Rowner Surgery

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Some people did not have their care reviewed in line with national guidance and best practice. For example, timely and appropriate reviews of some patients with long term conditions were not always conducted. Some emergency medicines were also not available or accessible to staff which may be required. The provider addressed these issues following our visit. Staff told us they were supported and encouraged to ask questions and report concerns. We found concerns were investigated, findings informed changes and improved patient services. For example, the provider had strengthened their cold chain procedures to ensure the integrity of medicines. People were supported by trained staff who provided information and support to assist them to make choices. We found the practice was clean, tidy and safe for people.

This service scored 69 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

Some staff were trained and confident undertaking their role and associated responsibilities but not all had received support and regular supervisions including clinical staff. Appropriate staffing levels and skill mix were not always maintained to make sure people received consistently safe, good quality care that met their needs.

We found recruitment practices and capability processes were not consistently followed for all staff. For example, some staff had not had their identification confirmed and previous employment references checked prior to their appointment. Staff were required to complete mandatory training and some staff were provided with additional opportunities to complete further training relevant to their role.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

Medication reviews for some people with long term health conditions or people receiving high risk medicines were not always up to date. Medicines were stored appropriately in accordance with cold chain procedures to maintain their integrity. We found up-to-date information about people’s medicines was available, particularly when they move between health and care settings. People were involved with assessments and reviews about the level of support they need to manage their medicines safely and to make sure their preferences are included.

There were not established and effective systems in place to periodically search prescribing practices to identify potential risks to patients. Some patient reviews were not up to date and high-risk medicines were not always effectively monitored. For example, there was no system in place to ensure Medicines and Healthcare products Regulatory Agency alerts (providing alerts, recalls and safety information on drugs and medical devices) were reviewed and actioned. Clinical templates were not being used consistently to improve the quality of the clinical assessment, inform safe practice and alert them to potential considerations. Systems were in place to ensure the timely and appropriate collection of prescriptions.