We carried out an announced comprehensive inspection at Tenbury Surgery on 12 March 2019 as part of our inspection programme.

At the last inspection in February 2016 we rated the practice as good overall.

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 had been ranked fourth out of 32 practices locally for their National Patient Survey feedback results.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• 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:

• Remain up to date with training considered essential by the practice.
• Review the process for the collection of controlled drug prescriptions.
• Ensure near misses are recorded appropriately.
• Continue to review the uptake for childhood immunisations.

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 Tenbury Surgery and their dispensing branch at Clee Hill Surgery on 11 February 2016. The overall rating for this service is good.

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

• Information was provided to help patients understand the care available to them.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Patients’ needs were assessed and care was provided to meet those needs in line with current guidance. Staff had the skills and expertise to deliver effective care and treatment to patients, and this was maintained through a programme of continuous development to ensure their skills remained current and up-to-date.
• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. There was an open and transparent approach to reporting and recording these and learning was shared with staff at meetings relevant to their roles and responsibilities.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• The practice had a structured framework for quality and governance to maintain the quality and safety of the service for patients.
• The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they met patients’ needs.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

During our inspection we spoke with eight patients and eight members of staff.

When patients received care or treatment they were asked for their consent and their wishes were listened to. One patient told us: "We discuss the options and I agree the best course of action. I have made choices and the risks have been explained". We found that when minor surgery had been carried out the doctor had obtained written consent from patients before it had commenced.

We saw that patients' views and experiences were taken into account in the way the service was provided and that they were treated with dignity and respect. The patients we spoke with provided positive feedback about their care. Patients' commented: "The care has been excellent". And "Very good, excellent". Patients received their medicines when they needed them and their medicines were regularly reviewed.

Staff had received training in safeguarding children and vulnerable adults. They were aware of the appropriate agencies to refer safeguarding concerns to that ensured patients were protected from harm.

The adapted premises were well maintained and clean. This protected patients from risks of infection.

The provider had systems in place for monitoring the quality of service provision. There was an established system for regularly obtaining opinions from patients about the standards of the services they received. This meant that on-going improvements could be made by the practice staff.