We carried out a review of the data available to us about Cranham Village 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 Cranham Village Surgery, you can give feedback on this service.
This is a desk top review of evidence supplied by Dr Dr C Dahs and Dr I P Humberstone for areas within the key question Safe. This review was completed on 20 December 2016.
Upon review of the documentation provided by the practice, we found the practice to be good in providing safe services. Overall, the practice is rated as good.
The practice was previously inspected on 17 February 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated good overall. However, within the key question safe several areas were identified as requires improvement, as the practice was not meeting the legislation to meet Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Safe Care and Treatment
At the inspection in February 2016 we found that the registered person did not assess and mitigate against risks as they had not risk assessed the need for Disclosure and Barring Service (DBS) checks for chaperones. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).
Other areas identified where the practice was advised they should make improvements included:
The practice supplied CQC with evidence of the action they would take after the inspection in February 2016. For this desk top review they provided a range of documentation which demonstrated they are now meeting the requirements of Regulation 12 Staff Care and Treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The practice also demonstrated improvement in the other areas identified in the report from February 2016 which did not affect ratings. These improvements have been documented in the well-led section, showing how the practice has demonstrated continuous improvement since the inspection in February 2016.
The area where the practice should continue to make improvements are:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Dahs & Dr I P Humberstone Cranham Village Surgery on 17 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
The areas where the provider should make improvement are:
To review arrangements for medical emergencies to ensure that equipment and medicines are in place or to risk assess the need.
To reinstate Patient Participation Group (PPG) meetings, in order to identify and act on patients’ feedback and suggestions about the service.
To conduct patient surveys as a means of obtaining patient feedback.
To prepare a business continuity plan to be ready for any interruptions to service.
To conduct regular fire drills.
Chief Inspector of General Practice