- GP practice
Archived: Castlefields Surgery
Important:
The provider of this service changed. See new profile
All Inspections
12 June 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Castlefields Surgery on 20 April 2016. The overall rating for the practice was as ‘Good’ with requires improvement in providing a safe service. The full comprehensive report on the 20 April 2016 inspection can be found by selecting the ‘all reports’ link for Castlefields Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 12 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 20 April 2016. This report covers our findings in relation to those requirements.
Overall the practice is rated as Good.
Our key findings were as follows:
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Patient Group Directives (PGDs) were up to date and current.
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Appropriate checks were undertaken to ensure vaccines are always stored in line with manufacturers’ guidelines.
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The nursing roles were clearly defined.
However, there were also areas of practice where the provider needs to make improvements.
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Improvements were needed in how patients who were carers were identified and recorded.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
20 April 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Castlefields Surgery on 20 April 2016 Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
Our key findings were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Most risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
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The practice had reviewed the appointment system and introduced telephone clinics to increase the number and type of appointments available for patients.
- 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 provider was aware of and complied with the requirements of the duty of candour
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
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Ensure that Patient Group Directives (PGDs) are up to date and current.
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Ensure that appropriate checks are undertaken to ensure vaccines are always stored in line with manufacturers’ guidelines.
In addition the provider should:
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Ensure that nursing roles are clearly defined.
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Review the way in which patients who are carers are identified and recorded.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice