We carried out an announced comprehensive inspection at OHP-The Meadows Medical Practice on 22nd January 2019 as part of our inspection programme.

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 found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way. All respondents to the GP patient survey stated that during their last GP appointment they were involved as much as they wanted to be in decisions about their care and treatment.
• The practice scored significantly higher than average in the national GP patient survey for getting through to the practice on the phone. The practice was also rated above average for satisfaction with type of appointment offered and times.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

• Ensure all recruitment information is available prior to starting work.
• Ensure Control of Substances Hazardous to Health (COSHH) risk assessments and safety sheets are available for products used.
• Continue to review how and where the practice stored its paper records to improve security.
• Record the serial numbers of the blank prescriptions when distributed around the surgery.
• Consider using a warning sticker/device to prevent the medicines fridge being turned off accidently.
• Consider keeping a collective record of medicines not collected from the dispensary to identify if there was a pattern for some people.
• Extend the database of safety alerts to include all prescribing guidance.
• Ensure the practice had oversight of the role specific training completed by staff.

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

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice