We carried out an announced comprehensive inspection of OHP-Harlequin Surgery on 13 March 2019.

The practice previously received a comprehensive inspection under the previous provider in January 2017 and was rated Good overall.

During this inspection in March 2019, we based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and Good for all population groups.

We rated the practice as good for providing safe, effective, caring, responsive and well-led services because:

• The practice had effective systems for managing medicines.
• The practice had continued to improve their systems for safeguarding children since our last inspection.
• Patients told us staff treated them with dignity and respect.
• We saw patient satisfaction overall including with telephone and appointment access had improved.
• The practice was responsive to the needs of its patients.
• The leadership team were experienced and used technology to effectively manage performance and information.

The areas where the provider should make improvements are:

• The practice should consider reviewing its system for identifying carers, to ensure all carers are kept informed of additional support and advice available to them.
• The practice should continue to monitor staff information to ensure their records for staff vaccination are kept updated in line with public health England guidelines.
• The practice should consider reviewing their program of clinical supervision for advanced nurse practitioners/non-medical prescribers to include formal arrangements to audit prescribing practice.
• The practice should ensure training is completed as identified in the fire risk assessment.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Harlequin Surgery, formerly registered with CQC as Dr Ainsworth and Partners on 5 January 2017. The overall rating for the practice was good with requires improvement for the provision of safe services and the families, children and young people population group. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Dr Ainsworth and Partners on our website at www.cqc.org.uk. In November 2017 the practice registered with CQC as OHP-Harlequin Surgery under the provider organisation Our Health Partnership.

This inspection was an announced focused inspection carried out on 9 January 2018 under the new provider organisation registration. The inspection was undertaken 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 5 January 2017. 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:

• We found the practice had fully addressed the breaches identified at our previous inspection in relation to the provision of safe services and for the families, children and young people population group.

• The practice had made significant improvement in the arrangements in place for safeguarding service users from abuse and improper treatment. Arrangements were comprehensive, well organised and included effective working relationships with other healthcare professionals.

• The practice had put in place formal systems to routinely review and monitor children on the at risk register. This had been extended to include others who may be at risk such as vulnerable adults.

• The practice had systems in place to ensure all electrical equipment was appropriately checked and safe for use.

• The practice had implemented effective systems to ensure safety alerts were appropriately managed and shared with relevant staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice