24 January 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Gardiner Crescent Surgery on 26 April 2016. Gardiner Crescent Surgery was part of one large provider (Middle Chare Medical Group) who had four locations. The overall rating for the practice was good but the safe domain was rated as requires improvement. The full comprehensive report on the 26 April 2016 inspection can be found by selecting the ‘all reports’ link for Middle Chare Medical Group on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 24 January 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 inspection on 26 April 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:
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Governance systems and process had been developed further to monitor and assess the whole service in relation to risk and improvement. This included quality assurance of internal processes including checking of emergency medicines and the safe storage of vaccines.
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Effective arrangements were in place to ensure that vaccines and other medicines stored in the refrigerators were stored at the correct temperatures and appropriate records were maintained.
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Procedures were in place to track prescription forms after they had been received into the practice.
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Staff were working under the accepted definition of a Patient Group Direction or Patient Specific Direction and these were in date and relevant staff had their own authorised copy.
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All staff were able to access policies and procedures.
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The practice had ceased to provide a dispensing service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice