The Care Quality Commission
  • Doctor
  • GP practice

Tolsey Surgery

Overall: Good read more about inspection ratings

High Street, Sherston, Malmesbury, Wiltshire, SN16 0LQ (01666) 840270

Provided and run by:
Tolsey Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Tolsey 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 Tolsey Surgery, you can give feedback on this service.

14 February 2020

During an annual regulatory review

We reviewed the information available to us about Tolsey Surgery on 14 February 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

10 November 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

In May 2016 a comprehensive inspection of Tolsey Surgery was conducted. The practice was rated as requires improvement for safe and good for effective, caring, responsive and well led. Overall the practice was rated as good.

We found that the practice required improvement for the provision of safe services, improvements were needed in the method the practice assessed, managed and mitigated the risks that related to the safe management of medicines.

Tolsey Surgery sent us an action plan that set out the changes they would make to improve these areas.

We carried out an announced focussed inspection of Tolsey Surgery on 10 November 2016 to ensure the practice had made these changes and that the service was meeting regulations. At this inspection we rated the practice as good for providing safe services. The overall rating for the practice remains good. For this reason we have only rated the location for the key question to which this related. This report should be read in conjunction with the full inspection report of 17 May 2016. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Tolsey Surgery on our website at www.cqc.org.uk.

Our key findings at the November 2016 inspection were:

  • The practice had ensured effective systems were in place for monitoring patients prior to issuing repeat prescriptions of high risk medicines
  • Standard operating procedures for the signing of repeat prescriptions prior to dispensing were being adhered to.
  • Standard operating procedures in relation to checks of controlled drugs and the maintenance of an accurate controlled drugs register were being adhered to.
  • Systems were in place to ensure effective monitoring of hand written prescription use.
  • Fire drills had been carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

17 May 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Tolsey Surgery on 17 May 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 with the exception of those relating to medicines management.
  • 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.

We saw one area of outstanding practice:

Effective collaborative working with the practices care coordinator, community staff and care organisations, had led to improved outcomes for elderly patients. The practice had worked with the local area to secure funding from the transforming care for elderly patients scheme to set up a weekly frail elderly clinic at the practice. Patient’s needs were reviewed at the clinic and arrangements were made for GP visits or telephone calls to patients and their families to plan and deliver care.

The areas where the provider must make improvements are:

  • Ensure the proper and safe management of medicines.

The areas where the provider should make improvements are:

  • Routine fire drills should be carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice