25 July 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Green Street Surgery on 6 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Green Street Surgery on our website at www.cqc.org.uk.
This inspection was a desk based review carried out on 25 July 2017 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 Day Month Year. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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Overall the practice is now rated as good.
Our key findings were as follows:
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Clinical audits and re-audits were being carried out to improve patient outcomes.
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Multi-disciplinary team meetings were being undertaken.
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A business plan had been developed to underpin the vision for the practice.
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All policies and procedures had been reviewed and were up to date. Each policy had a lead member of staff assigned to be responsible for monitoring and future updates.
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The patient participation group had been reinstated and was meeting on a regular basis.
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An action plan had been developed to address the scores of the national patient survey.
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Cleaning schedules for clinical equipment was in place. The carpet had been cleaned in March 2017 but has subsequently been replaced with lino.
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A process had been put in place to identify and support carers.
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All portable electrical appliances had been tested.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
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Look at ways to further identify carers and provide support.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice