Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 28 January 2016. Three breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to ensuring robust processes were in place for the following;

• Check the controlled drugs register against the physical stock at regular intervals in line with the Standard Operating Procedures.

• Ensure that the practice gains consent from patients identified as carers before their information is passed on to the carers group.

• Ensure that a confidentiality agreement has been signed by the carers group and documented by the practice.

• The practice must operate robust recruitment procedures, which include undertaking any relevant checks. Ensure appropriate checks through the Disclosure and Barring Service have been completed on all of the required staff, and a risk assessment completed where necessary.

The practice made information available to us. We undertook a desk top inspection to check that they had followed their plan and to confirm that they now met legal requirements. The overall rating for the practice is Good. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the ‘all reports' link for on our website at www.cqc.org.uk

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 The Burwell Surgery on 28 January 2016. Overall 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.

• 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.

• Patients said they found it easy to make an appointment with a named GP and that 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 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.

The areas where the provider must make improvements are:

• Check the controlled drugs register against the physical stock at regular intervals in line with the Standard Operating Procedure.

• Ensure that the practice gains consent from patients identified as carers before their information is passed on to the carers group.

• Ensure that a confidentiality agreement has been signed by the carers group and documented by the practice.

• The practice must operate robust recruitment procedures, which include undertaking any relevant checks. Ensure appropriate checks through the Disclosure and Barring Service have been completed on all of the required staff, and a risk assessment completed where necessary.

The areas where the provider should make improvement are:

• Ensure policies are reviewed by their review date.

• Ensure oxygen signs are placed on the doors off all rooms that hold it.

• Ensure staff receive their annual appraisals when due.

• Take into account the reduced shelf life of a medicine which can be stored both within a fridge and outside a fridge when it is not stored cold.

• Develop a system to track blank prescription forms through the practice in line with national guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Dr A J Wills & Partners on 15 May 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.