High Street Surgery in Cheslyn Hay, Walsall 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 22nd November 2017
High Street Surgery is managed by High Street Surgery.
Contact Details:
Address:
High Street Surgery High Street Cheslyn Hay Walsall WS6 7AB United Kingdom
Letter from the Chief Inspector of General Practice
We previously undertook a comprehensive inspection of High Street Surgery on 26 January 2016. The overall rating for the practice was Good with the Safe domain being rated as Requires Improvement. We found two breaches of legal requirements and as a result we issued requirement notices in relation to:
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Safe Care and Treatment.
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Fit and Proper Persons Employed
The full comprehensive report on the January 2016 inspection can be found by selecting the ‘all reports’ link for High Street Surgery on our website at www.cqc.org.uk.
High Street Surgery and Landywood Lane Surgery merged on 1 July 2017. We previously undertook a comprehensive inspection of Landywood Lane Surgery on 22 September 2016. The practice was rated as Inadequate overall and placed into special measures. We found three breaches of a legal requirements and as a result we issued requirement notices in relation to:
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Safe Care and Treatment.
Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Good Governance
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Fit and Proper Persons Employed
The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Landywood Lane Surgery on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection on 5 October 2017. Overall the combined practice is now rated as good.
Our key findings were as follows:
The management team had undertaken a review of both services following the merger. This included working practices, policies and procedures and the overall governance framework. The management team recognised and identified the challenges and had developed an action plan to address these.
The practice had an overarching governance framework which supported the delivery of the strategy and good quality care. The management recognised that the framework needed to implemented and become embedded across both sites. Staff at the branch site were being supported through the implementation and cross site working was also being introduced.
There was a clear leadership structure and staff felt supported by management. The leadership and management provided to staff who previously worked at Landywood Lane Surgery had been strengthened following the merger.
Staff from the merged practice spoke positively about the changes that had taken place since the merger. They told us they felt supported by the management team from High Street Surgery, and efforts had been made to bring both teams together as one new team.
Improvements had been made to how the practice provided safe services. There was an open and transparent approach to safety and a system in place for reporting and recording significant events. The same policy and procedure had been adopted across both sites. Recruitment procedures had been strengthened and appropriate recruitment checks were undertaken. All staff had received Disclosure and Barring Service (DBS) checks.
Staff were aware of current evidence based guidance. NICE guidance was a standing agenda item at monthly clinical meetings which all clinical staff were expected to attend. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. There were plans to review the results for both practices to identify any areas were improvements could be made.
Improvements had been made to the availability of information for patients on how to complain at the branch site. Information about how to complain was available and evidence from examples reviewed showed the practice responded quickly to issues raised
Patients we spoke with said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.
Patient feedback on comment cards was generally positive about the merger and the increased availability of appointments. Comments included being able to see a GP on a Friday afternoon, and being able to book a diabetic review any day rather than just one.
The provider was aware of the requirements of the duty of candour. The example we reviewed showed the practice complied with these requirements.
There were also areas of practice where the provider should make improvements.
The provider should:
Continue to review and update the policies and procedures and share these with staff.
Continue to monitor and encourage the uptake of the
Ensure that all uncollected prescriptions are reviewed by the GPs before being destroyed.
Provide additional fire marshals at the branch site.
Assure themselves that the legionella risk assessment, water temperatures and running of water outlets is carried out at the branch site.
Formalise the system for recording verbal complaints.
Letter from the Chief Inspector of General Practice
We previously undertook a comprehensive inspection of High Street Surgery on 26 January 2016. The overall rating for the practice was Good with the Safe domain being rated as Requires Improvement. We found two breaches of legal requirements and as a result we issued requirement notices in relation to:
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Safe Care and Treatment.
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Fit and Proper Persons Employed
The full comprehensive report on the January 2016 inspection can be found by selecting the ‘all reports’ link for High Street Surgery on our website at www.cqc.org.uk.
High Street Surgery and Landywood Lane Surgery merged on 1 July 2017. We previously undertook a comprehensive inspection of Landywood Lane Surgery on 22 September 2016. The practice was rated as Inadequate overall and placed into special measures. We found three breaches of a legal requirements and as a result we issued requirement notices in relation to:
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Safe Care and Treatment.
Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Good Governance
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Fit and Proper Persons Employed
The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Landywood Lane Surgery on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection on 5 October 2017. Overall the combined practice is now rated as good.
Our key findings were as follows:
The management team had undertaken a review of both services following the merger. This included working practices, policies and procedures and the overall governance framework. The management team recognised and identified the challenges and had developed an action plan to address these.
The practice had an overarching governance framework which supported the delivery of the strategy and good quality care. The management recognised that the framework needed to implemented and become embedded across both sites. Staff at the branch site were being supported through the implementation and cross site working was also being introduced.
There was a clear leadership structure and staff felt supported by management. The leadership and management provided to staff who previously worked at Landywood Lane Surgery had been strengthened following the merger.
Staff from the merged practice spoke positively about the changes that had taken place since the merger. They told us they felt supported by the management team from High Street Surgery, and efforts had been made to bring both teams together as one new team.
Improvements had been made to how the practice provided safe services. There was an open and transparent approach to safety and a system in place for reporting and recording significant events. The same policy and procedure had been adopted across both sites. Recruitment procedures had been strengthened and appropriate recruitment checks were undertaken. All staff had received Disclosure and Barring Service (DBS) checks.
Staff were aware of current evidence based guidance. NICE guidance was a standing agenda item at monthly clinical meetings which all clinical staff were expected to attend. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. There were plans to review the results for both practices to identify any areas were improvements could be made.
Improvements had been made to the availability of information for patients on how to complain at the branch site. Information about how to complain was available and evidence from examples reviewed showed the practice responded quickly to issues raised
Patients we spoke with said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.
Patient feedback on comment cards was generally positive about the merger and the increased availability of appointments. Comments included being able to see a GP on a Friday afternoon, and being able to book a diabetic review any day rather than just one.
The provider was aware of the requirements of the duty of candour. The example we reviewed showed the practice complied with these requirements.
There were also areas of practice where the provider should make improvements.
The provider should:
Continue to review and update the policies and procedures and share these with staff.
Continue to monitor and encourage the uptake of the
Ensure that all uncollected prescriptions are reviewed by the GPs before being destroyed.
Provide additional fire marshals at the branch site.
Assure themselves that the legionella risk assessment, water temperatures and running of water outlets is carried out at the branch site.
Formalise the system for recording verbal complaints.
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