The Care Quality Commission
  • Doctor
  • GP practice

Rectory Meadow Surgery

Overall: Good read more about inspection ratings

School Lane, Amersham, Buckinghamshire, HP7 0HG (01494) 727711

Provided and run by:
Rectory Meadow 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 Rectory Meadow 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 Rectory Meadow Surgery, you can give feedback on this service.

13 April 2019

During an annual regulatory review

We reviewed the information available to us about Rectory Meadow Surgery on 13 April 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.

We have not revisited Rectory Meadow Surgery as part of this review because they were able to demonstrate that they were 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

In April 2015 we found concerns related to the recruitment of staff during a comprehensive inspection of Rectory Meadow Surgery. Following the inspection the provider sent us an action plan detailing how they would improve recruitment and undertake necessary staff checks. We carried out a desktop review of Rectory Meadow Surgery on 4 December 2015 to ensure these changes had been implemented and that the service was meeting regulations. Our previous inspection in April 2015 had found a breach of regulations relating to the safe delivery of services. The ratings for the practice have been updated to reflect our findings.

We found the practice had made improvements since our last inspection on 29 April 2015 and they were meeting the regulation relating to the recruitment of staff that had previously been breached. The practice had also taken full heed of our report with regards to accurate information, training and subsequent action to take in the event of needle stick injury.

Specifically the practice was:

  • Operating safe systems in relation to the recruitment of staff.

  • Providing up-to-date information and training for needle stick injuries which was supported by a revised needle stick injury procedure.

We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

29 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rectory Meadow Surgery on 29 April. Overall the practice is rated as good. Specifically, we found the practice to be good for providing effective, caring, responsive services and for being well led. It was also good for providing services for the all population groups. It required improvement in providing safe services.

.

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.
  • Significant events and complaints were fully investigated and led to changes in protocol and practice which were communicated among staff.
  • Staff had access to regular meetings which enabled them to be involved the running of the practice.
  • Most potential risks to patients were assessed and well managed including, premises maintenance, equipment checks and emergency procedures.
  • Most but not all staff checks required were undertaken.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Care was provided by named GPs to patients in the community.
  • Staff training was identified, monitored and undertaken to ensure staff could fulfil their roles safely and effectively.
  • Patient feedback showed 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 provided positive feedback about the appointment system.
  • 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 areas of practice where the provider must make improvements.

  • Undertake Disclosure and Barring Service (DBS) checks on all nursing staff and ensure GPs’ registration with their professional body is checked to ensure these are up to date and identify any concerns or conditions.

Additionally the provider should :

  • Ensure staff have accurate information and training regarding action to take in the event of needle stick injuries

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice