Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wellside Surgery on 6 December 2016. The overall rating for the practice was good, with requires improvement for providing safe services. The full comprehensive report on the 6 December 2016 inspection can be found by selecting the ‘all reports’ link for Wellside Surgery on our website at www.cqc.org.uk.

We undertook a focused inspection on 4 July 2017 to check they had followed their action plan and to confirm they now met legal requirements in relation to the breach identified in our previous inspection on 6 December 2016. This report only covers our findings in relation to those requirements.

Overall the practice remains rated as good.

Our key findings from this inspection were as follows:

• Improvements had been made to the system used to ensure that all prescriptions were signed before medicines were dispensed to patients.
• The practice had implemented a revised schedule of annual health reviews for patients with mental health concerns.
• Learning points from significant events were recorded effectively to allow for appropriate reflection. Significant events were subject to a regular review process to highlight the occurrence of any themes.
• Improvements had been made to how near misses in the dispensary were recorded and reviewed.
• The practice had made changes to how notes from safeguarding meetings were recorded to show a clear track record of decision making processes and actions taken.
• Members of staff we spoke with were aware of the emergency medicines held in the practice.
• The practice had developed an effective system to review and disseminate guidance and updates from the National Institute of Health and Clinical Excellence.

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 Wellside Surgery on 6 December 2016. The overall rating for the practice was good, with requires improvement for providing safe services. The full comprehensive report on the 6 December 2016 inspection can be found by selecting the ‘all reports’ link for Wellside Surgery on our website at www.cqc.org.uk.

We undertook a focused inspection on 4 July 2017 to check they had followed their action plan and to confirm they now met legal requirements in relation to the breach identified in our previous inspection on 6 December 2016. This report only covers our findings in relation to those requirements.

Overall the practice remains rated as good.

Our key findings from this inspection were as follows:

• Improvements had been made to the system used to ensure that all prescriptions were signed before medicines were dispensed to patients.
• The practice had implemented a revised schedule of annual health reviews for patients with mental health concerns.
• Learning points from significant events were recorded effectively to allow for appropriate reflection. Significant events were subject to a regular review process to highlight the occurrence of any themes.
• Improvements had been made to how near misses in the dispensary were recorded and reviewed.
• The practice had made changes to how notes from safeguarding meetings were recorded to show a clear track record of decision making processes and actions taken.
• Members of staff we spoke with were aware of the emergency medicines held in the practice.
• The practice had developed an effective system to review and disseminate guidance and updates from the National Institute of Health and Clinical Excellence.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We visited the surgery on 19 November 2013. During our visit we spoke with 13 people who were waiting for their appointments to see either a GP, or a nurse. They all told us they had been treated with courtesy and politeness at all times. They each expressed an appreciation of the information they had been given by GPs and nurses. One person said, "The doctors I have seen are usually easy to talk to and tell me the information about my illness that I want to know..... I have been able to make a choice about which hospital I went to and whether I wanted to be referred to a consultant at the hospital".

People had received care and treatment after they had been assessed and examined. We found that frequently people’s treatment had been provided after it had been considered in the context of other aspects of their lives that impacted upon their wellbeing.

Children and vulnerable adults were assured of being kept safe by the policies and training that staff had received.

We found that the management of medicines dispensed and used by the surgery were safely managed.

The premises were well maintained, comfortable and appeared clean. Overall, the premises were a safe and suitable environment for people and for staff to work in.