The DDA would like to congratulate four members for their outstanding ratings from the CQC:
Corfe Castle Surgery, Dorset, has achieved outstanding ratings in four KLOEs: Effective, Caring, Responsive and Well-led. Inspectors found medicines, significant events and safety alerts to be well managed. The practice operated a medicines delivery service and also had arrangements in place to deliver structured annual medication reviews for older patients, treatment reviews of newly pregnant women on long-term medicines, and to follow up patients who failed to attend for administration of long-term medication.
Also outstanding ratings in four KLOEs: Effective, Caring, Responsive and Well-led, Abbeyview Surgery in South Lincolnshire offers a remote delivery service to local post offices where patients could collect their medicines. Appropriate risk assessments have been completed. In a patient satisfaction survey in January 2020, 100 per cent of respondents rated the dispensary staff as courteous and professional, and the quality of advice given by the dispensers as good to excellent. All respondents rated the time to get an urgent prescription after seeing a doctor was good to excellent.
Other DDA members with Outstanding ratings include:
Fownhope Medical Centre, in Fownhope, Herefordshire, which received top ratings in the Key Lines of Enquiry for Caring, Responsive and Well-led. Inspectors commended the dispensary for its focus on delivering an efficient, safe and quality service. A driver was employed to deliver medicines including CDs with effective systems and measures in place to safeguard and ensure safety and there was evidence of continuous development, for example, a generic medicines storage system that was felt to be more effective than storing alphabetically, and changes to the system and process of prescription fulfilment. Inspectors also noted that a protocol supported prescription form security, including a process to log out forms to clinicians and remove forms from each printer at night
Peak and Dales Medical Partnership in Bakewell and Tideswell, which was rated as Outstanding in the Responsive and Well-led KLOEs. The practice has employed their own pharmacist since 2018, which has released GP capacity, improved communication with local pharmacies and improved medicines management: the pharmacist is also the dispensary manager. Staff are supported to develop in their roles: a receptionist has received training in dispensary services and also to work as a phlebotomist. Inspectors also noted the late night opening of the dispensary one night a week, the weekly medicines delivery service for older housebound dispensing patients, and the formal review of uncollected prescriptions. It noted that the practice actively seeks patient feedback, including for the dispensary.
Two dispensing practices have been rated inadequate:
Coniston Medical Practice was rated outstanding for the Responsiveness and Caring KLOEs but inadequate overall. Inspectors noted that the practice had systems for the appropriate and safe use of medicines, including medicines optimisation
DDA member Sandy Health Centre Medical Practice in Bedfordshire has since improved the administration of unsigned prescriptions for acute conditions and the security of controlled drugs. Inspectors noted that processes were in place to track prescription forms, to ensure dispensary security and to learn from near misses and significant events.