The Cedars Surgery in Worle, Weston Super Mare 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 and treatment of disease, disorder or injury. The last inspection date here was 8th April 2020
The Cedars Surgery is managed by Dr Michael Pimm.
Contact Details:
Address:
The Cedars Surgery 87 New Bristol Road Worle Weston Super Mare BS22 6AJ United Kingdom
Letter from the Chief Inspector of General Practice
The Cedars Surgery has recently combined with two other local practices, Worle Medical Practice, which is now a branch surgery known as Worle Health Centre; and The Village Surgery (which had become a branch surgery but the site has now closed). This inspection report relates to the Cedars Surgery and Worle Health Centre sites which were both visited during this follow up inspection.
We carried out an announced comprehensive inspection at The Cedars Surgery on 8 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for The Cedars Surgery on our website at www.cqc.org.uk.
We also carried out a an announced comprehensive inspection at Worle Medical Practice on 7 January 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the January 2016 inspection can be found by selecting the ‘all reports’ link for Worle Medical Practice on our website at www.cqc.org.uk.
This inspection was an announced focused follow up inspection carried out on 18 July 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 inspections in January 2016 and September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
A fire risk assessment had been completed, documented and actions identified had been addressed, including carrying out regular fire drills.
A system had been implemented to ensure all Patient Group Directions are current, authorised and signed before vaccinations are provided to patients.
Arrangements for infection prevention and control (IPC) had been reviewed, an IPC audit had been completed and identified actions had been addressed for both sites.
Arrangements for the security of blank prescription stationery had been reviewed to ensure security when clinical rooms are unoccupied.
Personnel files had been reviewed and updated to include records of all appropriate recruitment checks undertaken prior to employment.
Arrangements had been reviewed to ensure all MHRA (Medicines and Healthcare products Regulatory Agency) safety alerts are recorded and addressed.
Arrangements for temperature checks of vaccine storage had been reviewed to ensure recording is complete.
We saw records confirming all staff had received up to date training in basic life support, safeguarding and fire safety.
Arrangements for quality improvement such as clinical auditing were in place.
Arrangements had been reviewed to ensure patient consent is recorded in medical records.
Arrangements were in place to ensure that patient records are secure to prevent unauthorised access.
Arrangements for business planning and strategic development had been reviewed and we saw evidence of improved structure, documentation and cohesion in the management of the practice.
Support arrangement had been reviewed to ensure that Independent Prescribers receive mentorship and support from the medical staff for this extended role.
The process for triage of requests from patients for a home visit had been reviewed to ensure there is no undue delay.
Arrangements to identify and support military veterans had been reviewed and were in line with the military veteran’s covenant.
GP staffing levels had improved and we saw evidence that the nursing team and have access to clinical support and advice should a medical emergency arise during the practice opening hours.
Letter from the Chief Inspector of General Practice
The Cedars Surgery has recently combined with two other local practices, Worle Medical Practice, which is now a branch surgery known as Worle Health Centre; and The Village Surgery (which had become a branch surgery but the site has now closed). This inspection report relates to the Cedars Surgery and Worle Health Centre sites which were both visited during this follow up inspection.
We carried out an announced comprehensive inspection at The Cedars Surgery on 8 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for The Cedars Surgery on our website at www.cqc.org.uk.
We also carried out a an announced comprehensive inspection at Worle Medical Practice on 7 January 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the January 2016 inspection can be found by selecting the ‘all reports’ link for Worle Medical Practice on our website at www.cqc.org.uk.
This inspection was an announced focused follow up inspection carried out on 18 July 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 inspections in January 2016 and September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
A fire risk assessment had been completed, documented and actions identified had been addressed, including carrying out regular fire drills.
A system had been implemented to ensure all Patient Group Directions are current, authorised and signed before vaccinations are provided to patients.
Arrangements for infection prevention and control (IPC) had been reviewed, an IPC audit had been completed and identified actions had been addressed for both sites.
Arrangements for the security of blank prescription stationery had been reviewed to ensure security when clinical rooms are unoccupied.
Personnel files had been reviewed and updated to include records of all appropriate recruitment checks undertaken prior to employment.
Arrangements had been reviewed to ensure all MHRA (Medicines and Healthcare products Regulatory Agency) safety alerts are recorded and addressed.
Arrangements for temperature checks of vaccine storage had been reviewed to ensure recording is complete.
We saw records confirming all staff had received up to date training in basic life support, safeguarding and fire safety.
Arrangements for quality improvement such as clinical auditing were in place.
Arrangements had been reviewed to ensure patient consent is recorded in medical records.
Arrangements were in place to ensure that patient records are secure to prevent unauthorised access.
Arrangements for business planning and strategic development had been reviewed and we saw evidence of improved structure, documentation and cohesion in the management of the practice.
Support arrangement had been reviewed to ensure that Independent Prescribers receive mentorship and support from the medical staff for this extended role.
The process for triage of requests from patients for a home visit had been reviewed to ensure there is no undue delay.
Arrangements to identify and support military veterans had been reviewed and were in line with the military veteran’s covenant.
GP staffing levels had improved and we saw evidence that the nursing team and have access to clinical support and advice should a medical emergency arise during the practice opening hours.
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