We carried out a review of the data available to us about Gordon House Surgery 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 Gordon House Surgery, you can give feedback on this service.
This practice is rated as Good overall. (Previous inspection 15 October 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Gordon House surgery on 15 October 2015. The overall rating for the practice good. However we rated the key question as requires improvement and served the practice with a requirement notice for Regulation 17 in relation to improvements required in the safe and secure storage of patients paper records. The full comprehensive report can be found by selecting the Gordon House Surgery ‘all reports’ link for on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 28 November 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 15 October 2015. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
Staff involved and treated patients with compassion, kindness, dignity and respect.
Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
Ensure they keep a log of all prescriptions.
Maintain arrangements to safely store emergency equipment.
Maintain arrangements of keeping a full supply of emergency medicines.
Maintain mechanisms for managing a failsafe system for patients being referred under the cancer two week referral systems.
Strengthen the system for following up and recording cervical smears.
Ensure internal fridge temperatures are checked frequently
Should continue their efforts to identify carers
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Gordon House Surgery on 19 October 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
Our key findings across all the areas we inspected were as follows:
We saw areas of outstanding practice:
Practises put in place to raise awareness of Female Genital Mutilation (FGM).
In-house educational meetings for patients to raise awareness of diagnosis and management of long-term conditions.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider must:
Ensure confidential patient records are stored securely.
In addition the provider should:
Review the processes in place for the recording of significant events to ensure that a clear audit trail is in place.
Review the processes for recording actions taken in response to safety alerts.
Review the fire safety arrangements in place to ensure that any responsibilities required of the practice are carried out.
Review the process followed for monitoring fridge temperatures used to store medicines and vaccines to ensure a consistent approach.
Review the arrangements in place for responding to medical emergencies to ensure that emergency equipment and medicines can be easily accessed.
Ensure that information about making a complaint is up to date and made readily available to all patients.
Review governance policies to ensure they reflect the correct external organisations.
Chief Inspector of General Practice