The Care Quality Commission
  • Doctor
  • GP practice

Virginia Water Medical Practice

Overall: Good read more about inspection ratings

Christchurch Road, Virginia Water, Surrey, GU25 4RL (01344) 842951

Provided and run by:
Packers

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Virginia Water Medical Practice 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 Virginia Water Medical Practice, you can give feedback on this service.

11 February 2020

During an annual regulatory review

We reviewed the information available to us about Virginia Water Medical Practice on 11 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.

21 June 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

Our previous focused inspection at Packers on 7 June 2016 found breaches of regulation relating to the safe delivery of services. The overall rating for the practice was good. Specifically, we found the practice to require improvement for provision of safe service. It was good for providing effective, caring, responsive and well led services. Consequently we rated all population groups as good. The previous inspection reports can be found by selecting the ‘all reports’ link for Packers on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 21 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 7 June 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 21 June 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is rated as good.

Our key findings were as follows:

  • The practice had demonstrated improvement and all the areas of concerns from the previous inspection had been resolved.
  • The practice had carried out remedial work to ensure fire safety in the premises.
  • All staff had undertaken the fire safety awareness training.
  • A satisfactory electrical installation condition report was issued in June 2017.
  • We found the practice was not carrying out water temperature checks in the premises. However, the practice had responded proactively and informed us a day after the inspection that they had taken urgent steps to ensure the effective management of legionella. (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
  • The practice had introduced effective monitoring system to ensure that accurate training records were kept of all training undertaken by staff.
  • We saw evidence that the practice held monthly clinical team meetings and practice team meetings. We saw minutes were kept of all meetings to aid learning and information sharing.
  • The practice had demonstrated improvement in governance arrangements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Packers on 7 June 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.
  • There were some risks to patients as the practice had not carried out essential health and safety checks on the building. The practice had recently put in place action plans to address this.
  • 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 see a named GP and there was continuity of care, with appointments available every day.
  • Patient’s satisfaction with how they could access care and treatment was better than local and national averages.
  • Data from the national GP patient survey showed patients rated the practice higher than others for all aspects of care. Feedback from patients about their care and treatment was consistently positive.
  • The practice had reasonable 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.

The areas where the provider must make improvements are:

  • Take action to address identified concerns with fire safety as identified in the fire risk assessment, including enhanced training of staff in fire safety procedures.
  • Take action to address identified concerns with electrical safety as identified in the electrical installation condition report.

In addition the provider should:

  • Embed formal governance arrangements including systems for regularly assessing and monitoring risks and the quality of the service provision. Ensure minutes are kept of meetings to aid learning and information sharing.
  • Update the training policy to reflect when refresher training is required and ensure that accurate records are kept of all training undertaken by staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice