The Care Quality Commission
  • Doctor
  • GP practice

Wargrave Practice

Overall: Good read more about inspection ratings

The Surgery, Victoria Road, Wargrave, Reading, Berkshire, RG10 8BP (0118) 940 3939

Provided and run by:
Wargrave Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Wargrave Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Wargrave Practice, you can give feedback on this service.

20 June 2019

During an annual regulatory review

We reviewed the information available to us about Wargrave Practice on 20 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

9 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected Wargrave Practice on 9 June 2016. At that time the practice was rated requires improvement. The provision of safe services was specifically rated inadequate. We asked the practice to tell us what action they would take to address the breach of regulation found at inspection. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Wargrave Practice on our website at www.cqc.org.uk.

This inspection, on 9 February 2017, was undertaken to check the actions taken had addressed the breach of regulation and to apply an updated rating for the practice.

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

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with 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.
  • 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 proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
  • Following our findings during the June 2016 inspection that patients were at risk of harm because some systems and processes were not implemented in a way to keep them safe, specifically in relation to medicine reviews which were not always undertaken by a GP, the practice had implemented a policy that medicine reviews were only completed by a GP.

The areas where the provider should make improvement are:

  • Review the storage and access to emergency medicines to ensure timely access to staff.
  • Implement timely training for all new staff to enable them to carry out their role effectively.
  • Implement improved process to ensure clear dosage instructions appear on the labels of all dispensed medicines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

09 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wargrave Surgery on 9 June 2016. Overall the practice is rated as requires improvement, with an inadequate rating in the safe domain

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events, near misses and prescribing errors.
  • Patients were at risk of harm because some systems and processes were not implemented in a way to keep them safe. Specifically in relation to medication reviews which were not always undertaken by a GP.
  • National guidelines for distribution of blank prescriptions were not followed but were implemented on the day of inspection.
  • Staff did not always follow the practice policies and procedures. For example medication reviews and identity checking when dispensing mediations.
  • There were issues with governance and failure to recognise when staff were not following procedures.
  • 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.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • 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.
  • 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 proactively sought feedback from patients, which it acted on.

The areas where the provider must make improvements are:

  • The practice must make sure that there is a clear and effective system to ensure medicine reviews and reauthorisation of repeat prescriptions are undertaken for patients at the correct intervals, with clinical decision making being overseen by a GP.
  • The provider should ensure that all medicines are in date and safe to use.
  • The dispensary staff should follow the standard operating procedures when dispensing medicines and the practice should assure that safe working practices are in place in the dispensary.
  • Blank prescriptions are logged and stored securely at all times.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice