Letter from the Chief Inspector of General Practice
We carried out an announced focussed inspection at Dr G C Ord-Hume & Partners on 11 August 2016. Overall the practice is rated as good.
At our previous inspection on 22 December 2015 we found that the practice was rated overall as inadequate and was placed into special measures.
Our key findings were that improvements were required to:
- Ensure recruitment arrangements include all necessary employment checks for all staff.
- Ensure that a robust system is in place for the review and action of pathology results.
- Carry out full clinical audits and re-audits to improve patient outcomes.
- Ensure new and existing staff receive the training, learning and development necessary for them to fulfil the requirements of their role, including training in adult safeguarding.
- Ensure an infection control audit is undertaken, and that any subsequent areas identified for improvement are actioned.
- Ensure work to minimise risk from legionella infection is carried out.
- Address the patient survey results to improve the patient experience and apply understanding to the future direction of the practice.
We inspected the practice on 11 August 2016 to check that they had followed the action plan they had submitted and to confirm that they now met legal requirements.
Our key findings across all the areas we inspected on 11 August 2016 were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and managed. A member of staff had started to make assessment of the practice for health and safety but the records were not fully completed with evidence of any actions taken.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- A more robust system and checklist has been put in place to ensure that appropriate recruitment checks were carried out for all staff. This was overseen by the practice manager. A risk assessment had completed been for current staff without references who had previously worked for the surgery and taken a career break. All staff records now contained photographic identification. From January 2016 a checklist was put in place in all new staff files ensuring that all necessary checks are carried out.
- A thorough assessment of the practice’s infection control had been carried out with input from the clinical commissioning group.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvement are:
A full health and safety risk assessment of the practice is required along with any action that is needed to take place to ensure that the premise is safe for patients and staff members. This had been commenced and should be completed.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Professor Steve Field
CBE FRCP FFPH FRCGP
Chief Inspector of General Practice