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Dr. Andrew, Edwards, Hayes & Cleary Good

Reports


Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Dr. Andrew, Edwards, Hayes & Cleary on 8 July 2021. 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 Dr. Andrew, Edwards, Hayes & Cleary, you can give feedback on this service.

Review carried out on 10 January 2020

During an annual regulatory review

We reviewed the information available to us about Dr. Andrew, Edwards, Hayes & Cleary on 10 January 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.

Inspection carried out on 10 January 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr. Andrew, Edwards, Hayes & Cleary on 18 October 2016. We found that the practice had breached a regulation relating to the safe delivery of services. The practice was rated as requires improvement for safe and good for effective, caring, responsive and well led. The overall rating for the practice was good. The full comprehensive report on the 18 October 2016 inspection can be found by selecting the ‘all reports’ link for Dr. Andrew, Edwards, Hayes & Cleary on our website at www.cqc.org.uk.

The practice required improvement for the provision of safe services to ensure that the risks associated with checking, maintaining and safely storing medicines had been appropriately assessed. Following the inspection the provider sent us an action plan detailing how they would improve their medicines processes to ensure that they reflected national guidelines.

This inspection was a desk-based review carried out on 10 January 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 18 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection on 18 October 2016 and they were meeting the regulation that had previously been breached.

Our key findings were as follows:

  • The practice had updated their procedures and standard operating procedures (SOP) for checking and maintaining medicines and ensuring that they were stored in line with manufacturers’ specifications.

  • The practice had reviewed and improved their systems for checking and storing controlled drugs and had implemented new processes.

  • The practice had reviewed and improved the process for making changes to patients’ prescribed medicines to make sure that it followed best practice guidance.

  • The practice had reviewed and improved how dispensary staff should record and analyse near misses in the dispensary (to include dispensing and prescribing near misses).

  • The practice ensured that there were procedures in place to cover all activities in the dispensary and now monitor adherence to procedures and quality in the dispensing service.

We have changed the rating for this practice in safe, to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 18 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr. Andrew, Edwards, Hayes & Cleary on 18 October 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.
  • 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.

The area where the provider must make improvement is:

  • The practice must make sure that medicines are stored in line with manufacturers’ specifications.

The areas where the provider should make improvement are:

  • The practice should ensure the controlled drug record book is completed in line with legislation and best practice.

  • The practice should review the process for making changes to patients’ prescribed medicines to make sure it follows best practice guidance.

  • The dispensary staff should record and analyse near misses in the dispensary (to include dispensing and prescribing near misses).

  • The practice should ensure that there are procedures in place to cover all activities in the dispensary and should monitor adherence to procedures and quality in the dispensing service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice