We carried out an announced comprehensive inspection at the Fernlea Surgery (the practice) on 3 December 2019 as part of our inspection programme, following our annual review of the information available to us. The practice had last been inspected in July 2016, when we had rated it Good for all key questions and population groups. Our previous inspection report can be found by going to https://www.cqc.org.uk/location/1-542627206 and selecting the Reports tab.
At this inspection we have rated the practice as Good overall and in respect of the five key questions and six population groups.
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 found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- 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 way the practice was led and managed promoted the delivery of high-quality, person-centred care.
Whilst we found no breaches of regulations, the provider should:
- Continue to with efforts to improve the uptake of cervical screening and childhood immunisation rates and implement action to bring about and sustain improvement.
- Proceed with reviewing the system for following up patients given two-week referrals for secondary care.
- Proceed with establishing a formal process to monitor prescriptions uncollected by patients experiencing poor mental health.
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