We carried out a review of the data available to us about The Doctors House - Marlow Medical Group 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 Doctors House - Marlow Medical Group, you can give feedback on this service.
In April 2015 we found concerns related to the management of medicines during a comprehensive inspection of The Doctors House - Marlow Medical Group. Following the inspection the provider sent us an action plan detailing how they would improve medicine management systems ensuring they reflect national guidelines.
We carried out a desktop review of The Doctors House - Marlow Medical Group on 17 December 2015 to ensure these changes had been implemented and that the service was meeting regulations. Our previous inspection in April 2015 had found a breach of regulations relating to the safe delivery of services. The ratings for the practice have been updated to reflect our findings.
We found the practice had made improvements since our last inspection on 15 April 2015 and they were meeting the regulation relating to the management of medicines that had previously been breached.
Specifically the practice was operating safe systems in relation to the management of medicines. This included:
Disseminating medicine alerts within the practice.
Ensuring the temperatures in the practice refrigerators including dispensary were accurately recorded.
Formal arrangements were in place and staff were aware how these operate to ensure the security of prescriptions in accordance with national guidance.
A review and subsequent structure change of the management of dispensary at the Lane End branch surgery.
We have changed 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.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Doctors House- Marlow Medical Group on 15 April 2015. Overall the practice is rated as good.
We found the practice to be good for providing effective, caring, well-led and responsive services. It required improvement for providing safe services. It was good at providing services for all the population groups including older people; people with long term conditions; mothers, babies, children and young people; the working age populations and those recently retired; people in vulnerable circumstances and people experiencing poor mental health.
Our key findings across all the areas we inspected were as follows:
Importantly the provider must:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
During the visit we asked patients for feedback on the appointment system and appointment accessibility. We received mixed responses. One patient told us 'I am always able to get an appointment on the day I call.' Another patient said 'I have been with the practice for 20 years and getting an appointment has been generally easy.' A third patient told us 'I can never get an appointment at the times it suits me.' However, all patients told us they were able to get an emergency appointment on the same day.
All the patients told us that they felt safe and confident with the care provided at the practice. Comments included 'Most definitely, I feel very safe' and 'I have been visiting this practice for over 12 years and safety has never been an issue.'
The provider was unable to demonstrate that sufficient recruitment checks had taken place to ensure staff were fit, appropriately qualified and able to undertake their role.
All the patients we spoke with told us they knew how to make complaint. One patient told us 'Although I have not made a complaint, I am confident to go through the procedure should I need to.' Another patient commented 'I have been with this surgery for twenty years and I have not had the need to complain.'