Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr’s Hollier, Williams, Wong and La Porta on 4 October 2016. The practice was rated good overall and requires improvement for safe. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Dr’s Hollier, Williams, Wong and La Porta on our website at www.cqc.org.uk.
This inspection was an announced desk-based review carried out on 9 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 in our previous inspection on 4 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At our previous inspection undertaken on 4 October 2016, we rated the practice as requires improvement for providing safe services as:
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There were not effective processes in place to monitor the expiry date of emergency medical equipment.
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There were not adequate processes in place to identify and mitigate against risks associated with fire and infection control.
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The practice did not have valid Patient Group Directions in place to enable the practice nursing staff to administer medicines.
In addition to the breaches in regulation we suggested that the practice should take action to:
The practice is now rated as good for the key question: Are services safe?
Our key findings were as follows:
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The practice had implemented a system to check the expiry of emergency medical equipment and checks were being undertaken on a regular basis.
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The practice had taken the necessary steps to ensure that risks associated with infection control had been addressed, there were system in place to record and monitor the immunity status of clinical staff to common communicable diseases and there was a contract in place to reupholster the chairs in the reception area.
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Systems were in place to check Patient Group Directions (PGDs) to ensure that they were valid.
We also saw evidence the practice had:
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The practice now included the contact information for external organisations where complaints could be escalated to in accordance with current legislation and guidance.
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The practice had a new system in place to centrally store all patient safety alerts on one of their IT systems. We saw screen prints from this system which showed the date of action taken in response to a recent alert regarding faulty defibrillators.
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The practice were in discussions with an organisation to upgrade the telephone systems and were actively promoting online access The practice told us that from 1st January to 31st March 2017, practice registrations for online access increased from 5.2% to 19.4%.
The practice should:
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Consider the risks to non-clinical staff from common communicable diseases and take action to mitigate any risks identified.
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Continue with strategies to encourage uptake of health reviews to reduce the practice’s exception reporting rate in areas where this is significantly higher than local and national averages.
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Continue to work on improving patient satisfaction with telephone access and access to routine appointments.
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Review vaccine storage procedures.
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Take steps to improve the management of confidentiality in the practice reception area.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice