Letter from the Chief Inspector of General Practice

We carried out an announced focussed inspection of Mulberry Surgery on 16 June 2016 to check that action had been taken since our previous inspection in April 2015. Overall the practice is rated as good.

At our inspection in April 2015 we rated the practice as good overall. We found that the practice required improvement in the Safe domain due to breaches of regulations relating to safe delivery of services. The practice was good for Effective, Caring, Responsive and Well Led services.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. 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 Mulberry Surgery on our website at www.cqc.org.uk

Our key findings across all the areas we inspected were as follows:

The provider had made improvements to:

• Ensure a legionella risk assessment was carried out and action was taken.

• Ensure that emergency fire procedures were updated.

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 Mulberry Surgery, 38 Highfield Road, Southampton, SO17 1PJ on 28 April 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned for.

• 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 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.

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

Importantly the provider must:

• Ensure a legionella risk assessment is carried out and action is taken.
• Ensure that emergency fire procedures are updated.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice