Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Health Care Surgery on 10 August 2016. The overall rating for the practice was good with requires improvement for the ‘safe’ domain. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for The Health Care Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 4 September 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulation that we identified in our previous inspection on 10 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
- We saw evidence that recruitment checks such as DBS where required for the role, and references were being obtained prior to employment.
- We saw records which identified the immunisation status of all staff members.
- The practice had reviewed their governance systems and provided evidence that action had been taken in response to medical alerts.
- The practice had reviewed their governance systems and provided a matrix of evidence that staff training had been completed.
- The procedures to implement improvements identified in the infection prevention and control audit had been reviewed and updated.
- NHS protect guidance and governance arrangements had been implemented relating to the storage for blank prescription forms.
- A risk assessment for the provision
regarding the availability of paediatric pads for the defibrillator had been carried out.
- Resuscitation Council guidance (2015) and arrangements for checking the working condition of emergency equipment were in place.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice