The Care Quality Commission
  • Doctor
  • GP practice

Sibford Surgery

Overall: Good read more about inspection ratings

New Surgery, Burdrop, Sibford Gower, Banbury, Oxfordshire, OX15 5RQ (01295) 780213

Provided and run by:
Sibford Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Sibford 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 Sibford Surgery, you can give feedback on this service.

26 July 2019

During an annual regulatory review

We reviewed the information available to us about Sibford Surgery on 26 July 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.

Date of inspection: We have not revisited Sibford Surgery as part of this review because it was able to demonstrate that it was meeting the standards without the need for a visit.

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out a focused desktop inspection of Sibford Surgery in December 2016 to assess whether the practice had made the improvements in providing safe care and services.

We had previously carried out an announced comprehensive inspection at Sibford Surgery on 4 May 2016 when we rated the practice as good overall. The practice was rated as good for being effective, caring, responsive and well-led and requires improvement for providing safe care. This was because we found that risks to patients and staff in relation to the management and dispensing of medicines and infection control were not being fully assessed, monitored, managed and mitigated.

Following our last inspection we asked the provider to send a report of the changes they would make to comply with the regulations they were not meeting at that time, in relation to its management of medicine fridge temperatures, the checking of dispensed medicines, ensuring that medicines and vaccines were administered in accordance with directives, auditing and following infection control guidance, and ensuring that fire risks were identified and managed.

The practice was able to demonstrate that they were meeting the standards for safe care and is now rated as good for providing safe care. The overall rating for the practice remains as good.

This report should be read in conjunction with the full inspection report.

Our key findings across the areas we inspected in December 2016 were as follows:

  • There were systems in place to ensure the effective daily monitoring of medicine fridge temperatures, the checking of dispensed medicines from manually amended prescriptions, the administration of medicines and vaccines in accordance with legislations, the auditing and following of infection control guidance, and identifying and managing fire risks.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

4 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Sibford Surgery on 4 May 2016. Overall the practice is rated as good. However, improvements are required in providing safe services.

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

  • There was a system in place for reporting and recording significant events.
  • Risks to patients were not always appropriately assessed and well managed. Specifically risks related to infection control and management of medicines
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • Staff were trained in order 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. 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.

The areas where the provider must make improvement are:

  • Improve medicines management frameworks within the practice to ensure they follow national guidance. Specifically; review the checking process for medicine fridges, ensure dispensed medicines are always being checked appropriately, review the process used for patient specific directions (PSDs) and that dispensing follows standard operating procedures that are fit for purpose and specific to the Sibford Surgery dispensary.
  • Ensure infection control guidance is followed and that audits identify any areas which require action.
  • Ensure fire risks are identified effectively and managed.

The areas the provide should make improvements are:

  • Formalise and document the completion of clinical audit to ensure improvements in care resulting from audit are embedded.
  • Review policies to ensure they are up to date and standardised
  • Review the means of identifying carers to ensure they are provided with any additional support requirements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice