Petersfield Surgery

This service is rated as Good overall. This is the first comprehensive inspection of this service.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires Improvement

We carried out an announced comprehensive inspection at Petersfield Surgery access service on 15 and 23 June 2023, as part of our inspection programme.

At this inspection we found:

• At this inspection we identified some of the gaps in recruitment, training, clinical scope of practice and clinical supervision, which the Chief Executive Officer and staff had identified and were working towards improving but these were either not implemented or embedded at the time of the inspection.
• At the time of the inspection clinical audits had not been carried out regarding staff prescribing and referral decisions to ensure clinical staffs competency.
• The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service learned from them and improved their processes.
• The Federation routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements as they are in breach of regulations are:

Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Have assurances that all staff are trained to the appropriate level of safeguarding training.
• Review the complaints procedure and enable complaints to be investigated by a member of staff whom is not part of the complaint

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care