Brereton Surgery, Brereton, Rugeley.

Brereton Surgery in Brereton, Rugeley 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 18th May 2017

Brereton Surgery is managed by Brereton Surgery.

Contact Details:

Address: Brereton Surgery Main Road Brereton Rugeley WS15 1DU United Kingdom Telephone: 01889575560

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2017-05-18
Last Published		2017-05-18

Local Authority:

Staffordshire

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

25th April 2017 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr N Sivanesan & Partners (known as Brereton Surgery) on 18 August 2016. The overall rating for the practice was good, and the well led domain rated as Requires Improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr N Sivanesan & Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 18 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

• The practice had developed a system to demonstrate that the medicines and equipment alerts issued by external agencies were acted upon. We saw for the two alerts received post April 2017 appropriate action had been taken.
• The practice had improved the systems in place for assessing and monitoring. A range of risk assessments had been completed and action plans in place to manage the identified risks.
• The practice had strengthened the governance procedures in place. A meetings schedule had been developed, set agendas were used and meetings minuted and the information shared with all staff.
• The leadership structure was being updated due the changes in the partnership. The partners had designated managerial and clinical roles and met regularly to discuss the practice strategy.
• The practice continued to develop the role of the patient participation group and the group now met in person.
• Systems were in place to check the continued registration of nurses with their professional body. However, the practice did not ask for information relating to any physical or mental health conditions that the person may have, or whether they were up to date with their routine immunisations.

One area for improvement remained outstanding from the previous inspection:

• Record information regarding any physical or mental health conditions that applicants may have.

Two additional areas for improvement have been identified. The provider should:

• Ensure the practice are in receipt of all appropriate safety alerts and take appropriate action on any gaps noted in receipt.
• Review whether staff are up to date with their routine immunisations and take appropriate action as required.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18th August 2016 - During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr N Sivanesan & Partners (known as Brereton Surgery) on 18 August 2016. The overall rating for the practice was good, and the well led domain rated as Requires Improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr N Sivanesan & Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 18 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Our key findings were as follows:

• The practice had developed a system to demonstrate that the medicines and equipment alerts issued by external agencies were acted upon. We saw for the two alerts received post April 2017 appropriate action had been taken.
• The practice had improved the systems in place for assessing and monitoring. A range of risk assessments had been completed and action plans in place to manage the identified risks.
• The practice had strengthened the governance procedures in place. A meetings schedule had been developed, set agendas were used and meetings minuted and the information shared with all staff.
• The leadership structure was being updated due the changes in the partnership. The partners had designated managerial and clinical roles and met regularly to discuss the practice strategy.
• The practice continued to develop the role of the patient participation group and the group now met in person.
• Systems were in place to check the continued registration of nurses with their professional body. However, the practice did not ask for information relating to any physical or mental health conditions that the person may have, or whether they were up to date with their routine immunisations.

One area for improvement remained outstanding from the previous inspection:

• Record information regarding any physical or mental health conditions that applicants may have.

Two additional areas for improvement have been identified. The provider should:

• Ensure the practice are in receipt of all appropriate safety alerts and take appropriate action on any gaps noted in receipt.
• Review whether staff are up to date with their routine immunisations and take appropriate action as required.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice