- SERVICE PROVIDER
SCWD Also known as Stone Cross & West Drive Surgery
This is an organisation that runs the health and social care services we inspect
Registration details
These are the registration details of the provider SCWD. They set out what services SCWD can legally provide, where they can provide them and who is responsible for them.
Partners
Ms Humera Akhtar, Dr Hussain TukmatchyMaternity and midwifery services
Condition of this registration relating to carrying out this regulated activity
The service provider must not register any new patients at Stone Cross Surgery (including West Drive Surgery branch) without the written permission of the Care Quality Commission unless those patients are newly born babies or are newly fostered or adopted children of patients already registered at
Stone Cross Surgery.
The service provider shall provide the Care Quality Commission with an
updated action plan by 12 noon on Friday 12 April 2024 to include:
a. Action you have taken to address the review and follow up of all service users with asthma who were prescribed two or more courses of oral rescue steroids as identified on 20 March 2024.
b. Action taken to ensure compliance with the newly implemented “Prescription Safety Policy” to include any audits undertaken.
c. Clarification on the actions taken to clear the backlogs of documentation found unprocessed on Docman and EMIS and any further actions that were required caused by the delay in processing
this information to ensure patient safety, including any identified risk of harm.
d. Action taken to address the omissions of significant event records in respect of the backlogs.
e. Action taken to implement the “Safe and Effective Staffing” policy and to monitor and maintain safe minimum levels of employed and deployed GPs.
f. Action taken to ensure effective staff recruitment systems are implemented and all staff records are complete and up to date.
g. An update on how you have implemented clear assurance processes, including audit, to demonstrate effective governance.
h. An update on the action taken to ensure you have sustainable clinical and administrative management of newly implemented governance processes.
The service provider must submit to the Care Quality Commission, on the last
Friday of every month, on a monthly basis (commencing the last Friday of April 2024), a written report of progress made on the updated action plan. The written report must include:
a. The actions taken to ensure the action plan is being implemented, sustained and is effective.
b. The actions taken to ensure the action plan is being continually monitored and audited to ensure it is effective.
c. Results of monitoring data and audits undertaken that provide assurance the proposed dates of action plan completion will be met.
Terms of this registration relating to carrying out this regulated activity
The registered provider must ensure that the regulated activity Maternity and midwifery services is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
Registered services
Family planning
Condition of this registration relating to carrying out this regulated activity
1. The service provider must not register any new patients at Stone Cross Surgery (including West Drive Surgery branch) without the written permission of the Care Quality Commission unless those patients are newly born babies or are newly fostered or adopted children of patients already registered at Stone Cross Surgery.
2. The service provider shall provide the Care Quality Commission with an updated action plan by 12 noon on Friday 12 April 2024 to include:
a. Action you have taken to address the review and follow up of all service users with asthma who were prescribed two or more courses of oral rescue steroids as identified on 20 March 2024.
b. Action taken to ensure compliance with the newly implemented “Prescription Safety Policy” to include any audits undertaken.
c. Clarification on the actions taken to clear the backlogs of documentation found unprocessed on Docman and EMIS and any further actions that were required caused by the delay in processing this information to ensure patient safety, including any identified risk of harm.
d. Action taken to address the omissions of significant event records in respect of the backlogs.
e. Action taken to implement the “Safe and Effective Staffing” policy and to monitor and maintain safe minimum levels of employed and deployed GPs.
f. Action taken to ensure effective staff recruitment systems are implemented and all staff records are complete and up to date.
g. An update on how you have implemented clear assurance processes, including audit, to demonstrate effective governance.
h. An update on the action taken to ensure you have sustainable clinical and administrative management of newly implemented governance processes.
Terms of this registration relating to carrying out this regulated activity
The registered provider must ensure that the regulated activity Family planning is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
The service provider must submit to the Care Quality Commission, on the last Friday of every month, on a monthly basis (commencing the last Friday of April 2024), a written report of progress made on the updated action plan. The written report must include:
a. The actions taken to ensure the action plan is being implemented, sustained and is effective.
b. The actions taken to ensure the action plan is being continually monitored and audited to ensure it is effective.
c. Results of monitoring data and audits undertaken that provide assurance the proposed dates of action plan completion will be met.
Registered services
Treatment of disease, disorder or injury
Condition of this registration relating to carrying out this regulated activity
3. The service provider must submit to the Care Quality Commission, on the last Friday of every month, on a monthly basis (commencing the last Friday of April 2024), a written report of progress made on the updated action plan. The written report must include:
a. The actions taken to ensure the action plan is being implemented, sustained and is effective.
b. The actions taken to ensure the action plan is being continually monitored and audited to ensure it is effective.
c. Results of monitoring data and audits undertaken that provide assurance the proposed dates of action plan completion will be met.
2. The service provider shall provide the Care Quality Commission with an updated action plan by 12 noon on Friday 12 April 2024 to include:
a. Action you have taken to address the review and follow up of all service users with asthma who were prescribed two or more courses of oral rescue steroids as identified on 20 March 2024.
b. Action taken to ensure compliance with the newly implemented “Prescription Safety Policy” to include any audits undertaken.
c. Clarification on the actions taken to clear the backlogs of documentation found unprocessed on Docman and EMIS and any further actions that were required caused by the delay in processing this information to ensure patient safety, including any identified risk of harm.
d. Action taken to address the omissions of significant event records in respect of the backlogs.
e. Action taken to implement the “Safe and Effective Staffing” policy and to monitor and maintain safe minimum levels of employed and deployed GPs.
f. Action taken to ensure effective staff recruitment systems are implemented and all staff records are complete and up to date.
g. An update on how you have implemented clear assurance processes, including audit, to demonstrate effective governance.
h. An update on the action taken to ensure you have sustainable clinical and administrative management of newly implemented governance processes.
1. The service provider must not register any new patients at Stone Cross Surgery (including West Drive Surgery branch) without the written permission of the Care Quality Commission unless those patients are newly born babies or are newly fostered or adopted children of patients already registered at Stone Cross Surgery.
Terms of this registration relating to carrying out this regulated activity
The registered provider must ensure that the regulated activity Treatment of disease, disorder or injury is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
Registered services
Surgical procedures
Condition of this registration relating to carrying out this regulated activity
1. The service provider must not register any new patients at Stone Cross Surgery (including West Drive Surgery branch) without the written permission of the Care Quality Commission unless those patients are newly born babies or are newly fostered or adopted children of patients already registered at Stone Cross Surgery.
Terms of this registration relating to carrying out this regulated activity
The registered provider must ensure that the regulated activity Surgical procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
2. The service provider shall provide the Care Quality Commission with an updated action plan by 12 noon on Friday 12 April 2024 to include:
a. Action you have taken to address the review and follow up of all service users with asthma who were prescribed two or more courses of oral rescue steroids as identified on 20 March 2024.
b. Action taken to ensure compliance with the newly implemented “Prescription Safety Policy” to include any audits undertaken.
c. Clarification on the actions taken to clear the backlogs of documentation found unprocessed on Docman and EMIS and any further actions that were required caused by the delay in processing this information to ensure patient safety, including any identified risk of harm.
d. Action taken to address the omissions of significant event records in respect of the backlogs.
e. Action taken to implement the “Safe and Effective Staffing” policy and to monitor and maintain safe minimum levels of employed and deployed GPs.
f. Action taken to ensure effective staff recruitment systems are implemented and all staff records are complete and up to date.
g. An update on how you have implemented clear assurance processes, including audit, to demonstrate effective governance.
h. An update on the action taken to ensure you have sustainable clinical and administrative management of newly implemented governance processes.
3. The service provider must submit to the Care Quality Commission, on the last Friday of every month, on a monthly basis (commencing the last Friday of April 2024), a written report of progress made on the updated action plan. The written report must include:
a. The actions taken to ensure the action plan is being implemented, sustained and is effective.
b. The actions taken to ensure the action plan is being continually monitored and audited to ensure it is effective.
c. Results of monitoring data and audits undertaken that provide assurance the proposed dates of action plan completion will be met.
Registered services
Diagnostic and screening procedures
Condition of this registration relating to carrying out this regulated activity
The service provider must not register any new patients at Stone Cross Surgery (including West Drive Surgery branch) without the written permission of the Care Quality Commission unless those patients are newly born babies or are newly fostered or adopted children of patients already registered at Stone Cross Surgery.
Terms of this registration relating to carrying out this regulated activity
The registered provider must ensure that the regulated activity Diagnostic and screening procedures is managed by an individual who is registered as a manager in respect of that activity at or from all locations.
The service provider shall provide the Care Quality Commission with an updated action plan by 12 noon on Friday 12 April 2024 to include:
a. Action you have taken to address the review and follow up of all service users with asthma who were prescribed two or more courses of oral rescue steroids as identified on 20 March 2024.
b. Action taken to ensure compliance with the newly implemented “Prescription Safety Policy” to include any audits undertaken.
c. Clarification on the actions taken to clear the backlogs of documentation found unprocessed on Docman and EMIS and any further actions that were required caused by the delay in processing this information to ensure patient safety, including any identified risk of harm.
d. Action taken to address the omissions of significant event records in respect of the backlogs.
e. Action taken to implement the “Safe and Effective Staffing” policy and to monitor and maintain safe minimum levels of employed and deployed GPs.
f. Action taken to ensure effective staff recruitment systems are implemented and all staff records are complete and up to date.
g. An update on how you have implemented clear assurance processes,
including audit, to demonstrate effective governance.
h. An update on the action taken to ensure you have sustainable clinical and administrative management of newly implemented governance processes.
The service provider must submit to the Care Quality Commission, on the last Friday of every month, on a monthly basis (commencing the last Friday of April 2024), a written report of progress made on the updated action plan. The written report must include:
a. The actions taken to ensure the action plan is being implemented, sustained and is effective.
b. The actions taken to ensure the action plan is being continually monitored and audited to ensure it is effective.
c. Results of monitoring data and audits undertaken that provide assurance the proposed dates of action plan completion will be met.