Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Stockwell Group Practice on 19 January 2016 where the practice was rated good overall. However breaches of regulation 12 (1) and 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were identified, and we rated the practice to require improvment for providing safe services.
The specific concerns in the previous inspection related to safety were:
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There were no valid Patient Specific Directions in place for the medicinal products administered by healthcare assistants
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Not all staff had completed mandatory training
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The systems in place to safeguard patients from harm were not effective
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Satisfactory pre employment checks had not been completed for all staff.
After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breaches of regulation 12 (1) and 17(1).
We undertook this focussed inspection on 20 September 2016 to check that they had followed the action plan provided and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Stockwell Group Practice on our website at www.cqc.org.uk.
Overall the practice is rated as Good.
Our key findings across all the areas we inspected were as follows:
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The practice had drafted a detailed protocol covering the administration of medicinal products by healthcare assistants.
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All staff had completed the appropriate level of safeguarding training.
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Although of the majority of mandatory training had been completed there were still a number of staff who had not received basic life support within the last 12 months; we were provided evidence that this had been completed on 18 October 2016. The practice’s recruitment strategy listed all training that was mandatory for staff. This stated that this training would only be completed annually by clinical staff and every three years by non clinical staff which is not in accordance with current guidance. Two GPs had not completed infection control training and there was no date scheduled for its completion. The practice recruitment strategy also said that this training would be completed annually by the lead and three yearly by all other staff.
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There was a recruitment strategy in place which detailed the requisite employment checks the practice would undertake prior to recruiting a new member of staff including checking identification and gathering reference. We were provided evidence of satisfactory checks were undertaken for one candidate employed by the practice since our last inspection.
Action the service SHOULD take to improve:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice