Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of the practice on 22 September 2016. Breaches of legal requirements were 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 regulation 12(1) and 12(2) (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We undertook this desk-based focussed inspection on 25 April 2017 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Thusitha Gooneratne on our website at www.cqc.org.uk.
Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing safe services.
Our key findings across all the areas we inspected were as follows:
- Risks to patients were assessed and well-managed, including arrangements to deal with a range of medical emergencies.
- All staff had undertaken infection control, information governance and Mental Capacity Act training appropriate to their role.
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The practice had identified 0.6% (14 patients) of the practice list as carers, which is six more than they had identified during the inspection on 22 September 2016.
There were areas of the practice the provider should still make improvements:
- Review practice procedures to ensure there are documented care plans especially for all patients with long term conditions.
- Review systems in place to ensure that patients with a learning disability are regularly reviewed.
- Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice