Archived: Haddenham Surgery

We carried out an announced comprehensive inspection at Haddenham Surgery on 4 April 2019 as part of our inspection programme. The practice was previously inspected in February 2016 and rated as good overall.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall.

This means that:

• Patients had good outcomes because they received effective care and treatment that met their needs.
• The practice was fully engaged with reviewing and monitoring the clinical service they offered and used this information to make changes and drive care.
• Patients were supported, treated with dignity and respect and were involved as partners in their care.
• There were several examples of the caring nature of staff, such as washing and dressing patients on home visits when their care package had not started.
• Outcomes from the GP Patient Survey in relation to the care of clinicians were consistently in line with average.
• People’s needs were met by the way in which services were organised and delivered. For example, the practice had a nurse training to become a learning disabilities champion to improve the care offered to this group of patients.
• Outcomes for patients in relation to cervical screening, diabetes and childhood immunisations were above average.
• The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
• The practice encouraged continuous improvement and innovation. For example, the practice had encouraged further learning and had encouraged a nurse to complete a masters’ degree, a GP to complete dermoscopy training and an administrator to complete a business management diploma.
• Staff reported they were happy and proud to work in the practice.

We have rated the practice as requires improvement for providing safe services because:

• The branch site at Stretham did not have all of the appropriate emergency medicines, and this had not been risk assessed.

• There was a system for receiving and acting upon safety alerts, however we found one alert had not been acted on and this affected 10 patients.

We have rated the practice as requires improvement for providing responsive services, and for all population groups, because:

• Results from the GP Patient Survey for access were lower than local and national averages. The practice did not have an action plan in place to address this.

• This issue affected all population groups and therefore they have all been rated as requires improvement.

We found the provider must:

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

We found the provider should:

• Embed the new system for the recording of medicines returned by patients to the Stretham site.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BS BM BMedSci MRCGPChief Inspector of General Practice