- GP practice
Wonersh Surgery
Report from 11 March 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 22 April to 24 April 2024. Overall, the practice is rated as good, with all key questions rated as good. However, we found a breach of Regulation 17 Good Governance which we reported on under the Well led Key Question. The provider was not working to their Prescribing and medication policy. Prescription stationary was not being tracked in line with NHS guidance. There was no policy for staff to follow for Patient Specific Directions (PSD). The PSD’s we reviewed did not contain sufficient information for the staff member providing the vaccination and there was no record of the vaccine given added to the patient record. Following our inspection, the provider took immediate action, but we are not yet able to verify the evidence to show that actions were working as intended. We have asked the provider for an action plan in response to the concerns found at this assessment. Wonersh Surgery is an NHS GP practice located in a residential area of Guildford. The inspection included on site activity, requesting evidence from the provider and remote interviews of staff. We also completed clinical searches on the practice’s patient records system. We found the provider reviewed incidents and complaints and appropriately investigated and recorded actions taken. Medicines management reflected current and relevant best practice and professional guidance. Patient’s medicines were appropriately prescribed. Patient’s needs were assessed using a range of assessment tools to ensure their needs were reflected and understood. There were effective approaches to monitor patient’s care and treatment and their outcomes. Patients could access services when they needed to, without physical or digital barriers. Leaders and staff were alert to experiences and outcomes that could disadvantage different groups of people using their services. There were clear governance, management, and accountability arrangements in place.
People's experience of this service
Patients were positive about their care and treatment. Some indicators in the National GP Patient Survey published in 2023 showed in some areas the provider was performing higher than the national average. The provider reviewed feedback from the survey and where possible acted on comments or suggestions made. We asked the provider to share details of CQC Give Feedback on Care process on their website. We received 4 positive comments from patients via Give Feedback on Care forms. Any complaints were used to improve practice and procedures. There was a newly formed Patient Participation Group who told us they thought it was a very positive experience.