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Ashfield Road Surgery, Fordhouses, Wolverhampton.

Ashfield Road Surgery in Fordhouses, Wolverhampton is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 29th May 2019

Ashfield Road Surgery is managed by Dr Archana Nandanavanam.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-05-29
    Last Published 2019-05-29

Local Authority:

    Wolverhampton

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

25th February 2019 - During a routine inspection

We carried out an announced comprehensive inspection at Ashfield Road Surgery on 25 February 2019 as part as part of our inspection programme.

We based on 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.

We have rated this practice as requires improvement overall.

We rated the practice as requires improvement for providing safe services because:

  • The safeguarding policy was not updated to reflect updated categories of abuse.
  • Not all staff had received safeguarding training appropriate to their role.

We rated the practice as requires improvement for providing well led services because:

  • There were gaps in the practice’s governance arrangements.
  • Effective management oversight of systems to confirm ongoing monitoring and improved processes was not evident.
  • The practice did not have management oversight of the maintenance of up to date records of staff qualifications and training.
  • When incidents happened, the practice investigated but there was an absence of fully documented records of the incident to clearly show the actions taken to prevent further occurrence and embedded learning.
  • The minutes of meetings lacked detail to demonstrate, who had attended, discussions held, decisions made, action to be taken and by who and learning to be disseminated.

We rated the practice as good for providing effective, caring and responsive services because:

  • 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.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The practice had a documented programme of planned clinical and internal audits.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had reviewed its staffing structure and skill mix to ensure it could meet the changing needs of its patients.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Update the business continuity plan to include details of new staff.
  • Develop a documented practice strategy to support its vision and values.
  • Review the contents of the spillage kit.
  • Include checks of the blinds when undertaking assessments of the safety of the premises to ensure the locking system is working.

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

 

 

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