15 June 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We previously carried out an announced comprehensive inspection at Drs Bilas & Thomas on 20 June 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.
We issued a requirement notice in relation to:
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Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Drs Bilas & Thomas on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 15 June 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 at our previous inspection on 20 June 2016. This report covers our findings in relation to those requirements.
Our key findings were as follows:
- The recording of significant events had been reviewed and were sufficiently detailed to show that concerns identified about patients were appropriately followed up to prevent further occurrences and ensure improvements made were appropriate.
- The practice had reviewed its systems and procedures to ensure the safe management of medicines.
- Records were available to confirm that a full legionella risk assessment had been carried out.
- The practice’s complaint handling procedures had been reviewed to ensure that the appropriate management of verbal complaints was included. Staff were made aware of the procedure to follow.
- The practice chaperone practices had been reviewed to ensure that all staff were aware of the correct procedure to follow when carrying out the role.
- Staff had received training to ensure that they were aware of the requirements of the Mental Capacity Act (MCA) 2005 and their responsibilities under the act as it relates to their role.
There was one area where the provider should make improvements:
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Ensure that a risk assessment is completed to determine whether there is a need for a second thermometer to confirm the accuracy of the temperature of the fridge used to store medicines.
At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice