This report is an initial list of 38 indicators that currently cover three of our five key questions -
Care Quality Commission Inspection 18th October, 2015
We were visited on the 18th October, 2014 by the CQC to inspect our surgery. We were given two weeks' notice to prepare for the visit with an agenda and request for some evidence in the form of documentation.
The Team was met with a CQC Inspector, a GP, a practice manager and an expert by experience.
Our Inspection Team involved, Dr Cox, Jayne Wharton Practice Manager, Denise Wragg Community Matron, Karen Ollerenshaw Practice Nurse, Andrea Howe Pharmacy Technician, Admin/dispensary team, and members of Tideswell Surgery Patient Participation Group.
The first thing on the agenda was a presentation to the CQC team about Tideswell Surgery and its staff and patients which was presented by Jayne Wharton and Denise Wragg.
After this the CQC team met with the Patient Participation members who gave a frank and positively gleaming report.
The CQC team split and each took it in turn to interview everyone who was in the practice that day; including patients and visitors who were attending for appointments, collecting medication and general enquiries.
These individual interviews were very intense and information gathered from all and every aspect of our practice. It was a very stressful day, and all the staff were exhausted and felt that they had been Interrogated. Although the CQC team were very pleasant, they left no stone unturned to make sure all aspects of the care our patients received are safe, effective, caring and responsive. Also they needed to know that the Practice and its services were well led.
The inspection took all day, and at the end, we all met for a briefing.
The CQC inspector could not fault the surgery, its services and staff, all the CQC team were extremely complimentary and found that the practice offering good quality of care and treatment across all domains and populations groups and that there were some examples of outstanding care.
We were overjoyed with the feedback received from the CQC team, and the Inspector said that he could only find two things that we could improve on, and that was to have a curtain rail fitted around the treatment room and practice nurse room couch to offer patients the opportunity to undress behind a curtain. The second thing was that although we have carried out many audits, he felt that the Audit cycle was not quite completed and that we should carry out a review of the subject.
The inspector informed us that we should have the report after 11days or within one month as they were quite busy at the moment.
We received the draft report from the Care Quality Commission on the 24th March, 2015 five months after the inspection. During that time there had been frequent requests for update, where were told that not to worry as we had done so well and that our report had some excellent practices that it had been sent to the Quality Assurance Team so they could share some of the expertise with other practices.
Our report ratings were extremely disappointing and had overall only received "Good", the team were left devastated and morale dropped. Is this was we should expect from the CQC?
The Ratings were as follows:
Overall rating for this service Good
Are services safe? Good
Are services effective? Good
Are services caring? Good
Are services responsive to people’s needs? Outstanding
Are services well-led? Good
A factual accuracy log was completed by the practice along with suggestions and comments that should have been included in our report, making us an Outstanding Practice, and returned to the CQC. This can easily be verified by our patients' feedback, and a NHS reporting document that makes us one of the top practices in North Derbyshire.
We are waiting our final report: