We carried out an announced comprehensive inspection at The Willesden Medical Centre on 27 October 2015. The overall rating for the practice was Good, with a rating of Requires Improvement in the Safe domain. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for The Willesden Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced desk-based review carried out on 31 January 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 27 October 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At this inspection, we found that the practice arrangements in relation to medicines management had improved. Consequently, the practice is now rated as good for providing safe services.
Our key findings were as follows:
-
The practice had implemented a system to monitor the expiry dates.
-
The practice had implemented a system to ensure that all fridge temperatures in the practice were checked; however, there were gaps in record books provided.
-
The practice had implemented a standard training record system which recorded all staff training.
-
The practice had reviewed arrangements for patients to access appointments. Patients could now book appointments via Patient Access, an online service where they could book appointments. They also offered extended hours twice a week and patients could also attend booked appointments at their local HUB service.
-
The practice used an interpreting service available to all patients who required it.
-
The practice had reviewed and updated their recruitment policy to include a checklist to ensure all recruitment checks adhered to the recruitment policy.
The areas where the provider should make improvements are:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice