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 had systems in place to keep patients safe and safeguarded from abuse.

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.

Staff involved and treated patients with compassion, kindness, dignity and respect.

Reception staff knew that if patients wanted to discuss sensitive issues or appeared distressed they could offer them a private room to discuss their needs.

The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences.

The practice staff had a culture of providing high-quality sustainable care.

Patients were able to access care when they needed it.

22 responded patients in comment cards that they found the service was good and met their needs. Ten patients spoken with made positive comments about the clinical staff.

There was a strong focus on continuous learning and improvement at all levels of the organisation.

We found the practice had not monitored the vaccine fridge temperatures correctly. Staff had regularly recorded the upper limit of the fridges as above the recommended temperatures but had failed to record the reason why or the actions they had taken to make sure the vaccines were safe. Following the inspection the practice reported this to NHS England, who have investigated the incident and confirmed that the practice were now taking the correct actions. The actions the practice had taken were; nursing staff had received one to one training to ensure they understood fully how to store and manage vaccines and plan to attend a two day vaccination and immunisation training course. The provider had purchased a new fridge to avoid over stocking vaccines and external fridge monitors, to ensure each fridge had three points of recording temperatures  The practice had implemented a live-stock recording on system that records every vaccine that comes into practice and who it is administered to. This also records any wastage in a more comprehensive and accurate method.

The provider should consider following the Department of Health Estates and Facilities Alert Ref:EFA/2015/001 issued 26 January 2017, this recommends that the provider should secure blind cords to prevent a risk to young children.

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 had systems in place to keep patients safe and safeguarded from abuse.

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.

Staff involved and treated patients with compassion, kindness, dignity and respect.

Reception staff knew that if patients wanted to discuss sensitive issues or appeared distressed they could offer them a private room to discuss their needs.

The practice organised and delivered services to meet patients’ needs. It took account of patient needs and preferences.

The practice staff had a culture of providing high-quality sustainable care.

Patients were able to access care when they needed it.

22 responded patients in comment cards that they found the service was good and met their needs. Ten patients spoken with made positive comments about the clinical staff.

There was a strong focus on continuous learning and improvement at all levels of the organisation.

We found the practice had not monitored the vaccine fridge temperatures correctly. Staff had regularly recorded the upper limit of the fridges as above the recommended temperatures but had failed to record the reason why or the actions they had taken to make sure the vaccines were safe. Following the inspection the practice reported this to NHS England, who have investigated the incident and confirmed that the practice were now taking the correct actions. The actions the practice had taken were; nursing staff had received one to one training to ensure they understood fully how to store and manage vaccines and plan to attend a two day vaccination and immunisation training course. The provider had purchased a new fridge to avoid over stocking vaccines and external fridge monitors, to ensure each fridge had three points of recording temperatures  The practice had implemented a live-stock recording on system that records every vaccine that comes into practice and who it is administered to. This also records any wastage in a more comprehensive and accurate method.

The provider should consider following the Department of Health Estates and Facilities Alert Ref:EFA/2015/001 issued 26 January 2017, this recommends that the provider should secure blind cords to prevent a risk to young children.