Archived: Dr Philip Abiola

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 25 July 2016. The overall rating for the practice was good. However, a breach of legal requirements was found during that inspection within the safe key question. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. We conducted an on-site focused inspection on 14 September 2017 to check that the provider had followed their plans and to confirm that they now met legal requirements, and also in response to information the CQC received regarding processes at the practice for safeguarding children. This report only covers our findings in relation to those requirements and safeguarding children.

During our previous inspection on 25 July 2016 we found the following area where the practice must improve:

• Assess and mitigate the risk of unsafe care and treatment by ensuring Patient Specific Directions (PSDs) are put in place for the administration of medicines by the healthcare assistant.

Our previous report also highlighted the following areas where the practice should improve:

• Ensure personnel files include copies of all relevant documentation including proof of identification and qualifications.
• Improve processes to ensure learning from meetings was identified and shared.
• Continue to monitor and review patient’s views about their involvement in planning and making decisions about their care and treatment and on consultations with GPs and nurses and take appropriate steps to address these concerns.
• Improve practice performance and patient outcomes, particularly relating to levels of exception reporting.

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 14 September 2017 we found:

• Appropriate PSDs were in place to allow the administration of specific injectable medicines by the healthcare assistant.
• Relevant documentation such as staff proof of identification and qualifications was maintained on staff files but post recruitment processes such as staff induction and contracts had not always been appropriately formalised.
• Arrangements were in place to ensure learning from meetings was identified and shared.
• The latest GP Patient survey results published on 6 July 2017 showed improvement since our previous inspection regarding patient’s views about their involvement in planning and making decisions about their care and treatment during consultations with GPs and nurses. 73% of patients said GPs were good at involving them in decisions about their care compared to the local average of 74% and the national average of 82%, and 86% said the last nurse they saw or spoke to was good at involving them in decisions about their care compared to the local average of 77% and the national average of 85%.
• Exception reporting had fallen from 12% at our previous inspection. The most recent exception data obtained locally from the practice for the period April 2016 to March 2017 showed exception reporting was 7%.
• Arrangements to safeguard children were effective.

The areas where the provider should make improvement are:

• Review and formalise post recruitment processes for staff.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice