Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Orchard Surgery on 26 May 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe and well led domains. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for The Orchard Surgery on our website at www.cqc.org.uk. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• Developing their governance systems in relation to holding regular meetings regarding practice performance and ensuring these are documented and communicated to all relevant staff.

• Ensuring that all recruitment checks are completed in line with their practice policy in relation to obtaining written references prior to employment.

• Ensuring that risk assessments were regularly reviewed and embedded within their practice system.

Additionally we found that:

• The practice needed to continue to monitor their performance in diabetes management to ensure patient outcomes are managed effectively.

This inspection was an announced focused inspection carried out on 2 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 26 May 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:

• The practice were now holding regular partner, practice and reception meetings and ensuring that these were properly recorded and disseminated to all relevant parties.

• The practice were now complying with their practice recruitment policy and ensuring all relevant employment checks were undertaken before employment started.

• The practice had undertaken the required risk assessment for not having a defibrillator and ensured that all staff had understood its contents.

• The practice had monitored their performance in diabetes management and the latest data showed that improvements had been made.

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 at The Orchard Surgery on 26 May 2016. During this inspection we found breaches of legal requirement and the provider was rated as requires improvement under the safe and well led domains. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for The Orchard Surgery on our website at www.cqc.org.uk. The practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• Developing their governance systems in relation to holding regular meetings regarding practice performance and ensuring these are documented and communicated to all relevant staff.

• Ensuring that all recruitment checks are completed in line with their practice policy in relation to obtaining written references prior to employment.

• Ensuring that risk assessments were regularly reviewed and embedded within their practice system.

Additionally we found that:

• The practice needed to continue to monitor their performance in diabetes management to ensure patient outcomes are managed effectively.

This inspection was an announced focused inspection carried out on 2 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 26 May 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:

• The practice were now holding regular partner, practice and reception meetings and ensuring that these were properly recorded and disseminated to all relevant parties.

• The practice were now complying with their practice recruitment policy and ensuring all relevant employment checks were undertaken before employment started.

• The practice had undertaken the required risk assessment for not having a defibrillator and ensured that all staff had understood its contents.

• The practice had monitored their performance in diabetes management and the latest data showed that improvements had been made.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke with eight patients in person and one patient from the Patient Participation group by telephone. We spoke with the four staff on duty that day.

People told us that they were treated with dignity and respect. One person said “It’s like a family here.” Another person said, “They all know you and you are always greeted warmly.”

We were told that staff were caring and compassionate . All the comments we received from patients about the care they received were positive. Comments included; “All the staff are lovely” and “They look after me very well.”

People told us that they felt involved in the treatment and we saw that records were updated and treatment choices recorded.

Staff felt supported and we saw that there was opportunity for regular training and appraisal.

We found that staff were aware of procedures around safeguarding vulnerable adults and children.

Patients were very positive about the quality of the service. We were told “I can’t fault it here” and “It feels a very personal service.”

The practice had systems in place that monitored the quality of the service and identified when things needed to be improved. We found that patient's views were taken into account to improve the practice.