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Inspection carried out on 20 July 2017

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stockbridge Surgery on 26 July 2016. At this inspection the overall rating for the practice was requires improvement. The full comprehensive report on the 26 July 2016 inspection can be found by selecting the ‘all reports’ link for Stockbridge Surgery on our website at www.cqc.org.uk .

This inspection was an announced focused follow up inspection carried out on 20 July 2017 to confirm that the practice had carried out their action plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

At the inspection in July 2016 we found there were areas of practice where the provider needed to make improvements. This included:

  • The practice must ensure that clinical waste is managed in line with its policy and protocol. In particular all clinical waste bags and sharps bins must be marked with the postcode of the practice and the date on which the packages were sealed.

  • The provider must ensure all appropriate recruitment checks are undertaken and recorded prior to the employment of new staff including obtaining satisfactory evidence of conduct in previous employment.

At the inspection in July 2016 we said the provider should:

  • Ensure that they identify and support carers appropriately.

  • Encourage and support the formation of the new patient participation group.

  • Improve their performance with regards to the management of patients who have diabetes.

  • Ensure that all policies and procedures clearly state the date when those were written. It should also be clear when a review date is include whether that is a ‘due date’ or the date when a review was completed. This includes the practice’s written dispensary standard operating procedures.

At this inspection in July 2017 we found:

  • All waste was securely stored and labelled in line with the practice policy and national guidance. The waste management policy had been updated.

  • A recruitment pack had been introduced which included a mandatory checklist for employment. An inspection of four files demonstrated that this checklist was being used. A welcome pack for staff had been introduced which included the above checklist, job description, contract of employment, training information, induction documentation, information on emergency procedures and contact numbers for the team and local safeguarding teams.

  • Changes to the identification of carers had resulted in the numbers of carers increasing from 0.5% of the patient population to 2%.

  • A new patient participation group had been formed.

  • Significant steps had been taken to improve the service being offered to patients with diabetes.

  • Policies and standard operation procedures had been reviewed and amended to make the review dates clearer on the document.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 27 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stockbridge Practice on 27th July 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained 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 and easy to understand. 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.
  • Feedback from patients and health and social care professionals suggested that staff at the practice were very helpful and provided high standards of care. They felt GPs were committed, dedicated and strived to ensure that patients got the best possible care.
  • Staff from a local care home and other professional also spoke highly about the care and support that the practice provided to its patients.

The areas where the provider must make improvements are:

  • The practice must ensure that clinical waste is managed in line with its policy and protocol. In particular all clinical waste bags and sharps bins must be marked with the postcode of the practice and the date on which the packages were sealed.

  • The provider must ensure all appropriate recruitment checks are undertaken and recorded prior to the employment of new staff including obtaining satisfactory evidence of conduct in previous employment.

The areas where the provider should make improvement are:

  • The practice should ensure that they identify and support carers appropriately.

  • The practice should encourage and support the formation of the new patient participation group.

  • The practice should improve their performance with regards to the management of patients who have diabetes.

  • The practice should ensure that all policies and procedures clearly state the date when those were written. It should also be clear when a review date is include whether that is a ‘due date’ or the date when a review was completed. This includes the practice’s written dispensary standard operating procedures.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice