This practice is currently rated as Requires Improvement. This rating was given at our previous inspection on 22nd August 2018.

We carried out an announced focussed inspection of Husbands Bosworth Surgery on 18 December 2018. This inspection was undertaken to follow up on breaches of regulations which had been identified at our previous inspection in August 2018 in relation to safe care and treatment. We issued the practice with a warning notice requiring them to achieve compliance with the regulations set out in the warning notice by 22nd November 2018.

At this inspection we found that all the requirements of the warning notice had been met.

Our key findings across the areas we inspected for this focused inspection were as follows

• The systems for monitoring the storage of medicines was effective at ensuring the medicines were safe to be administered.
• We saw evidence that staff were following the cold chain policy, recording temperatures at appropriate intervals and utilising the secondary thermometers if the temperature was exceeding the maximum temperature of 8 degrees.
• Practice staff recorded additional information such as stock taking or fridge cleaning which may have affected fridge temperatures.
• Dispensary staff were following standard operating procedures for the dispensing, storage and destruction of controlled drugs.
• The practice completed monthly stock checks of controlled drugs with two members of staff.
• Controlled drug registers were organised and labelled. There were no discrepancies between the controlled drug stock levels and the registers.
• The practice had emergency medicines in an appropriately locked room which staff had access to. There was an effective system to ensure that emergency medicines were checked regularly.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the evidence tables for further information.

This practice is rated as Requires Improvement overall. (Previous rating November 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires Improvement

We carried out an announced comprehensive inspection at Husbands Bosworth Surgery on 22nd August 2018 as part of our inspection programme to ensure the improvements we had seen in November 2016 had been maintained. The practice was inspected in April 2016 and found to be inadequate in safe and well led and placed in special measures. When we inspected in November 2016 we found that it was good overall.

At this inspection we found:

• The practice had some 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 systems in place for appropriate and safe handling of medicines was not effective and put patients at risk of receiving compromised treatment.
• The system for emergency medicines was not safe and had not been acted on following the November 2016 inspection.
• 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 did not have an effective governance system for the Dispensary which had been reported in April 2016.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients
• 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:

• Improve the system for recording and storing blank prescriptions.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.