Letter from the Chief Inspector of General Practice
On
14 September 2016 we carried out a comprehensive inspection at Dr Helen Osborn,
which is also known as Courtyard Surgery. Overall the practice was rated as
requires improvement. Specifically, the practice was found to be good for
providing safe, caring and responsive services, and requires improvement for
effective and well led. We told the practice they must:
-
Ensure
actions plans are completed for issues identified in infection control audits.
-
The
practice must ensure they use quality improvement methods, including clinical
audit, to monitor quality and to make improvements within the practice and
ensure that learning from these is appropriately discussed and shared with
practice staff.
-
The
practice must keep records of all essential training received by staff.
Following
the inspection the provider sent us an action plan that set out the changes
they would make and subsequently supplied information to confirm they had
completed the actions.
This
focused desk based inspection was undertaken on 25 April 2017 to ensure that
the practice was meeting the regulation previously breached. For this reason we
have only rated the location for the key questions to which this related. This
report should be read in conjunction with the full report of our inspection on 14
September 2016, which can be found on our website at
www.cqc.org.uk
.
The practice is now rated as good
for the provision of effective and well-led services. The overall rating is now
good. Our key findings were as follows:
-
An
infection control audit had been completed in January 2017 and an action plan
set out follow up actions that had been completed.
-
There
had been four clinical audits completed since our inspection in September 2016.
-
The
practice had a planned schedule for audits and repeat audits.
-
The
practice was keeping records of all essential training received by staff.
The area where the provider should
make improvement are:
-
Review
the practice system of meetings and communications to ensure they meet the
regulatory requirements.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice