Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Auckland Surgery on 5 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Auckland Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 18 May 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 5 October 2016. 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.

Our key findings were as follows:

• The practice had taken action to address on all of the issues identified at the previous inspection.
• There were effective systems in place for acting on patient safety alerts, monitoring prescription forms, ensuring emergency medicines availability on home visits, and monitoring uncollected test request forms and prescriptions.
• Patient group directions were in place to allow a nurse to administer medicines in line with legislation.
• There was support and oversight of all clinicians, including the independent nurse prescribers.
• There was a system to ensure all staff received an annual appraisal.
• The practice were taking active steps to monitor and improve its identification and recording of patients with long-term conditions, including Coronary Heart Disease, and to improve the identification of patients with learning disabilities and the support provided to them.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Auckland Surgery on 5 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Auckland Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 18 May 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 5 October 2016. 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.

Our key findings were as follows:

• The practice had taken action to address on all of the issues identified at the previous inspection.
• There were effective systems in place for acting on patient safety alerts, monitoring prescription forms, ensuring emergency medicines availability on home visits, and monitoring uncollected test request forms and prescriptions.
• Patient group directions were in place to allow a nurse to administer medicines in line with legislation.
• There was support and oversight of all clinicians, including the independent nurse prescribers.
• There was a system to ensure all staff received an annual appraisal.
• The practice were taking active steps to monitor and improve its identification and recording of patients with long-term conditions, including Coronary Heart Disease, and to improve the identification of patients with learning disabilities and the support provided to them.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

During this inspection we spoke with the practice manager, a General Practitioner (GP), a nurse practitioner, a receptionist and one person using the service.

The person using the service said the GP’s were very understanding and listened to what they had to say. They always had time with the GP or the practice nurse to go through their health issues and discuss and agree appropriate treatment options.

Information had been posted on the practice website advising people about this inspection. Two people contacted the practice with written comments about the practice and another left a letter for the inspector. In the letter to the inspector a couple said they had been patients at the practice for 36 years. In that time they had experienced unfailing courtesy, high standards of professional expertise and genuine interest in their well-being. They said if there was a special excellence award for GP practices that attain the highest standards then this surgery would be in the running.

We saw that the practice had safeguarding policies that related to adults and children. We saw the practice was clean and well maintained throughout. We saw that the practice had effective systems in place to regularly assess and monitor the quality of service that people received.