• Doctor
  • GP practice

Elsenham Surgery

Overall: Good read more about inspection ratings

Station Road, Elsenham, Bishops Stortford, Hertfordshire, CM22 6LA (01279) 814705

Provided and run by:
Elsenham 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 Elsenham 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 Elsenham Surgery, you can give feedback on this service.

31 March 2020

During an annual regulatory review

We reviewed the information available to us about Elsenham Surgery on 31 March 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.

12 July 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

On 12th November 2015, we carried out a comprehensive inspection at Elsenham Surgery. Overall the practice was rated as good, with requires improvement for safe services. This was because we found that the practice did not have a controlled medicines register for the GP's bag, the cabinets where controlled medicines were stored were not compliant with the storage requirements for controlled medicines and we were not satisfied that medicines in the dispensary were only accessible to authorised staff.

In relation to this, the practice was issued with a requirement notice for improvement. We also made advisory comments that entries in the controlled medicines record should be made in ink rather than pencil.

After this inspection the practice sent us an action plan that identified how they would achieve the improvements and the date when they would be completed. We then carried out an announced focused inspection at Elsenham Surgery on 12th July 2016 to check that the necessary improvements had been made.

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

  • There was a controlled medicines register in the GP's bag;
  • The cabinet where controlled medicines were stored was compliant with storage requirements for controlled medicines;
  • Steps had been taken to improve security and access so that medicines were only available to authorised staff;
  • Entries in the controlled medicines register were made in ink rather than pencil.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

30 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Elsenham Surgery on 30 November 2015. 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.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were involved in their care and treatment and praised the clinical and non-clinical staff.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment and that 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 areas where the provider must make improvements are:

  • Obtain and maintain a controlled drugs register for the doctor’s bag.

  • Ensure that the cabinets where controlled drugs are stored are compliant with storage requirements for controlled drugs

  • Medicines must all be stored securely to ensure these are only accessible to members of staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice