Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Ivy Grove Surgery on 18 January 2016. The overall rating for the practice including are services safe was good. The full report dated 18 January 2016 can be found by selecting the ‘all reports’ link for Ivy Grove Surgery on our website at www.cqc.org.uk.
We carried out this focused announced inspection on 6 June 2017 in response to information we received from the Coroner concerning a serious incident. We visited Ivy Grove Surgery as part of this inspection to check that the practice had taken action to improve safety relating to the management of controlled drugs (medicines that require extra checks because of their potential for misuse), and ensure that significant events were appropriately reported and managed.
We reviewed the practice against part of one of the five questions we ask about services: are services safe. We found that the practice had carried out an action plan to address the above issues to improve patient safety. The evidence supported that the previous inspection rating of good for are services safe was still accurate.
Our key findings were as follows:
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The practice had carried out an action plan to improve patient safety relating to the management of controlled drugs.
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There was an open culture to reporting safety incidents and near misses.
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The practice had taken action to ensure that significant events including serious incidents were appropriately reported, recorded and acted on to minimise the risk of further occurrences.
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Following the inspection, the significant events policy was updated to detail all processes followed in practice. We received assurances that all staff had been made aware of this.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice