Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 22 April 2016. We set a requirement in relation to Safe Care and Treatment. The practice sent in an action plan informing us about what they would do to meet legal requirements in relation to the following.

• The practice did not ensure that medicines dispensed followed the national guidance.

• The practice did not ensure there were systems in place for the safe and secure storage of medicines.

They told us these issues would be addressed by 27 June 2016 and provided us with evidence to show they had taken the action to address the concerns.

We undertook a focused inspection on 5 October 2016 to make a judgement about whether their actions had addressed the requirements.

The overall rating for the practice is good. You can read our previous report by selecting the ‘all reports' link for 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 Wansford Surgery on 22 April 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 and an effective system in place for reporting and recording significant events.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
• Urgent appointments with a GP were available on the same day.
• Information about services and how to complain was available and easy to understand.
• 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 practice was aware of and complied with the requirements of the Duty of Candour.
• There were not robust arrangements for identifying, recording and managing risks, issues and implementing mitigating actions. For example; prescriptions were not tracked and fridge temperatures were not monitored regularly.

The areas where the provider must make improvements are;

• The practice must ensure all medicines needing cold storage are monitored and kept at an appropriate temperature.
• The practice must ensure the dispensary is secure at all times.
• Ensure prescriptions are signed by a GP before collection by the patient.
• Ensure all medical consumables are within their expiry date.

The areas where the provider should make improvements are;

• The practice should be proactive in identifying carers.
• Ensure prescription forms are tracked and there is a system to monitor their use.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice