Letter from the Chief Inspector of General Practice
This is a focused desk top review of evidence supplied by Dr M Umar & Dr H Sadique for areas within the key question well-led. This review was completed on 24 December 2016.
Upon review of the documentation provided by the practice, we found the practice to be good in providing well-led services. Overall, the practice is rated as good.
CQC previously inspected the practice on 19 January 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, the key question well-led was identified as ‘requires improvement’. Whilst CQC did not issue any requirement notices, but the practice was advised they should make improvements in a number of areas including:
- Implementing a system to periodically review the effectiveness and impact of changes implemented as a result of significant event analysis.
- Ensuring that all staff know the location of the emergency medicines.
- Implementing a system to review at intervals the contractual obligations for the building environment and equipment with the property landlord so that potential risks to safety are mitigated.
- Reviewing and developing the practice’s communication strategies so that information about the practice, its policies and procedures and specific health conditions are available to people in different languages and in different formats.
- Continuing to review telephone and appointment access to seek further improvements to meet patient demand following the GP survey results.
- Improving governance arrangements by recording a business plan with priorities and strategies to provide focus and clarity on the development of the service and progress against the practice’s aims and objectives.
- Implementing a system of regular planned performance monitoring whereby significant events, complaints, updated clinical guidance, patient feedback and the practice’s progress in meeting the Quality and Outcomes Framework (QOF) is undertaken.
During this review in December 2016, we found that the practice had addressed all the areas of concern from the inspection in January 2016.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice