18 April 2023
During an inspection looking at part of the service
We carried out an announced focused inspection at Lingfield Surgery on 18 April 2023. Overall, the practice is rated as good.
Safe - requires improvement
Effective - good
Caring - not inspected, rating of good carried forward from previous inspection
Responsive - good
Well-led - good
Following our previous inspection on 24 April 2019, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Lingfield Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection to follow up concerns reported to us.
- We inspected the safe, effective, responsive and well-led key questions.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- Recruitment checks were not always carried out in accordance with regulations.
- Staff vaccination was not maintained in line with current UKHSA guidance.
- Patients did not always receive appropriate monitoring before repeat prescriptions were issued. Prescription stationary was not tracked throughout the practice.
- Patients with long-term conditions were not always reviewed in line with current best practice guidance and not all patient reviews were undertaken in a timely manner.
- Risks to patients, staff and visitors were not always recorded effectively.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Since the inspection the provider has given us assurances around the safety of prescribing, the reviews of patients with long term conditions and their new system for tracking of prescription stationary.
We found one breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients
The provider should
- Continue to encourage the patient for cervical cancer screening and childhood immunisation uptake.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care