The Care Quality Commission
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  • GP practice

Archived: Ashfield Road Surgery

Overall: Good read more about inspection ratings

39 Ashfield Road, Fordhouses, Wolverhampton, West Midlands, WV10 6QX (01902) 783372

Provided and run by:
Dr Gurwant Dhillon and Dr Archana Nandanavanam

Important: The provider of this service changed. See new profile
Important: The provider of this service changed - see old profile

All Inspections

27 September 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Ashfield Road Surgery on 7 November 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued a requirement notice in relation to:

  • Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Ashfield Road Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 27 September 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 at our previous inspection on 7 November 2016. This report covers our findings in relation to those requirements.

Our key findings across all the areas we inspected were as follows:

  • Risk assessments had been completed on cleaning products used at the practice to prevent staff and patient exposure to substances that could be hazardous to their health.
  • Arrangements for the ongoing monitoring of significant events to prevent further occurrences and ensure that improvements made were appropriate were reviewed. The recording of significant had improved and contained relevant information.
  • Policies and procedures had been updated to provide staff with clear guidance on the action they should take to check the fridge in the event of a power failure.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ashfield Road Surgery on 7 November 2016. Overall 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. Formal arrangements were not in place for the ongoing monitoring of significant events to prevent further occurrences and ensure that improvements made were appropriate.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Most risks to patients and staff were assessed but risk assessments were not carried out on cleaning products used at the practice.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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
  • Feedback from patients about their care was consistently positive and was reflected in the national patient survey published in July 2016.
  • The practice proactively sought feedback from staff, patients and third party organisations, which it acted on.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management.
  • The practice was aware of and complied with the requirements of the duty of candour.

The areas where the practice must make improvements are:

  • Ensure that risk assessments are carried out to prevent or reduce staff and patient exposure to substances that could be hazardous to their health.

The areas where the practice should make improvements are:

  • Introduce formal arrangements for the ongoing monitoring of significant events to prevent further occurrences and ensure that improvements made are appropriate.
  • Ensure that staff are aware that the fridges used to store medicines should be checked in the event of a power cut.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice