We carried out a review of the data available to us about Morland House Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Morland House Surgery, you can give feedback on this service.
We carried out an inspection of Morland House Surgery on 10 March 2020 as part of our inspection programme. The last comprehensive inspection of Morland House Surgery took place in February 2015 when the practice was rated good overall.
The practice’s annual regulatory review did not indicate that the quality of care had changed in relation to safe, caring and responsive provision of services. As a result, the ratings from the practice’s previous inspection from 2015 still stand in those key questions. Therefore, this inspection was undertaken as part of our five yearly inspection programme and focused on whether the practice continued to provide effective and well-led care.
We based our judgement of the quality of care at this service on a combination of:
We have continued to rate this practice as good overall and good for all population groups.
We found that:
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
When we visited Morland House Surgery in February 2015 we found the practice had breached regulations, that were in force at that time, relating to the safe delivery of services.
We found the practice required improvement for the provision of safe services because improvements were needed in the way medicines were managed and some relevant staff checks had not been undertaken. Overall the practice was rated as good.
Morland House Surgery sent us an action plan that set out the changes they would make to improve the management of medicines and complete relevant staff checks. Subsequently they supplied information to confirm they had completed the actions.
This focused inspection was undertaken to check the practice was meeting the regulation previously breached. For this reason we have only rated the location for the key question to which this related. This report should be read in conjunction with the full inspection report of 25 February 2015.
We found the practice had made improvements since our last inspection. The information we received enabled us to find the practice was meeting the regulations that it had previously breached.
Specifically Morland House Surgery was:
Operating a consistent system of ensuring tests required by patients taking high risk medicines were completed and dosage of prescribing undertaken based on the results.
Ensuring all staff that undertook chaperone duties had completed a disclosure and barring service (DBS) check. (These checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).
Operating a consistent system to maintain security of blank prescriptions.
Keeping emergency medicines under review and had risk assessed the medicines required.
Carrying out robust monitoring of cleaning standards
Monitoring clinical audit via weekly clinical review meetings.
We have updated the rating for the safe domain for this practice to reflect the changes they made. The practice is now rated good for the provision of safe services.
Chief Inspector of General Practice
We inspected Morland House Surgery on 25 February 2015. This was a comprehensive inspection. The practice had been inspected in July 2014 when we were testing our new approach to inspection. We returned to check that the practice had acted to address issues which breached regulations relating to management of medicines reported at the previous inspection and to enable us to apply a judgement of ratings for the practice.
The practice is rated as good overall. Patients received care and treatment from a team of staff who place patient satisfaction at the core of their work. Patients we spoke with and other sources of patient feedback confirmed that the GPs and staff were caring and responded promptly to patient needs. A range of visiting care professionals attended the practice to provide convenient access to services. The practice had taken action on the issues relating to medicines management reported previously. Significant improvement had been achieved. However, the practice must improve on other aspects of how medicines are managed.
Our key findings were as follows:
We saw several areas of outstanding practice including:
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
In addition the provider should:
Chief Inspector of General Practice
Morland House Surgery is located in London Road, Wheatley, Oxfordshire. The practice operates from a large converted and extended residential property.
During our inspection we spoke with 12 patients. We also reviewed the comment cards that 18 patients had completed before our visit.
All the patients we spoke with and all the comment cards we reviewed commented positively on the service they received from this practice. The most recent patient survey conducted by the practice between November 2013 and January 2104 also showed high levels of satisfaction with the care and treatment patients received.
The practice was aware of the needs of their practice population and had taken steps to improve or make more accessible the services for their patients. All patients were able to access same day appointments for urgent care and a Saturday morning surgery took place each week for patients who were unable to attend on weekdays due to work commitments. Patients we spoke with were clear about how to contact the out of hours service should they need to. The practice used an external service for out of hours provision.
GPs and nurses gave patients the information they needed to ensure they were able to make informed choices about their care and treatment. The practice was able to respond to requests for urgent care and patients spoke positively about the support they received for their health and well-being. The provision of palliative care and support for bereaved families was a priority for all staff.
There was evidence that the practice worked with other health and social care professionals to safeguard their patients and improve their health and treatment outcomes. A drop in clinic run jointly by GPs and Health Visitors was available for families with babies and young children. Midwives worked alongside the practice to provide antenatal and postnatal care.
Practice nurses had attended specialist training to enable them to provide care for patients with long term conditions. The practice was led by experienced and established senior staff.
However we found that improvements were needed in the way the practice assessed and managed the risks associated with the safe keeping and dispensing of medicines.
The provider was in breach of the regulation related to the risks associated with the management of medicines.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.