Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 18 August 2016. The overall rating for the practice was good. However, a breach of legal requirements was found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. We conducted a focused inspection on 10 August 2017 to check that the provider had followed their plans and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.
During our previous inspection on 18 August 2016 we found the following area where the practice must improve:
- Maintain effective arrangements for infection control and premises and equipment cleanliness and safety.
- Establish effective systems and processes to identify and mitigate risks to patient’s safety.
Our previous report also highlighted the following areas where the practice should improve:
- Implement systems to ensure all staff are trained in accordance with their role.
- Review how patients with caring responsibilities are identified and recorded on the clinical system to ensure information, advice and support is made available to them.
- Ensure premises restoration and decoration works are followed through.
- Review or evaluate arrangements for patient’s telephone access and information leaflet.
- Improve entrance doors arrangements to the baby clinic and first floor waiting room.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk
During the inspection on 10 August 2017 we found:
- Arrangements for infection control and premises and equipment cleanliness and safety were effective.
- Premises restoration and decoration works had been undertaken, a new door closer was fitted to the baby clinic and first floor waiting room.
- Systems and processes were in place to identify and mitigate risks to patient’s safety and to ensure staff were trained in accordance with their role.
- Patients with caring responsibilities were identified and recorded to ensure their appropriate information, advice and support.
- Arrangements for patient’s telephone access and information had been reviewed and updated.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice