Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection at the Bishops Waltham Surgery on 20 September 2016. This was to review the actions taken by the provider as a result of our issuing a legal requirement. In December 2015 the practice did not have safe systems in place for the safe management of risks relating to health and safety, infection control and procedures in place for the reporting of safeguarding events.

Overall the practice has been rated as Good following our findings, with safe now rated as good. This report should be read in conjunction with our report published on 17 March 2016 where the effective, responsive and caring and well led domains were rated as Good. This can be done by selecting the 'all reports' link for Bishops Waltham Surgery on our website at www.cqc.org.uk

Our key findings across all the areas we inspected were as follows:

• We found the practice had identified a staff member as an infection control lead, they had undertaken training in infection control and undertaken an audit to improve patient outcomes.

• A full health and safety risk assessment of the practice had been carried out.

• Policies and procedures governing health and safety, including adult safeguarding had been reviewed and updated.

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 Bishops Waltham Surgery on 16 December 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.
• Risks to patients were assessed and managed, with the exception of those relating to infection control, legionella and health and safety work place assessment.
• The majority of patients said they were treated with compassion, dignity and respect.

• Urgent appointments were usually available on the day they were requested.

• The practice had a number of policies and procedures to govern activity, but some were overdue a review.

• The practice had proactively sought feedback from patients and had an active patient participation group.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 93% were able to get an appointment to see or speak to someone the last time they tried compared to a Clinical Commissioning Group average of 89% and a national average of 86%.

The areas where the provider must make improvements are:

• The provider must have an infection control lead, update infection control training for staff as according to their role and carry out infection control audits to improve patient outcomes.
• The provider must carry out full work place health and safety risk assessments including for general health and safety as well as fire safety, use of electrical equipment and legionella.
• The provider must review and update policies and procedures and ensure all subjects are covered such as for adult safeguarding.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice