We carried out a review of the data available to us about Orchard 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 Orchard Surgery, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at Dr Guindy and Partners (also known as Orchard Surgery) on 22 January 2018. The overall rating for the practice was requires improvement. Breaches of legal requirements were found, and requirement notices were served in relation to safe care and treatment and good governance. The full comprehensive report from the 22 January 2018 inspection can be found by selecting the ‘all reports’ link for Dr Guindy and Partners on our website at www.cqc.org.uk
This inspection was an announced comprehensive inspection carried out on 5 March 2019 as part of our inspection programme for services rated as requires improvement, and to confirm that the practice met the legal requirements in relation to the breach in regulations identified at our previous inspection.
At the last inspection in January 2018 we rated the practice as requires improvement for providing safe services because:
At this inspection, we found that the provider had satisfactorily addressed these areas.
At the last inspection in January 2018 we rated the practice as requires improvement for providing a well led services because:
At this inspection, we found that the provider had satisfactorily addressed these areas.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups.
The areas where the provider should consider improvements are;
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
This practice is rated as Requires Improvement overall. We previously inspected the service in November 2014 and rated the practice as Good overall. The practice had displayed their ratings in a prominent place within the surgery.
The key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires Improvement
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires Improvement
People with long-term conditions – Requires Improvement
Families, children and young people – Requires Improvement
Working age people (including those recently retired and students – Requires Improvement
People whose circumstances may make them vulnerable – Requires Improvement
People experiencing poor mental health (including people with dementia) - Requires Improvement
We carried out an announced comprehensive inspection at Dr Guindy and Partners (also known as Orchard Surgery) on 22 January 2018 as part of our inspection programme.
At this inspection we found:
The practice had some systems in place to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
The practice hadsome systems to keep patients safe and safeguarded from abuse.
The systems in place for identifying, assessing and mitigating risks to the health and safety of patients and staff needed strengthening. For example, window blinds had loop cords attached to them; however there was no risk assessment in place to manage the risk to patients.
There was a system to manage infection prevention and control and patients commented that the practice was always clean. However, there was a lack of evidence to show how the action plan was being updated with their progress in meeting the requirements of the Infection Prevention and Control (IPC) audit.
The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
Staff involved and treated patients with compassion, kindness, dignity and respect.
Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
The practice had identified 339 (3%) of the patient list as carers and signposted them to local services offering support and guidance.
Staff stated they felt respected, supported and valued.
The practice listened and acted on issues raised by the patient participation group.
There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements are:
Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
Document the outcome of fire drills.
Record and act on verbal complaints received about the service.
Chief Inspector of General Practice
We inspected this service on 21 November 2014 as part of our new comprehensive inspection programme.
The overall rating for this service is good. We found that the practice to be good in the safe, effective, caring, responsive and well-led domains. We found the practice provided good care to older people, people with long term conditions, families, children and young people, the working age population and those recently retired, people in vulnerable circumstances and people experiencing poor mental health.
Our key findings were as follows:
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
Chief Inspector of General Practice