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Reports


Review carried out on 14 September 2019

During an annual regulatory review

We reviewed the information available to us about The Summerhill Surgery on 14 September 2019. 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.

Inspection carried out on 17 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection visit of The Summerhill Surgery, in September 2015. As a result of our comprehensive inspection breaches of legal requirements were found and the practice was rated as requires improvements for providing safe services. This was because we identified an area where the provider must make improvement and an area where the provider should improve.

We carried out a focussed desk based inspection of The Summerhill Surgery on 17 November 2016 to check that the provider had made improvements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Summerhill Surgery on our website at www.cqc.org.uk. Our key findings across all the areas we inspected were as follows:

  • Since our comprehensive inspection in September 2015, the practice had introduced a more formal programme of practice meetings. Minutes of meetings highlighted that shared learning took place throughout the practice. This included learning as a result of significant events, incidents and complaints.

  • When we inspected the practice during September 2015 we found that the practice had not formally assessed the risk in the absence of disclosure and barring (DBS) checks for non-clinical staff that chaperoned. As part of our desk based inspection we saw evidence to demonstrate that DBS checks had since been completed for the four non-clinical members of staff who chaperoned. We also saw records to support that staff received appraisals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 30 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Summerhill Surgery on 30 September 2015. Overall the practice is rated as good.

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

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.

  • The practice held an intermediate care contract and provided GP services to approximately 50 nursing homes across the area. The practice had a dedicated nursing home team who worked within the nursing home division of the practice.

  • Risks to patients were assessed and well managed, with the exception of risk assessments in the absence of disclosure and barring checks (DBS checks) for staff that chaperoned.

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, reviewed and addressed.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.

  • There was evidence of appraisals and personal development plans for staff, with the exception of one member of the nursing team.

  • 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 practice had good facilities and was equipped to treat patients and meet their needs.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must:

  • Ensure risk assessments are in place to assess the risk of not having disclosure and barring checks (DBS) for staff who chaperone.

The areas where the provider should make improvement are :

  • Ensure staff performance and training needs are identified and documented for all members of the nursing team through a programme of annual appraisals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice