We carried out a review of the data available to us about Biddulph Valley Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Biddulph Valley Surgery, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at Dr P J Lightfoot & Partners on 11 January 2017. The overall rating for the practice was as ‘Good’ with requires improvement for providing a safe service. The full comprehensive report for the 11 January 2017 inspection can be found by selecting the ‘all reports’ link for Dr P J Lightfoot & Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 18 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation identified in our previous inspection on 11 January 2017. This report covers our findings in relation to those requirements.
Overall the practice is rated as Good.
The provider had ensured there were effective arrangements in place to ensure that vaccines and other medicines stored in the refrigerators are stored at the correct temperatures and appropriate records were maintained.
The practice had implemented processes to improve the recruitment process prior to staff commencing work at the practice.
The practice had improved training access for all staff in adult safeguarding and the Mental Capacity Act 2005.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr P J Lightfoot & Partners, 11 January 2017. The practice is rated as good.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
Risks to patients were assessed and managed well with the exception of those areas relating to the management of medicines and the recruitment of staff.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day and pre bookable appointments available.
Feedback from patients about their care was consistently positive.
The practice had good facilities and was well equipped to treat patients and meet their needs.
There was a clear leadership structure in place. The practice proactively sought feedback from staff and patients, which it acted on. The provider was aware of and complied with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment).
The provider MUST;
Ensure there are effective arrangements in place to ensure that vaccines and other medicines stored in the refrigerators are stored at the correct temperatures and appropriate records are maintained.
Implement processes to improve the recruitment process so that all staff are recruited safely and checks are carried out prior to them commencing work at the practice.
The practice SHOULD:
Improve the access for training in adult safeguarding and the Mental Capacity Act 2005
We saw one area of outstanding practice:
The practice had appointed a Practice Matron to enhance and co-ordinate care for older people particularly those at risk of unplanned admissions. The practice was able to employ the practice Matron using funding provided by the CCG. The practice had agreed key performance indicators (KPIs) with the CCG who regularly monitored performance relating to this initiative. The practice is showing green in all KPIs and was able to provided numerous examples where hospital bed days had been reduced and patients were managed effectively at home. The practice had developed care plans, patient support information and worked closely with other organisations and professionals such as the CPNs to meet patient’s needs.
Chief Inspector of General Practice