Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Sherwood House Medical Practice on 22 September 2015. The overall rating for the practice was good but rated as requires improvement for services being well-led.
The full comprehensive report on the September 2015 inspection can be found by selecting the ‘all reports’ link for Sherwood House Medical Practice on our website at www.cqc.org.uk.
On 6 June 2017 we carried out a desk-based focus review to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 September 2015. This report covers our findings in relation to those requirements.
Our key findings were as follows:
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Staff responsibilities and details of line management were clear. Arrangements and responsibilities for identifying, recording and managing risks within the service were clearly described.
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Policies were kept up-to-date and shared with staff.
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There were systems for monitoring staff appraisal and training requirements.
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There were systems to ensure the effective running of the service, including management of incidents and significant events, infection control requirements and arrangements, records of staff immunisations, and arrangements for monitoring and carrying out staff training and appraisals.
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There were sufficient arrangements to manage risks relating to the premises including electrical installation checks, the control of substances hazardous to health, cleaning of curtains and carpets, fire safety, and Legionella.
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The practice had sufficient systems for managing emergency equipment and emergency medicines.
The practice is now rated as good for services being well-led.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice