17 November 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at West One Surgery
on 19 January 2016. Overall the practice was rated as requires improvement. The practice was rated good for caring, effective and responsive care and required improvement for safe and well-led domains. We issued one requirement notice for the following:
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Breach of Regulation 12 of The Health and Social Care Act (Regulated Activity) Regulations 2014, Safe care and treatment. The requirement notice was issued in order for the practice to implement the necessary changes. To ensure patients who used the service were protected against any risks associated with the safe management of the medicines including emergency medicines and the security of prescriptions.
A copy of the report detailing our findings can be found at www.cqc.org.uk.
At our last inspection in January 2016 the areas where the provider must make improvement were:
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Ensure the security of blank prescriptions throughout the consulting rooms was routinely maintained.
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Ensure stocks of emergency medicines were held in case of medical emergencies.
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Ensure processes for keeping up to date records of Patient Group Directions are maintained.
At our last inspection in January 2016 the areas where the provider should make improvement were:
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Review the practices training programme in regard of vulnerable adults training.
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Review infection control processes.
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Review the systems in place to ensure best practice guidelines are routinely available to all clinical staff.
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Review the systems in place to monitor outcomes for patients.
This inspection we undertook a focused desk based inspection on 17 November 2016 to assess if the practice had implemented the changes needed to ensure patients who used the service were safe and ensure the practice was well-led by the provider.
Our key findings across all the areas we reviewed were as follows:
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The practice now had an appropriate system in place to ensure prescriptions were kept secure at all times.
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The practice now had adequate arrangements in place to ensure any medical emergencies could be dealt with safely and appropriately.
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The practice had ensured vaccine protocols were followed through appropriate guidelines to ensure the safety of patients.
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The practice had managed infection control appropriately by auditing its practices and taking action promptly to address areas of improvement.
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All staffing arrangements had been assessed to ensure patient safety and changes had been implemented to reduce workloads.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice