Barrowford Surgery Limited in Barrowford, Nelson 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 12th June 2017
Barrowford Surgery Limited is managed by The Barrowford Surgery Limited.
Contact Details:
Address:
Barrowford Surgery Limited Ridgeway Barrowford Nelson BB9 8QP United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Barrowford Surgery on 2 February 2016. The overall rating for the practice was requires improvement.
During that inspection we identified breaches of regulation 12 (Safe Care and Treatment), regulation 17 (Good governance) and regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The breaches resulted in the practice being rated as requires improvement for being safe, and well-led and good for being effective, caring and responsive. Consequently the practice was rated as requires improvement overall. The full comprehensive report on the 2 February 2017 inspection can be found by selecting the ‘all reports’ link for Barrowford Surgery on our website at www.cqc.org.uk.
At this announced comprehensive inspection on 27 March 2017 we checked whether improvements had been made since our inspection in February 2016.
The practice is now rated as Good.
We found improvements had been made in respect of;
Safe;
Emergency medicines were in place to ensure the safety of patients in an emergency.
We found that the registered person operated an effective recruitment system. The staff files we checked contained references, disclosure and barring service (DBS) checks, CV or application form and a check of professional registration.
There was a system in place to monitor the use of blank prescriptions.
The practice had produced consent forms for use when carrying out invasive procedures such as; excisions and joint injections. Where a patient gave verbal consent this was recorded on the patients’ records.
The practice nurse was infection control lead and had completed infection prevention and control training to levels 1 and 2.
Well-led;
Risk assessments had been carried out by specialist contractors in respect of the practice environment, fire safety and legionella and copies were held in the practice.
Our key findings at this inspection were as follows:
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
Risks to patients were assessed and well managed.
Comprehensive care plans were developed to ensure patients’ needs were identified and met.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had received training that provided them with the skills, knowledge and experience to deliver effective care and treatment.
Regular clinical and whole practice meetings were held.
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. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
The practice had good facilities and was well equipped to treat patients and meet their needs.
There was a clear leadership structure and staff felt supported by management.
The provider was aware of and complied with the requirements of the duty of candour although some staff were not familiar with the term duty of candour.
However, there were also areas of practice where the provider should make improvements.
Consider fitting a lock to the door of the new consulting room to ensure this room and its contents were secure when not in use.
Carry out a review of drugs held in the practice for managing medical emergencies.
Continue efforts to develop the patient participation group.
Obtain paediatric pads for the defibrillator.
Formalise and record all audit activity to demonstrate audits were embedded in practice and used to improve patient outcomes.
Continue to obtain written consent for minor surgery.
Carry out a review of patient group directions to check they are all countersigned by the practice manager.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Barrowford Surgery on 2 February 2016. The overall rating for the practice was requires improvement.
During that inspection we identified breaches of regulation 12 (Safe Care and Treatment), regulation 17 (Good governance) and regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The breaches resulted in the practice being rated as requires improvement for being safe, and well-led and good for being effective, caring and responsive. Consequently the practice was rated as requires improvement overall. The full comprehensive report on the 2 February 2017 inspection can be found by selecting the ‘all reports’ link for Barrowford Surgery on our website at www.cqc.org.uk.
At this announced comprehensive inspection on 27 March 2017 we checked whether improvements had been made since our inspection in February 2016.
The practice is now rated as Good.
We found improvements had been made in respect of;
Safe;
Emergency medicines were in place to ensure the safety of patients in an emergency.
We found that the registered person operated an effective recruitment system. The staff files we checked contained references, disclosure and barring service (DBS) checks, CV or application form and a check of professional registration.
There was a system in place to monitor the use of blank prescriptions.
The practice had produced consent forms for use when carrying out invasive procedures such as; excisions and joint injections. Where a patient gave verbal consent this was recorded on the patients’ records.
The practice nurse was infection control lead and had completed infection prevention and control training to levels 1 and 2.
Well-led;
Risk assessments had been carried out by specialist contractors in respect of the practice environment, fire safety and legionella and copies were held in the practice.
Our key findings at this inspection were as follows:
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
Risks to patients were assessed and well managed.
Comprehensive care plans were developed to ensure patients’ needs were identified and met.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had received training that provided them with the skills, knowledge and experience to deliver effective care and treatment.
Regular clinical and whole practice meetings were held.
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. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
The practice had good facilities and was well equipped to treat patients and meet their needs.
There was a clear leadership structure and staff felt supported by management.
The provider was aware of and complied with the requirements of the duty of candour although some staff were not familiar with the term duty of candour.
However, there were also areas of practice where the provider should make improvements.
Consider fitting a lock to the door of the new consulting room to ensure this room and its contents were secure when not in use.
Carry out a review of drugs held in the practice for managing medical emergencies.
Continue efforts to develop the patient participation group.
Obtain paediatric pads for the defibrillator.
Formalise and record all audit activity to demonstrate audits were embedded in practice and used to improve patient outcomes.
Continue to obtain written consent for minor surgery.
Carry out a review of patient group directions to check they are all countersigned by the practice manager.
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