The Care Quality Commission
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Archived: Bruton Surgery

Overall: Good read more about inspection ratings

The Bruton Surgery, Patwell Lane, Bruton, Somerset, BA10 0EG (01749) 812310

Provided and run by:
Bruton Surgery

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

All Inspections

29 October 2015

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out a focussed inspection of The Bruton Surgery, Patwell Lane, Bruton, Somerset BA10 0EG.

Our previous inspection on 11 November 2014 found breaches of regulations relating to the safe delivery of services. We found at that inspection the practice was inadequate for the provision of safe services and was rated as requiring improvement for well led services. Effective, caring and responsive service provision was rated as good. Overall the practice was rated as one which required improvement.

We found during this inspection that the practice was meeting the regulations that had previously been breached and had taken action in relation to providing a safe and well led service. The areas of improvement related to the safe management of medicines, an improved quality assurance processes to ensure emergency equipment was fit for purpose and also for ensuring that infection control systems were in place. We also found that risk assessments were now in place to identify where a Disclosure and Barring Service check on staff should be carried out for those staff employed.

This report only covers our findings in relation to those areas in which were inadequate or required improvement found during our 11 November 2014 inspection. These areas were identified within our last inspection report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Bruton Practice on our website at www.cqc.org.uk.

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

  • Medicines were stored securely. There were systems in place to monitor stock control, expiry dates and use of medicines at the practice.

  • Emergency medicines and equipment were safely stored, regularly checked and fit for purpose. Oxygen was stored safely and in accordance to health and safety legislation.

  • The systems for the management of infection control were carried out effectively.

  • Risk assessments were in place to ensure that an appropriate Disclosure and Barring Service Checks were required to be carried out on staff before they commenced working at the practice.

  • A risk assessment was regularly carried out and actions put in place in regard to ensuring safe access arrangements for patients to the practice building and facilities.

    We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

11 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection visit to The Bruton Surgery on 11 November 2014. Overall the practice is rated as requires improvement.

Specifically, we found the practice to require improvement for providing safe, responsive and well led services. It was good for providing an effective and caring service.

Our key findings were as follows:

  • Patients had their needs assessed and were provided with the care and treatment they needed.
  • Patients had access to appointments with their named GP and were always seen if their need was urgent.
  • Patients’ voices were listened to and acted upon.
  • Patients were treated with dignity and respect
  • Patients were provided with continuity of care and ensured that patients with long term health needs were met.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

  • Improve the management of medicines and emergency equipment to ensure the safety of patients and staff.
  • Improve quality assurance processes to ensure emergency equipment is fit for purpose, infection control systems are in place and actions taken to minimise the risks to patients and staff.
  • Ensure their recruitment processes include a risk assessment to identify where a Disclosure and Barring Service check is required.

In addition the provider should:

  • The practice should monitor and implement actions to ensure the practice environment is accessible to patients or staff with limited mobility or wheel chair users.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice