT systems and procedures, to provide effective services and improved outcomes for patients.

  • The practice sought the views of patients and staff, which it acted on to improve the services. Patients said they felt listened to and were able to raise concerns as the staff were approachable. Complaints were actively reviewed to ensure that appropriate learning and improvements had taken place.

The provider should make the following improvement:

  • Continue to strengthen the systems to ensure that effective recruitment procedures are followed and that complete records are kept of staff training and immunisations.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice