Furnace Green Surgery

Updated 6 December 2016

Furnace Green Surgery is located in a residential area of Crawley and provides primary medical services to approximately 7,200 patients.

Services are provided from the location of Furnace Green Surgery, 50 The Glade, Crawley, West Sussex, RH10 6JN. The service is registered to provide the regulated activities of diagnostic and screening procedures; treatment of disease, disorder and injury; family planning services; surgical procedures; and maternity and midwifery services.

The practice has a General Medical Services (GMS) contract with NHS England. (GMS is one of the three contracting routes that have been available to enable commissioning of primary medical services). The practice is part of NHS Crawley Clinical Commissioning Group (CCG).

Updated 6 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 5 January 2016. Breaches of legal requirements were found in relation to safety and for being well-led. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements. We undertook this focused inspection on 13 September 2016 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

Our previous report highlighted the following areas where the practice must improve:

• Ensure there are clear and formal arrangements in place for the management of infection control and for the assessment, monitoring and minimising of associated risks.

• Ensure clinical waste is disposed of safely and securely in order to minimise the risks to staff, patients and visitors to the practice.

• Clearly define and embed practice specific policies, processes and practices to ensure patients are safeguarded from abuse.

• Improve policies and procedures to ensure the security and tracking of blank prescriptions at all times.

• Formally document all practice specific policies and procedures and ensure these are made available to all staff.

Our previous report also highlighted the following areas where the practice should improve:

• Seek to improve communications with external agencies.

• Ensure information sharing from senior meetings with staff at all levels.

• Provide arrangements for all staff to attend formal meetings and clinical supervision.

• Improve processes to engage with the patient reference group in order to gather feedback and involve patients in the delivery of the service.

• Display information that translation services are available to patients who do not have English as a first language, and ensure all staff are aware of these services.

At this inspection we found that all of the requirements had been met. Our key findings across the areas we inspected for this focused inspection were as follows:-

• The practice had appointed a new infection control lead. Audits were undertaken and action plans were completed to address the issues that were identified. All staff had received infection control training appropriate to their roles including general infection control, hand washing and handling of samples.

• The practice had reviewed their clinical waste disposal arrangements and had arranged an external waste disposal audit to ensure safe and secure disposal methods.

• The practice had re-organised, updated and improved the accessibility of policies and procedures. They had appropriate practice specific policies in place that were not present at our last inspection. This included that up to date policies were in place which clearly provided the lead GPs for safeguarding. Staff had been trained to a level appropriate to their role.

• There was a system to ensure the security of printer prescriptions when not in use. They had reviewed and put in place a new process to monitor the use of blank prescription sheets.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 6 December 2016

The practice is rated as good for the care of people with long-term conditions.

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.

Updated 6 December 2016

The practice is rated as good for the care of families, children and young people.

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.

Updated 6 December 2016

The practice is rated good for the care of older people.

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.

Updated 6 December 2016

The practice is rated as good for the care of working-age people (including those recently retired and students).

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.

Updated 6 December 2016

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia).

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.

Updated 6 December 2016

The practice is rated as good for the care of people whose circumstances may make them vulnerable.

At our inspection on 5 January 2016 the provider was rated as requires improvement for safety and for being well-led. The concerns which led to these ratings applied to everyone using the practice, including this population group. At this inspection, the practice is rated as good for safety and for being well-led, therefore this population group is now also rated as good.