19 October 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 Tyldesley Health Centre on 18 August 2016. The overall rating for the practice was good however there were improvements required in the key question safe. The full comprehensive report on the 18 August 2016 inspection can be found by selecting the ‘all reports’ link for Tyldesley Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 19 October 2017 to confirm 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 inspections. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice remains rated as good and the rating for the key question of ‘safe’ is now good.
Our key findings at this inspection were as follows:
- We spoke with staff and reviewed a range of documents which demonstrated they were now meeting the requirements of Regulation 12 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe Care and Treatment.
- The practice had systems in place to ensure emergency medication and consumables were in date and fit for purpose.
- There was a robust system in place to ensure chaperoning was undertaken in accordance with good practice guidelines.
- Plans were in place to replace carpets in treatment rooms.
- There was an effective system in place for appraisals for all staff.
- The practice included the contact details of organisations in complaints responses that patients can go to should they not be satisfied with the response provided by the practice.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice