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Bucklands End Lane Surgery Good

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Bucklands End Lane Surgery on 9 September 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 Bucklands End Lane Surgery, you can give feedback on this service.

Inspection carried out on 3 September 2019

During an inspection looking at part of the service

We carried out an announced focussed inspection of Buckland’s End Lane Surgery on 3 September 2019. We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Well-led and Effective (including effective care across the six population groups). The six population groups are:

  • Older people
  • People with long-term conditions
  • Families, children and young people
  • Working age people (including those recently retired and students)
  • People whose circumstances may make them vulnerable
  • People experiencing poor mental health (including people with dementia)

Because of the assurance received from our review of information we carried forward the Good ratings for the following key questions: Safe, Caring and Responsive (including responsive services for the six population groups).

You can read the reports from our last inspections by selecting the ‘all reports’ link for Buckland’s End Lane Surgery on our website at www.cqc.org.uk.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

Following this inspection we have rated this practice Good for providing well-led services and Good for providing effective care to all the population groups.

We found that:

  • There were clear and effective processes for managing risks and the practice was able to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
  • Patients’ needs were assessed and care and treatment was delivered in line with current legislation and evidence-based guidance. There was also evidence to support that regular multidisciplinary working took place with inclusion from other health and social care services.
  • We saw evidence of effective quality improvement activities undertaken in the practice to improve care and services for patients.
  • The practice had a clear vision and credible strategy to provide high quality sustainable care.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management in most areas.
  • There was evidence of positive performance across many clinical areas including some areas of cancer reviews and childhood immunisations uptake and we noted efforts to improve in areas where practice achievement was below average or under target.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Continue with efforts to improve uptake of childhood immunisations in specific areas and cancer screening.
  • Improve the governance of the safety alert system utilised in practice.
  • Continue with efforts to address IT issues inherited on the patient record system, in order to avoid exception reporting as a work-around.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 20 July 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bucklands End Lane Surgery on 20 July 2015. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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.
  • Patients had mixed views about the appointment system; some said that they had difficulty making an appointment by telephone and others said that they were always able to get an urgent appointment the same day.
  • 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.

However there was an area of practice where the provider needs to make improvements.

Importantly the provider should:

  • Ensure a robust system is in place to monitor the safe use of prescriptions in the practice.
  • Document checks of the battery operated equipment used in the premises.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice