Archived: Coventry and Rugby GP Alliance-CoCHC

This service is rated as Good overall. The service has not been previously inspected.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

We carried out an announced comprehensive inspection at Coventry & Rugby GP Alliance – Extended Hours service on 17 April 2018. This was part of our inspection programme.

• The provider had leadership capacity and capability but we noted some gaps in governance assurance processes which required addressing. However, the provider was responsive to this and discussed and reviewed their processes made plans as well as immediate changes to demonstrate assurance.
• The service had systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Develop a management system for areas such as training, complaints, induction and appraisal.
• Update the business continuity plan to be more detailed and site specific.
• Ensure updates of sepsis awareness take place for all staff.
• Familiarise clinical staff with the contact details for the NHS England Controlled Drug Accountable Officer and ensure that this information is readily accessible.
• Introduce a formal mechanism to identify training needs.
• Formalise governance mapping of responsibilities between the GP Alliance and GP practices.
• Ensure staff are aware of how to reset the fridge temperature recording and maintain an accurate record.
• Develop a process for clinical supervision.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice