Letter from the Chief Inspector of General Practice

New Inn Surgery was placed into special measures following an inspection in October 2014. In order to establish if the required improvements had been made we completed a further comprehensive inspection in October 2015. Improvements to the delivery of service were evident and the practice was rated as good overall, however was rated as requires improvement for delivering safe services.

After the October 2015 comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• complete regular fire drills.
• record the appropriate action taken if fridge temperatures were recorded above the recommended temperature range.
• ensure that all medicines needed to deal with emergencies were readily available.
• ensure a child oxygen mask was available.
• ensure that safe processes were in place for the management of hand written blank prescriptions.
• ensure patients notes were securely stored.

In addition the provider should:

• record when the defibrillator has been checked

We undertook this announced focused follow up inspection on 14 October 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The outcome of this inspection found tht the provider was now meeting all requirements and is rated as good under the safe domain.

This report only covers our findings in relation to those requirements. We found:

• the practice had completed a fire drill in November 2015 and October 2016 and new smoke detectors had been installed.
• there were processes in place to ensure fridge temperatures were monitored. All staff were aware of these and the actions to take should an error occur.
• medicines and equipment to use in an emergency were readily available including the availability of a child oxygen mask.
• safe processes were in place for the management of hand written blank prescriptions
• patient’s notes were stored securely.

In addition we saw evidence that the provider had:

• undertaken and recorded monthly checks of to ensure the defibrillator was in good working order.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link 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 New Inn Surgery on 20 October 2015. Overall the practice is rated as good.

We found that many improvements had been made since the previous inspection of October 2014 when the practice had been rated as inadequate and was placed into Special Measures.

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.
• Risks to patients were assessed and well managed.
• 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.
• 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.

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

Importantly the provider must:

• complete regular fire drills
• record the appropriate action taken when fridge temperatures are recorded above the recommended temperature range.
• ensure that some medicines to deal with emergencies are readily available.
• ensure a child oxygen mask is available
• ensure that hand written blank prescriptions are tracked through the practice at all times.
• store patients notes securely.

Additionally the provider should:

• record when the defibrillator has been checked

I am taking this service out of special measures. This recognises the significant improvements that have been made to the quality of care provided by this service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

New Inn Surgery was placed into special measures following an inspection in October 2014. In order to establish if the required improvements had been made we completed a further comprehensive inspection in October 2015. Improvements to the delivery of service were evident and the practice was rated as good overall, however was rated as requires improvement for delivering safe services.

After the October 2015 comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• complete regular fire drills.
• record the appropriate action taken if fridge temperatures were recorded above the recommended temperature range.
• ensure that all medicines needed to deal with emergencies were readily available.
• ensure a child oxygen mask was available.
• ensure that safe processes were in place for the management of hand written blank prescriptions.
• ensure patients notes were securely stored.

In addition the provider should:

• record when the defibrillator has been checked

We undertook this announced focused follow up inspection on 14 October 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The outcome of this inspection found tht the provider was now meeting all requirements and is rated as good under the safe domain.

This report only covers our findings in relation to those requirements. We found:

• the practice had completed a fire drill in November 2015 and October 2016 and new smoke detectors had been installed.
• there were processes in place to ensure fridge temperatures were monitored. All staff were aware of these and the actions to take should an error occur.
• medicines and equipment to use in an emergency were readily available including the availability of a child oxygen mask.
• safe processes were in place for the management of hand written blank prescriptions
• patient’s notes were stored securely.

In addition we saw evidence that the provider had:

• undertaken and recorded monthly checks of to ensure the defibrillator was in good working order.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice