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The High Street Surgery

High Street Surgery

High Street
NR32 1JE
Phone: 01502 589151
Fax: 01502 566719
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CQC report. This is available to view but please be assured that the need for improvement is on the administrative side - forms we are using etc - and does not affect the care we give you.

Our reply to the matters raises:

Safe Track record and Learning and Improvement

Significant event analysis (SEA) - we do have a clear policy on SEAs and this was inspected on the day however this will be reviewed. We will refer to the NPSA guidelines on this and also refer to the CQC own ‘Mythbuster #3.


 There was information about the inspected SEA were discussed and what the outcomes /learning points were but the format of the report was not accepted by CQC. However in line with the above this form will be changed.


When an investigation of an SEA indicates we would then we would refer as a SI, traditionally this has been via the CCG but in future we will, if appropriate, refer direct to the NPSA.


We accept that complaints should trigger an SEA and will do so in future


We also accept that dissemination and sharing of the learning outcomes needs reviewing.


Safeguarding information is contained in the patient records however until recently we had no facility to flag this to the clinician when opening the patient record. We had only recently prior to the inspection received a system upgrad that gave us a yellow alert flag and now, with Social Services help, we have flagged all relevant patients. This has been helpful.


 We do not accept that we are not proactive in gathering information about children at risk. We have a Health Visitor who comes to the surgery at least monthly for updates on children who have moved in/out of the area and those at risk.  From this we update the clinical records


Audits were carried out but they were not recorded in the manner needed for CQC. This has been addressed


Chaperone service has always been available and patients are always asked however on the day of inspection no posters were found - this has been  remedied.


Training records do exist for staff. All mandatory training and due dates are recorded and this was made available in the pre inspection report requested by CQC IN NHS GP practices: Information Request when however this was highlighted we were advised that the team had not looked through the information sent .


Staff meetings are regular and are available to all staff  - if they choose not to attend that is their decision we do pay overtime for staff that attend on a day they do not normally work.

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