The Knoll Surgery in Princeway, Frodsham 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 5th October 2017
The Knoll Surgery is managed by The Knoll Surgery Partnership.
Contact Details:
Address:
The Knoll Surgery Princeway Health Centre Princeway Frodsham WA6 6RX United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of The Knoll Surgery on 2 November 2016. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for The Knoll Surgery on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 23 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulation that we identified at our previous inspection on 2 November 2016. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
Overall the practice is rated as good and now as good for providing safe services.
Our key findings were as follows:
Action had been taken to improve the safety of the premises.
In addition, the practice had made the following improvements:
Action had been taken to improve the security of medication at the branch practice
The system for ensuring that the protocol around the safe management of vaccines had been reiterated to relevant staff.
Checks of the stocks of controlled drugs were continuing to be carried out by two staff members.
The system for identifying dispensing errors and monitoring uncollected prescriptions had been reviewed.
The system for ensuring staff were provided with the training needed for their roles had been improved.
The areas where the provider should make improvements are:
Carry out and document weekly in-house checks of the fire alarm and monthly checks of the emergency lighting.
A copy of the report to confirm the electrical witring at the branch practice is satisfactory should be forwarded to CQC.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Knoll Surgery on 2 November 2016.
Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
There were systems in place to reduce risks to patient safety, for example the management of staffing levels and systems to safeguard vulnerable patients. Improvements were needed to the management of health and safety at the premises.
Staff spoken with understood their responsibilities to raise concerns and report incidents and near misses.
Patients’ needs were assessed and care was planned and delivered following best practice guidance.
Staff told us they felt supported. The system for providing staff with the training needed for their roles should be monitored to ensure all staff receive the training they require.
Patients were positive about the care and treatment they received from the practice. The National GP Patient Survey July 2016 showed that patients’ responses about whether they were treated with respect, compassion and involved in decisions about their care and treatment were overall comparable to local and national averages.
Services were planned and delivered to take into account the needs of different patient groups.
The National GP Patient Survey results showed that patient’s satisfaction with access to care and treatment was in line with local and national averages.
Information about how to complain was available. There was a system in place to manage complaints.
There were systems in place to monitor and improve quality and identify risk. However, improvements were need to the governance systems to ensure the premises were safe and staff had received the training they required for their roles.
There were areas of practice where the provider must make improvements:
The provider must ensure the premises are safely maintained.
The areas where the provider should make improvements are:
Improve the security of the storage of medication at the branch practice.
Ensure that the protocol around the safe management of vaccines is followed whenever the fridge temperature falls outside the recommended guidelines.
Continue to ensure that checks of the stocks of controlled drugs are carried out by two staff members.
Review the system for identifying dispensing errors to ensure it is effective.
Put in place a formal procedure for following up people who do not collect their requested prescriptions.
Put in place a standard operating procedure to govern the arrangements for dispensing medication at the branch practice.
The system for providing staff with the training needed for their roles should be monitored to ensure all staff receive training in infection control, information governance and health and safety.
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