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Inspection Summary


Overall summary & rating

Good

Updated 14 March 2019

S We carried out an announced comprehensive inspection at The Surgery Canvey Island on 12th February 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups except for people with long-term conditions .

We rated the practice as good for providing safe, effective, caring, responsive and well led services because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We rated the population group people with long-term conditions as requires improvement for providing effective services because:

  • The practice’s clinical outcome indicators for 2017/2018 were below the local and national average for people experiencing diabetes, hypertension, COPD and asthma and this was a statistical variation. The unverified data from this year showed an upward trend across all areas but still below the local and national averages form last year. We found that there had been no action plan implemented as a result of 2017/18 data.

Whilst we found no breaches of regulations, the provider should:

  • Continue to improve their QOF data and address the areas relating to asthma and COPD.
  • Continue to monitor outcomes for percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive, agreed care plan documented in the preceding 12 months
  • Monitor cancer indicators and improve outcomes.
  • Strengthen process for the security of blank prescription pads.
  • Carry out a risk assessment in relation to not having a defibrillator kept onsite.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good