Stackyard Surgery - Care Quality Commission

Background to this inspection

Updated 15 May 2017

The Stackyard Surgery is based in the Vale of Belvoir at Croxton Kerrial. It has approximately 1,900 patients. The practice’s services are commissioned by SouthWest Lincolnshire Clinical Commissioning Group (SWLCCG). The practice are the second smallest surgery within the CCG and pride themselves on being friendly and approachable.

The practice has a General Medical Services Contract (GMS). The GMS contract is the contract between general practices and NHS England for delivering primary care services to local communities.

The practice is part of Vale Medical Group which has three locations registered with the Care Quality Commission (CQC):-

Long Clawson Medical Practice, The Surgery, The Sands, Long Clawson, Melton Mowbray, Leicestershire. LE14 4PA

The Stackyard Surgery, 1 The Stackyard, Croxton Kerrial, Grantham, Lincolnshire. NG32 1QS

Woolsthorpe Surgery, Woolsthorpe by Belvoir, Grantham, Lincs. NG32 1LX

The three practices are called the Vale Medical Group.

The location we inspected on 20 April 2017 was The Stackyard Surgery, 1 The Stackyard, Croxton Kerrial, Grantham, Lincolnshire. NG32 1QS

Overall inspection

Good

Updated 15 May 2017

Letter from the Chief Inspector of General Practice

This inspection was an announced focused inspection carried out on 20 April 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 18 August 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:

There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
The practice had fully reviewed the system they had in place in relation to the monitoring of the cold chain. Vaccine refrigerators temperatures were now checked and reset daily as per the practice policy
The practice had reviewed the medicines kept in place in the event of an emergency. For example, anaphylaxis and updated the practice policy to reflect this.
Issues identified in regard to infection prevention and control. For example, spillage kits for bodily fluids and the purchase of cytotoxic sharps bins had been completed.
Patient Group Directives for travel vaccinations were now in place.

The practice now had an effective governance system in place.
Dispensary competencies had been reviewed and a process was in place to document any issues where appropriate.
Appropriate policies and guidance were in place to enable staff to carry out their roles in a safe and effective manner which were reflective of the requirements of the practice.

The practice should make improvements:-

Ensure significant events have enough clinical detail documented to demonstrate appropriate details and information are in place.
Dispensary visit reports need to have near misses documented and discussed as detailed in the practice policy.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice