Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection of The Yoxall Practice on 5 September 2016. The overall rating for the practice was good with requires improvement for providing a safe service. The full comprehensive report on the 5 September 2016 inspection can be found by selecting the ‘all reports’ link for The Yoxall Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 6 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations identified at our previous inspection on 5 September 2016. This report covers our findings in relation to those requirements.
Our key findings were as follows:
- The provider had implemented an effective system to manage the safe care of patients on high risk medicines.
- Effective checking systems were in place to ensure that emergency procedures are tested and emergency equipment is maintained and fit for use.
- Clinical staff completed annual refresher courses in basic life support training and non-clinical staff were required to complete the same refresher course bi-annually.
- Actions identified as required in the infection prevention control audits had been completed or planned.
- Learning from significant events had been shared with appropriate staff, and following review, resultant action taken. There had been a significant increase in the number of events recorded.
- The provider had implemented an effective system to monitor the use of prescription pads and forms.
- The provider had risk assessed the process of taking repeat medication requests by telephone. Individual cases were reviewed where the cessation of this service may result in a detrimental impact on an individual’s care.
- Audits had been carried out to ensure nationally recognised clinical guidelines are followed.
- The practice had adopted a proactive approach in identifying patients who also act as carers. This included the appointment of a carers’ lead and liaison with the local secondary school to help identify young carers.
- Verbal complaints had been recorded to enable trends to be identified and the wider practice team were involved with reviewing complaints.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice