Aldborough Surgery in Aldborough, Norwich is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 20th December 2017
Aldborough Surgery is managed by Dr Mark Edward Fleming.
Contact Details:
Address:
Aldborough Surgery Chapel Road Aldborough Norwich NR11 7NP United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Aldborough Surgery on 22 June 2017. The overall rating for the practice was requires improvement, with requires improvement for providing safe and well led services. The full comprehensive report on the 22 June 2017 inspection can be found by selecting the ‘all reports’ link for Aldborough Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 08 December 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 June 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good, and good for providing safe and well-led services.
Our key findings were as follows:
All equipment in the emergency trolley was in date. There was a comprehensive policy and log in place to support the new system.
All prescriptions were signed by the relevant clinician prior to being dispensed to patients.
The practice had implemented a new written consent form for minor surgeries. The records we viewed showed this was being used. The practice ran monthly audits on all patients who had undergone minor surgery to ensure consent had been gained in the appropriate way. The audits showed there was an effective system in place and all patients had written consent recorded where this was appropriate.
The practice had taken action relating to fire and legionella risk assessments and these were recorded appropriately.
There was a system in place to monitor the use of blank prescription stationary which was in line with relevant guidance.
The practice had a new meeting agenda in place to ensure effective sharing of all significant events within the practice. These were attended by all staff within the practice.
The management team could demonstrate improved oversight of safety within the practice and had implemented a new meeting schedule to improve communication within the practice and with external stakeholders.
Further improvements from the last inspection included:
The practice had actively been educating patients on the shared summary care records, which allows patients records to be shared between healthcare services, with consent. Records showed that in the previous two months, consent for this had increased.
The practice had reviewed the flu vaccination recall system and as a result had vaccinated 175 more patients than the end of the flu season last year. This was still ongoing at the time of this inspection.
The practice had been proactive in inviting patients for health checks and had utilised text messages as a communication method.
The practice offered contraceptive implants to patients. Due to the rural location of the practice and surrounding areas, the practice also accepted referrals from other local practices. The practice ensured there was flexibility in the appointments system to allow for increasing referrals and carried out extra clinics when demand was higher to ensure this did not impact negatively on registered patients. A salaried GP was also working with the local clinical commissioning group to develop a similar service for the fitting of implants to reduce menstrual bleeding. This service was currently only offered in secondary care and the practice was keen to set the service up to reduce travel and referral waiting times for patients.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Aldborough Surgery on 22 June 2017. The overall rating for the practice was requires improvement, with requires improvement for providing safe and well led services. The full comprehensive report on the 22 June 2017 inspection can be found by selecting the ‘all reports’ link for Aldborough Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 08 December 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 June 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good, and good for providing safe and well-led services.
Our key findings were as follows:
All equipment in the emergency trolley was in date. There was a comprehensive policy and log in place to support the new system.
All prescriptions were signed by the relevant clinician prior to being dispensed to patients.
The practice had implemented a new written consent form for minor surgeries. The records we viewed showed this was being used. The practice ran monthly audits on all patients who had undergone minor surgery to ensure consent had been gained in the appropriate way. The audits showed there was an effective system in place and all patients had written consent recorded where this was appropriate.
The practice had taken action relating to fire and legionella risk assessments and these were recorded appropriately.
There was a system in place to monitor the use of blank prescription stationary which was in line with relevant guidance.
The practice had a new meeting agenda in place to ensure effective sharing of all significant events within the practice. These were attended by all staff within the practice.
The management team could demonstrate improved oversight of safety within the practice and had implemented a new meeting schedule to improve communication within the practice and with external stakeholders.
Further improvements from the last inspection included:
The practice had actively been educating patients on the shared summary care records, which allows patients records to be shared between healthcare services, with consent. Records showed that in the previous two months, consent for this had increased.
The practice had reviewed the flu vaccination recall system and as a result had vaccinated 175 more patients than the end of the flu season last year. This was still ongoing at the time of this inspection.
The practice had been proactive in inviting patients for health checks and had utilised text messages as a communication method.
The practice offered contraceptive implants to patients. Due to the rural location of the practice and surrounding areas, the practice also accepted referrals from other local practices. The practice ensured there was flexibility in the appointments system to allow for increasing referrals and carried out extra clinics when demand was higher to ensure this did not impact negatively on registered patients. A salaried GP was also working with the local clinical commissioning group to develop a similar service for the fitting of implants to reduce menstrual bleeding. This service was currently only offered in secondary care and the practice was keen to set the service up to reduce travel and referral waiting times for patients.
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