Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mayfield Surgery on 15 September 2016. The overall rating for the practice was good; however the safe domain was rated as requires improvement as;

• Actions identified in infection prevention and control audits had not been addressed to provide infection prevention and control training for all staff;
• Emergency medicines were not stored securely and regular checks were not thoroughly conducted or recorded;
• Patient specific directions (PSD) from a prescriber for the healthcare assistant (HCA) to administer influenza vaccines in a flu clinic were not clearly documented;
• Blank prescriptions were not managed or stored to maintain their security.

The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Mayfield Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 9 May 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 15 September 2016. This report covers our findings in relation to those requirements and also any additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• The practice had provided infection prevention and control training for all staff.
• The practice had reviewed and changed arrangements to securely store emergency medicines and blank prescription forms and had systems in place for providing and recording appropriate checks.
• The practice ensured patient specific directions for influenza vaccines include the dose, route and frequency to be administered to a named patient and a record that the prescriber has assessed the patient on an individual basis.

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 Mayfield Surgery on 15 September 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.
• Risks to patients were generally assessed and well managed, with the exception of those related to infection prevention and control training, emergency medicines, patient specific directions and prescription security.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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 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 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 improvement are:

• The practice must provide infection prevention and control training for all staff.

• The practice must securely store emergency medicines and blank prescription forms, providing and recording appropriate checks.

• The practice must ensure patient specific directions for influenza vaccines include the dose, route and frequency to be administered to a named patient and a record that the prescriber has assessed the patient on an individual basis.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice