The Care Quality Commission
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Archived: Headlands Surgery

Overall: Good read more about inspection ratings

20 Headlands, Kettering, Northamptonshire, NN15 7HP (01536) 518886

Provided and run by:
Headlands Surgery

All Inspections

27 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Headlands Surgery on 13 August 2015. The overall rating for the practice was good, however a breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

  • Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.

From the inspection on 13 August 2015, the practice were told they must:

  • Ensure adequate procedures are in place for completing the required background checks on staff and that the required information is available in respect of the relevant persons employed.

In addition, the practice were told they should:

  • Ensure that all staff complete cardiopulmonary resuscitation (CPR) essential training.

The full comprehensive report on the August 2015 inspection can be found by selecting the ‘all reports’ link for Headlands Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based focused review carried out on 27 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 13 August 2015. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

  • Systems had been improved to ensure that all staff received a Disclosure and Barring (DBS) check. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable). Appropriate records were kept in respect of relevant persons employed.
  • All staff completed basic life support training to an appropriate level in a timely manner.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

13 August 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced inspection of Headlands Surgery on 13 August 2015. This was a comprehensive inspection under Section 60 of the Health and Social Care Act (2008) as part of our regulatory functions. The practice achieved an overall rating of good. Specifically, we found the practice to be good for providing effective, caring, responsive and well-led services. We found it to be requiring improvement for safe. It was good for providing services for older people; people with long-term conditions; families, children and young people; working age people; people whose circumstances may make them vulnerable and people experiencing poor mental health.

Our key findings were as follows:

  • Systems were in place to identify and respond to concerns about the safeguarding of adults and children.
  • We saw patients receiving respectful treatment from staff. Patients felt they were seen by friendly and helpful staff. Patients reported feeling satisfied with the care and treatment they received.
  • The practice offered a number of services designed to promote patients’ health and wellbeing and prevent the onset of illness.
  • The practice acted upon best practice guidance to further improve patient care.
  • The management and meeting structure ensured that appropriate clinical decisions were reached and action was taken.
  • The practice appeared clean and infection control processes were adhered to.
  • Systems were in place and adhered to for the appropriate management of medicines.
  • Adequate procedures for completing the required background checks on staff were lacking.

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

Importantly, the provider must:

  • Ensure adequate procedures are in place for completing the required background checks on staff and that the required information is available in respect of the relevant persons employed.

In addition the provider should:

  • Ensure that all staff complete cardiopulmonary resuscitation (CPR) essential training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice