Edlesborough Surgery, Edlesborough, Dunstable.

Edlesborough Surgery in Edlesborough, Dunstable 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 28th February 2017

Edlesborough Surgery is managed by Edlesborough Surgery.

Contact Details:

Address: Edlesborough Surgery 11 Cow Lane Edlesborough Dunstable LU6 2HT United Kingdom Telephone: 01525222194 Website: http://www.edlesboroughsurgery.co.uk

Ratings:

For a guide to the ratings, click here.

Further Details:

Important Dates:

Last Inspection		2017-02-28
Last Published		2017-02-28

Local Authority:

Buckinghamshire

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 January 2017 - During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

Our previous comprehensive inspection at Edlesborough Surgery on 23 June 2016 found breaches of regulations relating to the safe, effective and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for provision of safe, effective and well led services. It was good for providing caring and responsive services. Consequently we rated all population groups as requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Edlesborough Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 January 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 June 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 25 January 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. Consequently we have rated all population groups as good.

Our key findings were as follows:

• The practice had introduced regular dispensing audits and implemented stock control system.
• There was an effective system in place for reporting and recording dispensing related incidents and significant events.
• Blank prescription forms and pads were kept securely and tracked through the practice.
• All staff who acted as a chaperone had received a Disclosure and Barring Service (DBS) checks and emergency procedures were reviewed to keep patients safe and safeguarded from abuse.
• The practice had demonstrated significant improvements in patients’ outcomes for patients with dementia, learning disabilities and patients experiencing poor mental health.
• We saw the childhood immunisation rates for the vaccines given to under two year olds were 94%. The practice informed us that low figures during previous inspection in June 2016 were due to a clerical error.
• For example, performance for dementia face to face review had increased from 77% to 94%, compared to the previous inspection.
• The practice had installed a hearing induction loop at reception.
• The practice had displayed information about a translation service in the waiting area.
• Staff we spoke with on the day of inspection was aware about a translation service.
• The practice had demonstrated significant improvements in governance arrangements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

23rd June 2016 - During a routine inspection

Letter from the Chief Inspector of General Practice

Our previous comprehensive inspection at Edlesborough Surgery on 23 June 2016 found breaches of regulations relating to the safe, effective and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for provision of safe, effective and well led services. It was good for providing caring and responsive services. Consequently we rated all population groups as requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Edlesborough Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 25 January 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 June 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.

We found the practice had made improvements since our last inspection. At our inspection on the 25 January 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. Consequently we have rated all population groups as good.

Our key findings were as follows:

• The practice had introduced regular dispensing audits and implemented stock control system.
• There was an effective system in place for reporting and recording dispensing related incidents and significant events.
• Blank prescription forms and pads were kept securely and tracked through the practice.
• All staff who acted as a chaperone had received a Disclosure and Barring Service (DBS) checks and emergency procedures were reviewed to keep patients safe and safeguarded from abuse.
• The practice had demonstrated significant improvements in patients’ outcomes for patients with dementia, learning disabilities and patients experiencing poor mental health.
• We saw the childhood immunisation rates for the vaccines given to under two year olds were 94%. The practice informed us that low figures during previous inspection in June 2016 were due to a clerical error.
• For example, performance for dementia face to face review had increased from 77% to 94%, compared to the previous inspection.
• The practice had installed a hearing induction loop at reception.
• The practice had displayed information about a translation service in the waiting area.
• Staff we spoke with on the day of inspection was aware about a translation service.
• The practice had demonstrated significant improvements in governance arrangements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice