The Care Quality Commission
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Archived: Hawthorn Surgery

Overall: Good read more about inspection ratings

Scotton Road, Scotter, Gainsborough, Lincolnshire, DN21 3SB (01724) 700218

Provided and run by:
Hawthorn Surgery

All Inspections

30 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced desk based follow up inspection on 30 June 2016 to follow up concerns we found at Hawthorn Surgery on 5 November 2015. Overall the practice is rated as good.

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

  • Staff did understand and fulfil their responsibilities to raise concerns and report incidents and near misses. Incidents had been recorded and actions and lessons learned identified to prevent reoccurrence.

  • Temperatures were been checked and recorded most days. The practice manager explained days that had not been checked were due to nursing staff not being at work and that they would make sure other staff members were shown how to do it to cover for these days in the future.

  • There was a robust system for making referrals for GP’s to follow.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

5 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Hawthorn Surgery on 5 November 2015.

Overall the practice is rated as good.

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

  • Urgent appointments were available the same day.
  • The practice had good facilities including disabled access and was found to be visibly clean and tidy.
  • Information about services and how to complain was available.
  • Patients said the quality of care was excellent. They felt cared for and well looked after and staff were friendly and helpful.
  • There were systems in place to reduce risks to patient safety for example, infection control procedures.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Recruitment checks were carried out and the appropriate recruitment checks had been undertaken prior to employment.
  • The practice had a comprehensive business continuity plan in place for major incidents such as power failure or building damage.

  • Complaints were managed and dealt with effectively.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

  • Staff did not understand and fulfil their responsibilities to raise concerns and report incidents and near misses. Not all incidents had been recorded and trends and themes were not looked at in detail to prevent reoccurrence.

However there were areas where the provider should make improvements.

Actions the provider must take:

  • Ensure there is a robust system to manage and learn from significant events and near misses.

Importantly the provider should:

  • Review the system for making referrals to ensure they are done in a timely manner.
  • Continue to ensure that fridge temperature checks are carried out daily and recorded to ensure that vaccines had been stored at the appropriate temperature when they used them in line with the Cold Chain Policy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice