Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Church View Surgery - Hedon on 21 June 2016. The overall rating for the practice was good and the rating for the safe domain was requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Church View Surgery - Hedon on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 28 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 21 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• The arrangements for managing medicines, including emergency medicines and vaccines, in the practice minimised risks to patient safety (including obtaining, prescribing, recording, handling, storing, security and disposal).

• The practice monitored significant events to identify any patterns or trends and evaluated any action taken to confirm actions taken prevented recurrence.

However, there were also areas of practice where the provider needs to make improvements.

In addition the provider should:

• Monitor that standard operating procedures at both surgeries are up to date to ensure they remain fit for purpose.

• Carry out regular balance checks of controlled drugs.

• Monitor that medicines fridge temperatures are recorded daily in line with national guidance.

• Track blank prescriptions forms through the practice in accordance with national guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Church View Surgery – Hedon on 21 June 2016. We visited the main surgery in Hedon and the branch surgery at Keyingham, during the inspection. The practice is rated as good.

Our key findings across all the areas we inspected 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 with the exception of those relating to the management of medicines.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Staff had the skills, knowledge and experience to deliver effective care and treatment.
• 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 were able to get same day appointments and pre bookable appointments were available.
• 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 practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the Duty of Candour.

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

Importantly the provider must:

• Ensure medicines are managed and dispensed safely and in accordance with practice policies and procedures.

Importantly the provider should:

• Implement a process to identify any patterns or trends with incidents to identify actions to prevent recurrence.

We saw an area of outstanding practice:

• As part of the dispensing service the practice delivered 14,976 prescription items annually at no cost to the patients, to their own homes so they did not have to travel to the practice to collect them.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice