We carried out a review of the data available to us about Oughtibridge 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 Oughtibridge Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Oughtibridge Surgery on 1 June 2016. The overall rating for the practice was good with requires improvement in well led. The full comprehensive report from 1 June 2016 can be found by selecting the ‘all reports’ link for Oughtibridge Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 13 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 1 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated good. Specifically, following the focused inspection we found the practice to be rated good for being well led.
Our key findings were as follows:
The practice had implemented a system to monitor and track blank prescriptions within the practice.
We saw evidence staff were following practice policies.
We saw evidence risk assessments had been monitored and reviewed. For example, fire and legionella risk assessments had been updated.
The practice had completed a risk assessment of staff who performed chaperone duties and staff who had direct patient contact who had not received a DBS check. A rolling programme to complete this by the end of March 2017 had been implemented. The practice provided evidence following the inspection that these had been completed or applied for. (DBS 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).
The practice had completed a risk assessment to ensure the appropriate emergency drugs were available to staff in a central location in an emergency.
A risk assessment of the security of the dispensary and access to the controlled drug cupboard key had been completed.
Training updates for the practice nurses and competency assessments of dispensary staff had been completed.
The practice had an up to date record of clinical staffs’ immunity status as specified in the national Green Book (immunisations against infectious disease) guidance for healthcare staff.
The practice had installed a thermometer in the dispensary to monitor the ambient room temperature to ensure drugs were stored at temperatures specified in national guidance.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Oughtibridge Surgery on 1 June 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
Implement a system to monitor and record the movement of blank prescriptions and pads within the practice as outlined in NHS Protect Prescription Security Guidance. Make secure blank prescriptions stored in the dispensary and in printers when rooms are not in use.
Complete a risk assessment of the security of the dispensary when dispensary staff are not on duty and review who has access to the controlled drug cupboard key.
Ensure all staff who have direct patient contact receive a disclosure and barring service (DBS) check. (DBS 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).
Implement a risk assessment for legionella to ensure the current actions being taken are adequate to monitor the risks (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
Complete a risk assessment of emergency medicines available to practice staff to use in a medical emergency. Review the storage of these medicines and ease of access during an emergency.
Implement a system to ensure staff receive training updates relevant to their role. Include vaccination update training for practice nurses and competency assessment of dispensing staff and reception staff who perform second person checks when dispensing medication.
Maintain a complete record of the immunity status of clinical staff as specified in the national Green Book (immunisations against infectious disease) guidance for healthcare staff.
The areas where the provider should make improvement are:
Monitor the ambient room temperature of the dispensary to ensure drugs are stored under 25 degrees centigrade as per national guidance.
Chief Inspector of General Practice