We carried out a review of the data available to us about North Shore 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 North Shore Surgery, you can give feedback on this service.
This is a focused desk based review of evidence supplied by North Shore Surgery to demonstrate what action they have taken to improve the service in the key question of Safe.
Overall, the practice is rated as good. Following this focused desk based review of the practice; we found the practice to be good in relation to providing Safe services.
North Shore Surgery was inspected on the 23 July 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At that inspection, the GP practice was rated ‘good’ overall. However, we found the practice to require improvement for the domain or key question Safe. This was specifically in relation to recruitment procedures and the checks carried out to ensure the suitability of staff for their roles. This was because the practice was not meeting the requirements of Regulation 19 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 Fit and proper persons employed.
We found there were significant gaps in the recruitment records of new staff. The practice did not maintain appropriate records to demonstrate that all newly recruited staff including some clinical staff had been appropriately vetted to ensure they were suitable and safe to work with potentially vulnerable adults and children.
The practice submitted an action plan with timescales detailing how they would ensure they met the Health & Social Care Act 2008 (Regulated Activities) Regulations 2014. They supplied us with evidence to confirm that all staff employed at the practice had been appropriately vetted, that disclosure and barring checks (DBS) were available for all staff, including locum GPs and the practice’s recruitment policy had been updated. In addition they supplied a copy of their updated recruitment policy.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Shore Surgery 23 July 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for all the population groups. It required improvement for providing safe services.
Our key findings across all the areas we inspected were as follows:
There were areas of practice where the provider needs to make improvements.
Importantly the provider must:
In addition the provider should:
Chief Inspector of General Practice