Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Lambourn Surgery on 7 October 2016. The overall rating for the practice was good. However, the practice was found to require improvement in the provision of safe services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Lambourn Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 17 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 7 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Provision of safe services is now rated good and overall the practice remains rated as good.
Our key findings were as follows:
- Medicines fridges were kept in a secure location within the practice.
- Vaccines stored within medicines refrigerators were kept in accordance with best practice guidance.
- Treatment room flooring was fitted in line with best practice for reducing the risk of cross infection.
- Appropriate systems were in place for the safe disposal of sharps bins.
- Staff training was up to date and relevant to the roles of staff.
- Competency checks had been completed and recorded for dispensary staff.
- An appropriate system was in place to report dispensing incidents, including near misses. Learning from dispensary incidents was shared and staff were aware of the learning.
We found aspects of the service where the provider should make improvement:
- A review of the risk assessment for keeping liquid nitrogen on site should be completed in sufficient detail to identify all storage risks.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice