We carried out an announced comprehensive inspection at The Haven Surgery (Dr Rina Miah) on 27 March 2019 as part of our inspection programme (previous inspection November 2015 – good).
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall, but as requires improvement for providing safe services and good for all population groups.
We rated the practice as requires improvement for providing safe services because:
- There were shortfalls in some systems; management of the premises and staff immunisation.
We rated the practice as good for providing effective, caring, responsive and well led services because:
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Review arrangements for ensuring that staff have received the relevant vaccinations.
- Undertake remedial work following the recent fire risk assessment.
- Review arrangements for ensuring the premises are secure at all times.
- Implement a system to enable the monitoring of the distribution of blank prescriptions throughout the practice.
- Provide appropriate clinical waste disposal bins.
- Take steps to improve access to the premises. The external door did not open automatically and there were no facilities for patients who needed assistance to summon support.
- Take steps to ensure all staff who perform cervical screening checks have received appropriate training.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care