We carried out an announced comprehensive inspection of Bilsthorpe Surgery on 15 December 2015. A breach of legal requirements was found, in that not all improvements from the infection control audit dated November 2015 had been actioned.

Also, appropriate recruitment checks through the Disclosure and Barring Service (DBS) had not been undertaken for reception and administrative staff. The practice had not formally assessed the risk of employing the members of staff, including those who may undertake chaperone duties to determine whether a DBS check was required.

Overall the practice was rated as good; in view of the above the practice was rated as requires improvement for providing safe services.

After the comprehensive inspection, the practice wrote to us to say what action they had, and were taking to meet the legal requirement in relation to the breach. 

We undertook a desk based review on 30 August 2016 to check that the provider had completed the required actions, and now met the legal requirements. We did not visit the practice as part of this inspection. This report covers our findings in relation to the requirement.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bilsthorpe Surgery on our website at www.cqc.org.uk.

Our finding across the areas we inspected was as follows:

• The practice had taken appropriate action to meet the legal requirement.
• The practice is rated as good for providing safe services.
• The recruitment policy had been reviewed to ensure the practice obtained appropriate Disclosure and Barring Service (DBS) checks for all staff.
• A DBS check was obtained for all reception and administrative staff following the comprehensive inspection. 

• An action plan had been produced from the infection control audit dated November 2015, which showed that all areas requiring improvement had been completed.

We carried out an announced comprehensive inspection of Bilsthorpe Surgery on 15 December 2015. A breach of legal requirements was found, in that not all improvements from the infection control audit dated November 2015 had been actioned.

Also, appropriate recruitment checks through the Disclosure and Barring Service (DBS) had not been undertaken for reception and administrative staff. The practice had not formally assessed the risk of employing the members of staff, including those who may undertake chaperone duties to determine whether a DBS check was required.

Overall the practice was rated as good; in view of the above the practice was rated as requires improvement for providing safe services.

After the comprehensive inspection, the practice wrote to us to say what action they had, and were taking to meet the legal requirement in relation to the breach. 

We undertook a desk based review on 30 August 2016 to check that the provider had completed the required actions, and now met the legal requirements. We did not visit the practice as part of this inspection. This report covers our findings in relation to the requirement.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bilsthorpe Surgery on our website at www.cqc.org.uk.

Our finding across the areas we inspected was as follows:

• The practice had taken appropriate action to meet the legal requirement.
• The practice is rated as good for providing safe services.
• The recruitment policy had been reviewed to ensure the practice obtained appropriate Disclosure and Barring Service (DBS) checks for all staff.
• A DBS check was obtained for all reception and administrative staff following the comprehensive inspection. 

• An action plan had been produced from the infection control audit dated November 2015, which showed that all areas requiring improvement had been completed.