We carried out a review of the data available to us about The Orsett 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 The Orsett Surgery, you can give feedback on this service.
On 14 May 2015 we carried out a comprehensive inspection of The Orsett Surgery. They were rated as good overall. They were rated as requires improvement for providing safe services and good for providing effective, caring responsive and well-led services. As a result of this inspection the practice were issued with a requirement notice for improvement.
The issues we identified were as follows;
Staff were not clear about safeguarding procedures.
Staff trained as chaperones were unclear about their role. Some staff had not received DBS checks and a risk assessment was not in place as to why they were not necessary.
Procedures in place to manage medicines, including controlled drugs in use at the practice were not effective. Staff undertaking dispensing duties had not received sufficient training or supervision. Written procedures for the dispensing of medicines were incomplete. Prescription stationery was not being monitored.
Infection control procedures required improving in relation to monitoring the quality of the cleaning and carrying out audits.
The fire risk assessment required more detail to manage the risk of combustible cleaning material.
There was no hearing loop to support patients with impaired hearing, no call bell in the toilet facilities for patients who might need assistance and access to the premises was difficult for patients with limited mobility.
After the inspection the practice sent us an action plan that identified the improvements they intended to make and when they would be completed.
We then visited the practice on 05 February 2016 to review the improvements made by the practice. We found that the practice had made all of the improvements required and had complied fully with the requirement notice.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Orsett Surgery on 14 May 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing effective, caring, responsive services and well led. It was also good for providing services for older people, people with long term conditions, families, children and young people, working aged people (including those recently retired and students), and people with mental health (including people with dementia). The practice required improvement for providing safe services.
Our key findings across all the areas we inspected were as follows:
However there were areas of practice where the provider needs to make improvements.
Importantly the provider MUST:
The provider also SHOULD:
Chief Inspector of General Practice
These concerns related to paper medical records which were not stored securely and confidential information which was not stored securely before it was shredded.
During our inspection on 05 March 2014 we found that improvements had been made.
We observed that keypad locks had been installed to secure the rooms where confidential information regarding the people who used the service was kept. During our inspection we saw that these were being used appropriately by staff.
We spoke with four members of staff all of whom confirmed that the keypad locks were used. One member of staff told us, 'It safeguards us, patients' notes and things that are confidential.'
This demonstrated that medical records and confidential information which related to people who used the surgery were kept securely.
People said that their privacy was maintained, they were treated with dignity and were involved in their care. One person told us, 'They always maintain my privacy.' Another person said, 'I would be involved it would be a joint decision.' We looked at the medical records of five people who used the service and found that people experienced care and treatment that met their needs and protected their rights.
We saw that staff were able to identify the possibility of abuse and respond appropriately. One clinician told us, 'If I was concerned I would go to social services duty team and ask for help.'
The surgery held regular staff meetings and we saw evidence of staff training and appraisals. One member of staff told us, 'It is very busy. I am supported to do my job.' Another member of staff told us, 'I feel fully supported in my training requirements by the practice.'
We saw that staff had clear guidance in relation to information governance and that this was followed in their day to day work. One member of staff told us, 'We are given information when we start and we have reminders about confidentiality at our meetings.'
We found that not all medical records were stored securely.