We carried out an announced inspection at The Law Medical Practice on 28 April 2021. Overall, the practice is rated as Good.
Following our previous inspection on 18 July 2019, the practice was rated Good overall and for all key questions except Safe which was rated as Requires Improvement:
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Law Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a focused inspection to follow up on:
- Medicines management concerns, specifically the appropriate and safe use of some high-risk medicines.
- All other ratings from the 19 July 2019 inspection were carried forward because of the assurance received from our review of information.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as Good overall.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
Whilst we found no breaches of regulations, the provider should:
- Develop a formal supervision record of quarterly prescribing reviews of non-medical prescribers.
- Develop signage that promptly makes service users aware of areas in the building where repairs are being carried out to ensure safety.
- Improve chaperone staff training and consider a male chaperone.
- Improve the security of blank prescriptions when the practice is closed.
- Develop processes associated with the sharing and learning of significant events.
- Improve the storage of medicines in fridges so that they do not touch the sides to ensure the cold chain is not affected.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care