The Care Quality Commission
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  • GP practice

Archived: West Town Surgery

Overall: Good read more about inspection ratings

80 High Street, Barton-upon-humber, DN18 5PU (01652) 660041

Provided and run by:
West Town Surgery

Important: The provider of this service changed. See new profile

All Inspections

2 March 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 of this practice on 2 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

Regulation 17 HSCA (RA) Regulations 2014 Good governance

How the regulation was not being met:

Recruitment checks for some staff had not been carried out prior to them commencing employment at the practice.

Minimum, maximum and actual temperatures of the medicines refrigerator were not recorded daily when the practice was open.

The results of the dispensing audit had not been acted upon.

Checking of dispensary stock expiry dates did not meet with the recommendations made in national guidance and staff did not always record when checks were made.

This inspection was a desk-based review carried out on 2 March 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 2 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for West Town Surgery on our website at www.cqc.org.uk.

Overall the practice is rated as good.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

2 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at West Town Surgery on 2 June 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • 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.
  • Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • 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.
  • Patients were at risk of harm because systems and processes were not in place to keep them safe. For example appropriate recruitment checks on staff had not been undertaken prior to their employment and medicines were not managed safely.

The areas where the provider must make improvement are:

  • Ensure recruitment arrangements include all necessary employment checks for all staff.
  • Embed systems and detailed record keeping arrangements, in particular but not limited to medicines requiring refrigeration, in order to assess, monitor, and improve the safe management of medicines.

The areas where the provider should make improvement are:

  • Thoroughly investigate all complaints and significant events to ensure learning opportunities are maximised.
  • Record actions following the receipt of national safety alerts.
  • Undertake ongoing assessments of the competency of dispensary staff.
  • Update the practice website to include information about staff and services.
  • Information about how to complain should be available both in the practice and on the website.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice