This practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at Fairfield Surgery on 23/04/2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• 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 had a system for destroying their expired controlled drugs that did not put patients at risk. However they had not followed the correct process in contacting the Controlled Drugs Accountable Officer (CDAO).
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Most patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• To deliver training to the whole practice on sepsis recognition and management.
• Review and improve the practice and standard operating procedures (SOP) in respect to the destruction of controlled drugs.
• To ensure that details of how to contact the Parliamentary and Health Service Ombudsman are included in replies to complaints.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice