Glenside Country Main Practice

Updated 16 February 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Overall the practice is now rated as Good. The overall rating for all the population groups are rated as good.

• We found that the system for significant events had been reviewed along with the policy and reporting form. Recording and investigations were detailed and actions were identified and implemented. Meeting minutes represented the discussion that took place. Themes and trends had been identified.

• The practice had implemented an effective system for dealing with patient safety alerts.

• Patients on the safeguarding register had been reviewed to ensure where appropriate icons and alerts were visible on the electronic patient record system.

• Risks to patients were now assessed and most were now well managed.

• The system in place for regular and accurate temperature monitoring of the pharmaceutical fridges on both sites to ensure that vaccines were stored safely had been improved to ensure accurate monitoring

• NICE guidance was now a standing agenda item on clinical meetings which ensured all clinical staff kept up to date with national guidance and guidelines.

• Further clinical audits had been completed but further work was required to ensure they demonstrated that improvements have been achieved.

• Monitoring of staff training had been reviewed and staff appraisals had now taken place.

• A system was now in place to check and monitor that changes to patient’s medicines following discharge from hospital was carried out in a timely manner.

• The practice had reviewed the system for the identification of carers and provided written information to direct carers to the various avenues of support available to them.

• The practice had continued to update policies and procedures which would provide guidance and enable staff to carry out their roles in a safe and effective manner which are reflective of the requirements of the practice.

• The practice now had an effective governance system in place.

The areas where the provider should make improvement are:

• Complete the work required to ensure staff and patients are safe. For example, in regard to legionella.

• Ensure monitoring of legionella water temperatures are carried out monthly as per national guidance.

• Carry out a full fire drill at both Castle Bytham and Corby Glen and document and issues found and actions to be completed.

• Complete further clinical audits including completed cycles and ensure there is evidence to demonstrate improvement in patient outcomes.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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

Updated 16 February 2017

We carried out an announced comprehensive inspection of the practice on 23 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulations 12, 17 and 18.

We undertook a focussed inspection on 10 January 2017 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by selecting the ‘all reports’ link for Glenside Country Main Practice on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe, effective and well led service. These rating applied to everyone using the practice, including this population group

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