Pirbright Surgery, The Green, Pirbright, Woking.

Pirbright Surgery in The Green, Pirbright, Woking is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 11th August 2017

Pirbright Surgery is managed by Pirbright Surgery.

Contact Details:

Address: Pirbright Surgery The Old Vicarage The Green Pirbright Woking GU24 0JE United Kingdom Telephone: 01483474473 Website: http://www.pirbrightsurgery.co.uk

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2017-08-11
Last Published		2017-08-11

Local Authority:

Surrey

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th October 2016 - During a routine inspection

Letter from the Chief Inspector of General Practice

At our previous comprehensive inspection at Pirbright Surgery in Woking, Surrey on 6 October 2016 we found a breach of regulations relating to the provision of safe services. The overall rating for the practice was good. Specifically, the practice was rated requires improvement for the provision of safe services and good for the provision of effective, caring, responsive and well-led services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Pirbright Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 3 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. Using information provided by the practice we found the practice was now meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Our key findings were as follows:

• The practice had reviewed existing arrangements regarding staff training, specifically safeguarding and infection control training. We saw all staff had completed training appropriate to their job role, for example the GPs all had completed Safeguarding Children level three training.

• The practice had revised recruitment policies and processes which reflected national guidance. For example, supporting recruitment documentation which was missing during the October 2016 inspection had now all been recorded and documented correctly. Furthermore, the practice had reviewed and embedded a practice specific Disclosure and Baring Service (DBS) policy, which was supported by formal risk assessments.

• The practice had established and was now operating safe systems to assess, manage and mitigate the associated risks relating to the management of medicines. This included implementation of a standardised fridge monitoring template which was now used within the practice and dispensary.

• A formalised system had been implemented which ensured results were received for all samples sent for the cervical screening programme.

• The practice had reviewed the range of emergency medicines held on site. We saw the practice now had appropriate arrangements in place to respond to emergencies and major incidents.

• There was now an effective system in place for reporting and recording significant events. The practice had strengthened the existing significant event reporting procedure, which now included electronically recorded minutes and actions from the significant event meetings.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

1st January 1970 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

At our previous comprehensive inspection at Pirbright Surgery in Woking, Surrey on 6 October 2016 we found a breach of regulations relating to the provision of safe services. The overall rating for the practice was good. Specifically, the practice was rated requires improvement for the provision of safe services and good for the provision of effective, caring, responsive and well-led services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Pirbright Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 3 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We found the practice had made improvements since our last inspection. Using information provided by the practice we found the practice was now meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Our key findings were as follows:

• The practice had reviewed existing arrangements regarding staff training, specifically safeguarding and infection control training. We saw all staff had completed training appropriate to their job role, for example the GPs all had completed Safeguarding Children level three training.

• The practice had revised recruitment policies and processes which reflected national guidance. For example, supporting recruitment documentation which was missing during the October 2016 inspection had now all been recorded and documented correctly. Furthermore, the practice had reviewed and embedded a practice specific Disclosure and Baring Service (DBS) policy, which was supported by formal risk assessments.

• The practice had established and was now operating safe systems to assess, manage and mitigate the associated risks relating to the management of medicines. This included implementation of a standardised fridge monitoring template which was now used within the practice and dispensary.

• A formalised system had been implemented which ensured results were received for all samples sent for the cervical screening programme.

• The practice had reviewed the range of emergency medicines held on site. We saw the practice now had appropriate arrangements in place to respond to emergencies and major incidents.

• There was now an effective system in place for reporting and recording significant events. The practice had strengthened the existing significant event reporting procedure, which now included electronically recorded minutes and actions from the significant event meetings.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice