We carried out a review of the data available to us about Dr CR Dewing and Partners 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 Dr CR Dewing and Partners, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr CR Dewing and Partners on 19 October 2016. The overall rating for the practice was requires improvement. The practice was rated as requires improvement for providing safe and well-led services and rated as good for providing effective, caring and responsive services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Dr CR Dewing and Partners on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 7 June 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 19 October 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 improved its systems and processes in order to ensure that, risks were assessed and implemented well enough to ensure patients, staff and visitors were kept safe. Action had been taken to address the areas of concern identified in the infection control audit, as well as actions required from risk assessments relating to fire safety and legionella checks.
Routine checks for the storage and expiry dates of medicines were suitably risk assessed, recorded and appropriately maintained. Repeat prescription medicines were dispensed in a safe manner.
Recruitment arrangements had been improved in order to ensure they included all necessary pre- employment checks for all staff.
Staff had received up to date training in safeguarding children.
The structure of governance meetings had been enhanced to include all departments and staff within the practice, in order to further drive improvement.
The practice had also taken appropriate action to address areas where they should make improvements:
The practice had developed the system that identified patients who are also carers to help ensure that all patients on the practice list are offered relevant support if required.
The system for responding to complaints had improved, in order to ensure it included acknowledgement of receipt of complaints and provides clarity to complainants as to contacting the ombudsmen.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr CR Dewing and Partners (also known as Wish Valley Surgery) on 19 October 2016. Overall the practice is rated as requires improvement.
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.
Risks to patients were assessed but were not always well-managed, for example, recruitment checks of newly appointed staff, medicines management and fire safety and legionella checks.
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. However, some improvement was required to ensure the process was easy for complainants to understand
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.
The practice had established a good working relationship with Dunk's Almshouses and Schoolroom (a local registered charity) and provided general medical services to patients living there, whether they were registered with the practice or not.
The practice had developed minor surgery clinics. The purpose of the clinics were to support the CCG and reduce the two week cancer wait.
There was a clear leadership structure and staff felt supported by management. The practice 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.
The areas where the provider must make improvement are:
Ensure that action is taken to address the areas of concern identified in the infection control audit, as well as actions required from risk assessments relating to fire safety and legionella checks.
Ensure that routine checks for the storage and expiry dates of medicines are suitably risk assessed, recorded and appropriately maintained. Ensure that repeat prescription medicines are dispensed in a safe manner.
Ensure recruitment arrangements include all necessary pre- employment checks for all staff.
Ensure that staff receive up to date training in safeguarding children.
Ensure that the structure of governance meetings is enhanced to include all departments and staff within the practice, in order to further drive improvement.
The areas where the provider should make improvement are:
Continue to develop the system that identifies patients who are also carers to help ensure that all patients on the practice list, who are carers are offered relevant support if required.
Continue to improve the system for responding to complaints, to ensure it includes acknowledgement of receipt of complaints and provides clarity as to contacting the ombudsmen.
Chief Inspector of General Practice