Archived: The Castlegate Surgery

Updated 2 November 2016

The Castlegate Surgery provides a range of primary medical services to the residents of Hertford and the surrounding villages. The practice has been in its current purpose built location since 1997.

The practice population is predominantly British but also serves patients from minority ethnic groups. It is classed as being in a low deprivation area. The practice has a list size of approximately 6,900 patients and provides services under a general medical services contract (GMS).

There are three GP partners who run the practice, two male and one female and they employ one female salaried GP. The nursing team consists of three practice nurses, one of whom is an independent nurse prescriber. There are a number of reception staff and a secretary all led by a practice manager and a reception manager.

The practice is open between 8am and 6.30pm Monday to Friday and offers extended opening on Thursday evenings to 7.30pm and from 8am to 12.30pm on Saturday mornings.

When the practice is closed out-of- hours services are provided by Herts Urgent Care and can be accessed via NHS 111.

Updated 2 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Castlegate Surgery on 28 May 2015. A breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to;

• Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – safe care and treatment.

We undertook a desk based focused inspection of The Castlegate Surgery on 9 September 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting 'all reports' link for The Castlegate Surgery on our website at www.cqc.org.uk/

From the inspection on 28 May 2015, the practice were told they must:

• Ensure that all nursing staff have a criminal records check through the Disclosure and Barring Service (DBS). Where non-clinical staff perform chaperone duties, the practice must risk assess whether a DBS check is required.

We found that on the 9 September 2016 the practice now had appropriate processes and procedures in place.

• The practice had completed a risk assessment to determine which staff members required a DBS check.

• All nursing staff had been checked through the DBS process.

• A chaperone policy was in place to give guidance to staff when carrying out the role and to support clinical staff to recognise when a chaperone was required.

• The chaperone policy reflected the required risk assessment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of people with long-term conditions. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of families, children and young people people. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of older people. We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of working age people (including those recently retired and students). We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of people experiencing poor mental health (including people with dementia). We did not review any evidence during our desk based focused inspection to alter this rating.

Updated 2 November 2016

Following our comprehensive inspection on 28 May 2015, we rated the practice as good for the population group of people whose circumstances may make them vulnerable. We did not review any evidence during our desk based focused inspection to alter this rating.