Updated 24 January 2017
Letter from the Chief Inspector of General Practice
We carried out an announced focussed inspection at The Southgate Surgery on Wednesday 14 December 2016. We found the practice to be good for providing an effective service and is rated as good overall.
We had previously conducted an announced comprehensive inspection of the practice on 21 October 2015. As a result of our findings during the visit, the practice was rated as good for being safe, caring, responsive and well led and requires improvement for being effective, which resulted in a rating of good overall. We found that the provider had breached one regulation of the Health and Social Care Act 2008; in relation to Regulation 18(2)(a), a number of staff had not received a regular appraisal of their performance in their role from an appropriately skilled and experienced person. Learning and development needs had not been fully identified.
The practice wrote to us to tell us what they would do to make improvements and meet the legal requirement. We undertook this focussed inspection to check that the practice had followed their plan, and to confirm that they had met the legal requirement identified.
This report only covers our findings in relation to those areas where requirements had not been met. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for The Southgate Surgery on our website at http://www.cqc.org.uk/location/ 1-2794187929.
Our key findings across all the areas we inspected were as follows:
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Arrangements for staff appraisal were in place. All staff working at the practice had received a recent appraisal that had identified learning and development needs.
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A training matrix had been developed to ensure that all practice staff kept up to date with all training.
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The lead for infection control had received appropriate training commensurate to the role of lead.
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A review of arrangements for the control of substances hazardous to health (COSHH) had been undertaken including a risk assessment.
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The practice were continuing to develop its strategy and plans around the enhancement of services and facilities to support the growing patient population.
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Arrangements were in place to identify, record and manage risks and actions to mitigate risks were being recorded.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice