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Union Brae and Norham Practice Good

Inspection Summary

Overall summary & rating


Updated 10 July 2019

We carried out an announced focused inspection at Union Brae and Norham Surgery on 5 June 2019 to check that the practice had made improvements following our previous inspection in November 2018.

At the last inspection on 30 January 2019 we rated the practice as requires improvement for providing safe services because:

  • Patients who had been prescribed high risk medicines were not always monitored in line with national guidelines and some non-emergency medicines were not securely stored.

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 (previous rating – November 2018 good) and now good for providing safe services.

We rated the practice as good for providing safe services because:

  • The practice had taken action to address all concerns and had implemented safe arrangements to monitor the prescribing of high risk medicines.

When we last inspected, we said the provider should:

  • Carry out a risk assessment to determine whether it was necessary to carry out Disclosure and Barring Service checks for non-clinical staff.
  • Continue to review and implement effective infection control policies and procedures.
  • Formalise the system for recording action taken following receipt of patient and medicines safety alerts.

During this inspection we found improvements had been made and all areas of concern were addressed. However, the provider should:

  • Take steps to review the new system to monitor patients on high risk medicines and ensure the processes are embedded in practice.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable