Oxshott Medical Practice was previously inspected in in October 2014 and March 2016 and was rated good overall and in all domains.

At this inspection in June 2018 the practice is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Oxshott Medical Practice on 20 June 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice used their knowledge of the local community and patient population to deliver high quality and person centred care.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
• There was a strong focus on improvement at all levels of the organisation.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Data from the Quality and Outcomes Framework (QOF) showed the results for practice management of patients with long-term conditions were good.
• 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.
• Patients said they were able to book an appointment that suited their needs. Pre-bookable, on the day appointments and home visits were available. Urgent appointments for those with enhanced needs were also provided the same day.
• The practice was equipped to treat patients and meet their needs.

The areas where the provider should make improvements are:

• Consider ways to increase identification of patients who are registered with the practice and a carer.
• Continue to review ways to increase uptake for cervical screening.
• Continue to review staff training.
• Continue to review staff appraisals.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Oxshott Medical Practice on 11 November 2014. Breaches of legal requirements were found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the legal requirements in relation to the following:

• Ensure there are clear arrangements in place for the management of obtaining, safe storage and handling of medicines.
• Ensure recruitment processes include all required pre-employment checks in order to minimise the risks to the health, safety and welfare of patients.
• Ensure risk assessment and monitoring processes effectively identify, assess and manage risks relating to the health, safety and welfare of patients and staff in respect of fire safety procedures and infection control.

We undertook a focused inspection on 15 March 2016 to check that the provider had implemented their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Our key findings across the areas we inspected were as follows:-

• The arrangements for managing medicines, including emergency medicines and vaccines, in the practice kept patients safe and there was an established medicines management policy in place.

• The lead nurse was the lead for infection control and had undertaken appropriate training to carry out the role, including regular infection control audits. The most recent infection control audit had been carried out in November 2015 where the practice had achieved 95.8% compliance.

• The practice had established a system for regular fire safety drills and maintained records of regular fire safety checks and learning.

• Recruitment processes included appropriate pre-employment checks including verification of photographic identity and criminal records checks through the DBS (disclosure and barring service) for all clinical staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Oxshott Medical Practice on 11 November 2014. We visited the practice location at Oxshott Medical Practice, Holtwood Road, Oxshott, Leatherhead, Surrey, KT22 0QJ 2014.

We have rated the practice as good although areas of improvement were required. The inspection team spoke with staff and patients and reviewed policies and procedures implemented throughout the practice. The practice was responsive to the needs of the local population and engaged effectively with other services.

Our key findings were as follows:

• There was a range of appointments to suit most patients’ needs. Patients reported good access to the practice and a named GP or GP of choice, with urgent appointments available the same day.
• The practice engaged effectively with other services and agencies to ensure continuity of care for patients.
• Patient feedback showed that patients felt they were involved in making decisions about their care and were treated with kindness and respect.
• However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Ensure there are clear arrangements in place for the management of obtaining, safe storage and handling of medicines.
• Ensure recruitment processes include all required pre-employment checks in order to minimise the risks to the health, safety and welfare of patients.
• Ensure risk assessment and monitoring processes effectively identify, assess and manage risks relating to the health, safety and welfare of patients and staff in respect of fire safety procedures and infection control.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice