Mitcheldean Surgery

Updated 2 November 2018

Mitcheldean Surgery serves approximately 6,200 patients and sees patients who live in the Forest of Dean and the surrounding areas. The national general practice profile shows the practice has a larger population of patients aged over 65, approximately 8% higher than the England average. Levels of deprivation within the population served by the practice were lower than the national average.

The practice delivers its services at the following address:

Brook Street,

Gloucestershire,

GL17 0AU.

The practices website can be found at .

The practice can dispense medicines to patients who live over a mile from the practice. They dispense to approximately 40% of patients registered at the practice.

At the time of our inspection there were three GP partners and one salaried GP; two male and two female GPs.

The practice is registered to provide the following Regulated Activities:

• Diagnostic and screening procedures.
• Treatment of disease, disorder or injury.
• Maternity and midwifery services.
• Surgical Procedures.
• Family Planning.

When the practice is closed and at weekends the out of hours GP cover is provided by CareUK which patients can access via NHS 111.

Updated 2 November 2018

This practice is now rated as Good overall. (Previous rating November 2017 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

We carried out an announced comprehensive inspection at Mitcheldean Surgery on 30 November 2017. The practice was rated as good for providing effective, caring, responsive and well-led services giving an overall rating of good. However, the practice was rated as requires improvement for providing safe services. The full comprehensive report of the 30 November 2017 inspection can be found by selecting the ‘all reports’ link for Mitcheldean Surgery on our website at .

This inspection was an announced focused inspection carried out on 9 October 2018. The purpose of which was to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 30 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe services. Overall the practice remains rated as good.

At this inspection we found:

• The infection prevention control (IPC) lead nurse had completed a training update and had received additional training to undertake this role.
• Systems to ensure test results and correspondence were managed appropriately had been reviewed and improved so that they were dealt with in a timely manner.
• Systems for managing healthcare waste had improved.
• Appropriate measures had been put in place to ensure the safe management of liquid nitrogen in the practice.
• Systems had been reviewed and improvements implemented to ensure the security of blanks prescription forms were maintained in the practice.
• Risks associated with lone working in the dispensary had been assessed and measures put in place to minimise risks.
• Systems had been introduced to ensure medicines in the dispensary were managed correctly and that medicines were in date.
• The practice routinely invited carer’s for a health check. We saw the number of carers who had been invited and received a health check had increased since the last inspection.

The areas where the provider should make improvements are:

• Continue to identify and improve the number of patients identified as carers.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018

Updated 23 January 2018