Alpine House Surgery in Mountsorrel, Loughborough 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 27th February 2017
Alpine House Surgery is managed by Alpine House Surgery.
Contact Details:
Address:
Alpine House Surgery 86 Rothley Road Mountsorrel Loughborough LE12 7JU United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Alpine House Surgery on 23 August 2016. The overall rating for the practice was good, however the practice was rated as requires improvement for the safety domain. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Alpine House Surgery on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 09 February 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 23 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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Overall the practice is now rated as good.
Our key findings were as follows:
Clinical waste bins were stored securely and safely in a designated secured area.
All uncollected prescriptions were reviewed every two weeks by a GP and the relevant action was updated on the patient record.
The practice manager had introduced a system to review and monitor professional registration with the relevant bodies, including the Nursing and Midwifery Council (NMC) and General Medical Council (GMC).
Regular fire drills, including unannounced fire drills were scheduled on an ongoing basis.
Staff were encouraged to complete mandatory training and staff were able to access e-learning modules outside of normal working hours.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Alpine House Surgery on 23 August 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There was an effective system in place for reporting and recording significant events and lessons were shared to make sure action was taken to improve safety in the practice.
A ‘Teen Bible’ had been developed to increase awareness of the different forms of abuse for teenagers.
Clinical waste bins were not locked or stored securely.
Uncollected prescriptions were not checked by a GP before being destroyed.
There was recruitment process in place to ensure all appropriate checks were undertaken, however there was no ongoing process to ensure nursing staff and GPs renewed their registration with the appropriate professional body.
Risks to patients were assessed and well managed, however the practice did not carry out regular fire drills.
Staff assessed needs and delivered care in line with current evidence based guidance.
The practice were proactive in carrying out clinical audits which demonstrated quality improvement.
Staff had the skills, knowledge and experience to deliver effective care and treatment, however due to time pressures staff did not always complete e-learning modules for mandatory training in line with practice policies.
Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
We saw staff treated patients with kindness and respect, and maintained patient and information confidentiality.
Patients said they were able to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
The practice had reviewed and implemented access schemes with the local clinical commissioning group to improve access for patients outside of normal working hours.
The practice had a clear vision and strategy to deliver high quality care and promote good outcomes for patients.
We saw one area of outstanding practice:
The practice had encouraged an apprentice within the practice to develop a document alerting teenagers to potential forms of abuse. A ‘Teen Bible’ had been produced with the assistance of a GP to ensure the document contained appropriate information and contact details for support groups. Information included topics such as staying safe online, do you feel safe at school, the workplace or home, mental health and anxiety. GPs gave the document to patients or parents of patients who had concerns to ensure the relevant information and support was available.
The areas where the provider must make improvement are:
Ensure clinical waste bins are locked and stored securely in line with health and safety executive guidance.
Ensure the correct authorisation process to allow nursing staff to administer vaccines under a patient group directive is followed.
The areas where the provider should make improvement are:
Review the process of uncollected prescriptions to be checked by a GP before being destroyed.
Review the process to ensure nursing staff and GPs renew their registration with the appropriate professional body.
Review the process to carry out regular fire drills.
Continue to encourage staff to use e-learning training modules for mandatory training in line with practice policies.
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