We carried out an announced comprehensive inspection at East Horsley Medical Centre on 10 September 2019 as part of our inspection programme.
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:
During inspection we viewed evidence that led to our decision to expand the inspection to include the following key question:
We based our judgement of the quality of care at this service 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 good overall and for all the key questions. We have rated the practice as good for the population groups with the exception of families, children and young people which is rated as requires improvement.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm, however, not all significant events were recorded on the significant event log.
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
The provider should:
- Review the significant event log and reporting practices so that all incidents have been recorded and logged appropriately, and that all opportunities for learning are reviewed.
- Continue to review and improve the uptake of cervical smears.
- Improve the care and treatment of families, children and young people in relation to the uptake of childhood immunisations.
- Take action to improve diabetes exception reporting.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care