Seaforth Farm Surgery in Hailsham 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 13th September 2017
Seaforth Farm Surgery is managed by Hailsham Medical Group.
Contact Details:
Address:
Seaforth Farm Surgery Vicarage Lane Hailsham BN27 1BH United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced focused inspection at Seaforth Farm Surgery on 16 February 2017. Overall the practice was rated as good, however we found a breach of legal requirement and the practice was rated as requires improvement for providing well-led services.
The practice sent us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
Ensuring that a system was in place to take account of the views of patients and other stakeholders.
Ensuring the establishment of a forum for patients to share views and be involved in the development of the practice.
The full report on the February 2017 inspection can be found by selecting the ‘all reports’ link for Seaforth Farm Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 10 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 16 February 2017. This report covers our findings in relation to that requirement and also additional improvements made since our last inspection.
Overall the practice is rated as good. Additionally the practice is now rated as good for providing well-led services.
Our key findings were as follows:
The practice had re-established a patient participation group (PPG). The group had met once and there were plans to meet in the near future but the date had yet to be confirmed.
The appraisal system had been embedded in the practice. Team leaders had received an appraisal and the programme had been rolled out across the practice. Staff told us that they had received an appraisal and we saw a record of appraisals to confirm this action.
Access to the practice telephone system continued to improve. Staff prioritised telephone answering and a dedicated team of staff answered the phones in a room separate from the main reception area.
Whilst feedback was still mixed on the availability of appointments we found that the practice could demonstrate that appointments could be obtained within reasonable timescales. We saw a number of appointments for GPs were released on a 48 hour basis. The information we saw confirmed that there were a number of appointments available for Monday 14 August for a salaried GP, practice nurses and a paramedic practitioner. Routine appointments for one of the partners were bookable but these had an average of a ten day wait.
The practice had appointed two paramedic practitioners and a nurse practitioner since our last inspection and we received feedback to confirm that these had been well received by patients.
The practice was now collating and reviewing their responses to the friends and family test. We spoke with the member of staff who had taken on this role and they told us that the results were reviewed and shared with the management and staff in the practice.
Letter from the Chief Inspector of General Practice
We carried out an announced focused inspection at Seaforth Farm Surgery on 2 November 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe, effective, responsive and well led domains.
As a result of that inspection we issued warning notices for breaches of regulations that had not been resolved since our comprehensive inspection in October 2015.
The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
Ensuring all staff have undergone a risk assessment, and those with unsupervised access to patients, have undergone a check via the DBS. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable)
Ensuring all staff recruitment information required by regulation is in place and retained on file.
Ensuring that staff receive the training required to undertake their role and a system of appraisal is established and maintained.
Ensuring that they review the current telephone access arrangements and take the necessary steps to improve access for patients.
Ensure that a system is in place to monitor the quality of the services provided which includes collating and responding to patient feedback.
The full report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Seaforth Farm Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 16 February 2017 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 2 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
Staff had received enhanced DBS checks since our last inspection.
Recruitment records were in place as required by regulation including proof of identity, references and confirmation of the professional registration of clinical staff.
Training systems had been improved offering e-learning and face to face training for staff. Gaps in training found at the last inspection had been addressed.
An appraisal system had been re-established in the practice. Team leaders had received an appraisal however, the programme was yet to be rolled out across the practice.
Access to the practice telephone system had improved. Staff prioritised telephone answering and most patients we spoke with told us that access had improved.
The practice was now collating and reviewing their responses to the friends and family test.
At our previous inspection on 2 November 2016, we rated the practice as requires improvement for providing well-led services as there was no systems to take account of patients’ views. At this inspection we found that whilst some steps had been taken, the patient participation group or an alternative forum for patients had still not been introduced. Consequently, the practice is still rated as requires improvement for providing well-led services.
The areas where the provider must make improvements are:
The provider must ensure that a system is in place to monitor the quality of the services provided which includes establishing a system to take account of patients’ views.
Action the provider should take to improve:
The provider should continue to monitor the current telephone and appointment access arrangements and take the necessary steps to improve access for patients if required.
The provider should continue to monitor the implementation of the new appraisal system to ensure it is embedded and sustained in the practice.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 15 October 2015. Breaches of Regulatory requirements were found during that inspection within the safe and effective domains. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the regulatory responsibilities in relation to the following:
Ensure the actions taken as a result of significant events are documented to demonstrate how information has been disseminated and reviewed.
Ensure all staff have satisfactory checks in place to ensure their suitability to carry out their role. This must include a check via the Disclosure and Barring Service (DBS) and proof of identity.
Ensure all staff receive training in safeguarding as according to job roles and new staff complete an induction to meet the needs of patients and the service.
In addition to these actions we had received concerns regarding access to appointments, patients unable to get through on the phone and the lack of systems to take account of the views of patents and other stakeholders.
We undertook this focused inspection on 2 November 2016 to check that the provider had followed their action plan and to confirm that they now met regulatory 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 for Seaforth Farm Surgery on our website at www.cqc.org.uk.
This report should be read in conjunction with the last report published in April 2016. Our key findings across the areas we inspected were as follows:-
We saw evidence that all significant events had been documented and discussed with staff. Meetings had been held to discuss and disseminate information, agree actions and monitor outcomes.
We found that not all staff had received a DBS check as required by regulation. Proof of identity was not evident for all staff and not all recruitment checks had been completed for staff employed since our last inspection.
We found that whilst a training plan was in place for most areas required by the practice safeguarding had not been undertaken by all staff. We also noted that not all staff had received infection control training.
There had been work undertaken to recruit new clinical and non-clinical staff to address concerns about appointments however this had not had time to make a significant impact on access to the practice.
The practice no longer had a functioning patient participation group and systems to monitor and take account of patient views had not been established.
Action the provider must take:
The provider must ensure that a system is in place to monitor the quality of the services provided which includes collating and responding to patient feedback.
The provider must ensure all staff have undergone a risk assessment and those with unsupervised access to patients have undergone a check via the DBS.
The provider must ensure all information required by regulation is in place and retained on file.
The provider must ensure that staff receive the training required to undertake their role and a system of appraisal is established and maintained.
The provider must ensure that they review the current telephone access arrangements and take the necessary steps to improve access for patients.
Letter from the Chief Inspector of General Practice
We carried out an announced focused inspection at Seaforth Farm Surgery on 16 February 2017. Overall the practice was rated as good, however we found a breach of legal requirement and the practice was rated as requires improvement for providing well-led services.
The practice sent us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
Ensuring that a system was in place to take account of the views of patients and other stakeholders.
Ensuring the establishment of a forum for patients to share views and be involved in the development of the practice.
The full report on the February 2017 inspection can be found by selecting the ‘all reports’ link for Seaforth Farm Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 10 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 16 February 2017. This report covers our findings in relation to that requirement and also additional improvements made since our last inspection.
Overall the practice is rated as good. Additionally the practice is now rated as good for providing well-led services.
Our key findings were as follows:
The practice had re-established a patient participation group (PPG). The group had met once and there were plans to meet in the near future but the date had yet to be confirmed.
The appraisal system had been embedded in the practice. Team leaders had received an appraisal and the programme had been rolled out across the practice. Staff told us that they had received an appraisal and we saw a record of appraisals to confirm this action.
Access to the practice telephone system continued to improve. Staff prioritised telephone answering and a dedicated team of staff answered the phones in a room separate from the main reception area.
Whilst feedback was still mixed on the availability of appointments we found that the practice could demonstrate that appointments could be obtained within reasonable timescales. We saw a number of appointments for GPs were released on a 48 hour basis. The information we saw confirmed that there were a number of appointments available for Monday 14 August for a salaried GP, practice nurses and a paramedic practitioner. Routine appointments for one of the partners were bookable but these had an average of a ten day wait.
The practice had appointed two paramedic practitioners and a nurse practitioner since our last inspection and we received feedback to confirm that these had been well received by patients.
The practice was now collating and reviewing their responses to the friends and family test. We spoke with the member of staff who had taken on this role and they told us that the results were reviewed and shared with the management and staff in the practice.
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