20 Jun 2019
During a routine inspection
We carried out an announced comprehensive inspection at Yalding Surgery on 20 June 2019 as part of our inspection programme.
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 requires improvement overall and good for all population groups.
We have rated this practice as requires improvement overall.
We rated the practice as requires improvement for providing safe services because:
- Staff recruitment files were not appropriately maintained in accordance with the regulations.
We rated the practice as requires improvement for providing well-led services because:
- The practice could not always demonstrate that formal governance systems were always effective.
We have rated this practice as good for providing effective, caring and responsive services.
We found that:
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
The areas where the provider must make improvements are as follows:
- Ensure systems and processes to ensure good governance are effective in accordance with the fundamental standards of care.
- Ensure the appropriate information be maintained in relation to each person employed.
(Please see the specific details on action required at the end of this report).
The areas where the provider the provider should make improvements:
- Continue with their plan to improve and update care plans.
- Continue to ensure that up to date medicine related protocols are available.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Bennyworth BS BMedSci MRCGP
Chief Inspector of General Practice