Updated 26 July 2016
Letter from the Chief Inspector of General Practice
The practice was rated good overall and is now rated good for providing safe services.
We carried out an announced comprehensive inspection of this practice on 27 May 2015. Breaches of legal requirements were found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the legal requirements. We conducted a desk based focused inspection on 13 May 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. (A desk based focused inspection means the provider was able to send us evidence of the action taken to address the issues previously found rather than visiting the practice).
During our previous inspection on 27 May 2015 we found the following areas where the practice must improve:-
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Ensure that a legionella inspection is carried out.
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Ensure that all clinical staff have been checked with the Disclosure and Barring Service (DBS) prior to them commencing in post.
Our previous report also highlighted areas where the practice should improve:-
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Ensure that meeting minutes include details of which staff were present and a summary of discussions held to include actions to be taken and by whom.
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Support the patient participation group (PPG) to gather and review patient feedback on the practice and ensure this is recorded so that the practice demonstrates on-going learning from patient feedback and involvement.
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Ensure that identified health and safety risks are recorded in a way that details the actions to be taken to eliminate or reduce the risk of harm.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk
During this inspection we found:
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The practice had conducted a legionella inspection and completed the necessary works to ensure safety.
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All clinical staff had received a criminal record check via the DBS and the practice had a policy to ensure that new clinical staff received a DBS check prior to them commencing in post.
We also found in relation to the areas where the practice should improve:
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That the practice was able to provide evidence that meeting minutes included details of which staff were present and a summary of discussions held which included actions taken.
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The practice was able to provide evidence that they had supported the PPG to gather and review patient feedback on the practice and that this information was recorded and published on the practice website.
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The practice was able to demonstrate that identified health and safety risks were recorded in a way that detailed the actions to be taken to eliminate or reduce the risk of harm.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice