The Care Quality Commission
  • Doctor
  • GP practice

Archived: Old Parsonage

Overall: Good read more about inspection ratings

Back Lane, Goudhurst, Cranbrook, Kent, TN17 1AN (01580) 211241

Provided and run by:
Old Parsonage

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

All Inspections

18 October 2019

During an annual regulatory review

We reviewed the information available to us about Old Parsonage on 18 October 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.

04/05/2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Old Parsonage on 7 July 2016. The overall rating for the practice was good. The practice was rated as requires improvement for providing safe services and rated as good for providing caring, effective, responsive and well-led services. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Old Parsonage on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 4 May 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 in our previous inspection on 7 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • The practice had developed plans to upgrade the clinical wash-hand basins in order to comply with Department of Health guidance.
  • The practice had ceased the practice of transporting liquid nitrogen in staff cars.
  • The practice had improved arrangements to respond to emergencies. For example, they had oxygen available on the premises with adults’ and now also children’s masks.
  • Patients with long-term conditions had written care plans which were shared with other providers involved in their care.
  • The practice had installed a curtain in the nurse’s treatment room to improve privacy for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Old Parsonage on 7 July 2016. Overall the practice is rated as good.

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 for reporting and recording significant events.
  • The practice had arrangements to deal with emergencies and major incidents.
  • 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 was available and easy to understand. The practice had a comprehensive complaints policy.
  • 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 staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

We saw the following area of outstanding practice:

  • The practice reported all clinical significant events to the National Reporting and Learning System (NRLS), a central database of patient safety incident reports which are analysed to identify hazards, risks and opportunities to continuously improve the safety of patient care.

The areas where the provider must make improvements are:

  • Ensure clinical hand-wash basins comply with current Department of Health guidance.
  • Ensure current best practice for the safe transportation of liquid nitrogen is followed.
  • Revise risk assessment and management to include all risks associated with substances hazardous to health and emergency equipment.

In addition, the areas where the provider should make improvements are:

  • Revise emergency equipment to ensure that children’s oxygen masks are readily available.
  • Improve patient privacy in the nurse treatment/minor surgery room.
  • Ensure patients with long-term conditions have a written care plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice