The Care Quality Commission
  • Doctor
  • GP practice

Archived: Dr Rogers and Partners Also known as Baffins Surgery

Overall: Good read more about inspection ratings

The Baffins Surgery, St Cuthberts Church, Hayling Avenue, Portsmouth, Hampshire, PO3 6BH (023) 9282 7132

Provided and run by:
Dr Rogers and Partners

All Inspections

14/09/2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an inspection of Dr Rogers and Partners on the 14 September 2016. This review was performed to check on the progress of actions taken following an inspection we made in January 2015. Following the inspection in January 2015 the provider sent us an action plan which detailed the steps they would take to meet their breaches of regulation. During our latest inspection on 14 September 2016 we found the provider had made the necessary improvements.

This report covers our findings in relation to the requirements and should be read in conjunction with the report published in January 2015. This can be done by selecting the 'all reports' link for Dr Rogers and Partners on our website at www.cqc.org.uk

Our key findings at this inspection were as follows:

The practice ensured the health and safety for patients by improving the arrangements for identifying and managing risks. This included the introduction of:

  • A system to monitor and manage the risks associated with legionella.

  • Records kept for fire safety management.

The practice had improved the policies and processes for recruitment. This included the introduction of:

  • A number of organisational changes which included a designated member of staff responsible for staff recruitment.

  • A recruitment policy, generic application forms and clear documentation associated with recruitment.

  • A fail safe system to obtain written references, checks of nurses registration and criminal records checks by the disclosure and barring service, (DBS).

  • A policy to perform DBS checks on all reception staff

  • Structured induction for staff, including locum staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

27 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Baffins Surgery, St Cuthberts Church, Hayling Avenue, Portsmouth, PO3 6BH on 27 January 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for all population groups. It required improvement for providing safe services.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks, chaperoning and health and safety.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Clinical data officers were responsible for managing patients who repeatedly attended accident and emergency departments and supported them to access services in the community.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • Suitable systems to manage risk were not consistently put into place.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

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

Importantly the provider must

  • Ensure recruitment arrangements include all necessary employment checks for all staff.
  • Ensure all staff that chaperone patients have appropriate risk assessments or criminal records checks in place.
  • Ensure suitable systems are in place to manage risk to patients, in particular Legionella

The provider should:

  • Sharps bins should have the lids secured
  • Systems to ensure all nurses have their annual registration completed with the Nursing and Midwifery Council
  • Fire drills were carried out should be documented

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice