Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Caritas General Practice Partnership also known as ‘Dial House Medical Centre’ on 9 November 2016. At the inspection in November the overall rating for the practice was good, although the key question Safe was rated requires improvement. This was because a system to ensure appropriate action was taken in response to safety alerts was not in place. We also identified some areas where the practice could improve other aspects of the service they provided. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Caritas General Practice Partnership on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 14 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 9 November 2016. This report covers our findings in relation to that requirement and also additional improvements made by the practice since our last inspection.
The practice is now rated as good for providing safe services, and overall the practice is rated as good.
Our key findings were as follows:
- Since the previous inspection the practice had taken action to strengthen the arrangements in response to safety alerts. The practice had invested in a web based GP management system. This was used to log all alerts, with a description and record of the action status. This was supported by an annual GP partner allocation for the management and leadership of the alerts. Relevant issues identified were discussed with the staff team at regular clinical meetings.
In response to the areas we identified of where the practice should make improvements:
- The practice had reviewed its management of patients prescribed high risk medicines such as disease-modifying anti-rheumatic drugs (DMARDs). The practice improved its protocol to ensure a systematic and regular review of patients prescribed these medicines was undertaken.
- Systems to ensure staff had easy access to the variety of meetings minutes that staff attended had improved. Meeting minutes, patient safety alerts and significant events were were now accessible to staff through web based GP management system.
- The practice had ensured all staff who undertook chaperone duties were trained and had disclosure and barring checks (DBS).
- The practice had reviewed and updated its complaints procedure to include the details of NHS England, should patients wish to complain directly to them.
In addition, in response to our previous inspection report, the practice had reviewed its risk assessment in relation to not having a defibrillator available at the practice. Defibrillators were now available at both the main and the branch locations of practice.
The practice had also trained a staff member in additional duties so that they could continue with the referrals process in the absence of the practice secretary.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice