Husbands Bosworth Surgery

We carried out an announced focused inspection at Husbands Bosworth Surgery on 21 November 2019 to follow up on breaches of regulations and concerns that were identified at the previous inspection.

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 inspected the safe and well-led key questions. We have rated this practice as good overall. The ratings for the effective, caring and responsive key questions were aggregated from the previous report.

We found that:

• Safety systems in place to protect patients from abuse and avoidable harm were effective and working as intended.
• The practice demonstrated that systems in place for the appropriate and safe handling of medicines were fully embedded and working.
• Emergency medicines were in place and monitored consistently. Prescriptions were managed appropriately, and security maintained.
• The practice dispensary was well run, effective and safe. The practice demonstrated that they had added security measures such as glass partitions and automatic security shutters.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
• The practice demonstrated an open and honest culture and staff we spoke with reflected the high-quality care that the practice had set down in their mission statement and statement of values.
• The leadership team demonstrated that they had the capacity to deliver services to a high quality.

Whilst we found no breaches of regulations, the provider should:

• Review induction processes to document the inclusion of local safeguarding procedures.
• Consider the minor risk of community defibrillator at the village hall satellite site.

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

This practice is currently rated as Requires Improvement. This rating was given at our previous inspection on 22nd August 2018.

We carried out an announced focussed inspection of Husbands Bosworth Surgery on 18 December 2018. This inspection was undertaken to follow up on breaches of regulations which had been identified at our previous inspection in August 2018 in relation to safe care and treatment. We issued the practice with a warning notice requiring them to achieve compliance with the regulations set out in the warning notice by 22nd November 2018.

At this inspection we found that all the requirements of the warning notice had been met.

Our key findings across the areas we inspected for this focused inspection were as follows

• The systems for monitoring the storage of medicines was effective at ensuring the medicines were safe to be administered.
• We saw evidence that staff were following the cold chain policy, recording temperatures at appropriate intervals and utilising the secondary thermometers if the temperature was exceeding the maximum temperature of 8 degrees.
• Practice staff recorded additional information such as stock taking or fridge cleaning which may have affected fridge temperatures.
• Dispensary staff were following standard operating procedures for the dispensing, storage and destruction of controlled drugs.
• The practice completed monthly stock checks of controlled drugs with two members of staff.
• Controlled drug registers were organised and labelled. There were no discrepancies between the controlled drug stock levels and the registers.
• The practice had emergency medicines in an appropriately locked room which staff had access to. There was an effective system to ensure that emergency medicines were checked regularly.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the evidence tables for further information.