This was a follow up inspection of the practice. Dalston Medical Group provided services from The Surgery. The Surgery provided a weekday service for over 5000 patients in the Carlisle area. The Surgery open Monday to Friday from 08:30 to 18:30 and had 07:30 appointments but the days this was available varied each week. The service was responsible for providing primary care, which included access to GPs, minor surgery, family planning as well as ante and post natal care. Cumbria Health on Call (CHOC) provided an out of hours service for patients who used the Surgery.
The patients we spoke with were extremely complimentary about the care and treatment being provided. Patients reported that all the staff treated them with dignity and respect.
They found the doctors and nurses had a good understanding of their needs.
We found that action was needed to improve the provider’s involvement of patients in the development of the service.
We found that staff required appropriate training. Clinical governance processes needed to cover checking
competency of clinicians. Recruitment procedures needed to be strengthened.
The arrangements for maintaining the building to a safe standard needed to be in place. The service was not cleaned to an appropriate standard.
Governance and risk management measures were not in place and many quality assurance systems needed to be
developed. We found that the provider was not meeting eight of the regulations.
We told the provider they must make a number of improvements. At this inspection in September 2014 we checked whether the practice had taken action to address the enforcement actions. We found that the practice had taken action to ensure they improved the processes for monitoring the service, the records and access to training.