Updated 14 August 2017
Letter from the Chief Inspector of General Practice
We carried out a focussed, desk based review inspection at Dr Sirisena and Partners on 15 June 2017. We found the practice to be good for providing safe and effective services and it is rated as good overall.
We previously conducted an announced comprehensive inspection of the practice on 8 November 2016. As a result of our findings, the practice was rated as requires improvement for providing safe and effective services and rated as good for providing responsive, caring and well led services, which resulted in an overall rating of requires improvement. At that time, we found that the provider had breached Regulation 12 (1) (Safe care and treatment) and Regulation 18 (Staffing) of the Health and Social Care Act 2008, due to the absence of pre-employment checks and recent basic life support training for one of the practice’s two locum GPs. In addition, we did not see evidence that completed, two cycle clinical audits were being used to drive quality improvement.
The practice wrote to us to tell us what they would do to make improvements and meet the legal requirements. We undertook this focussed desk based inspection to check that the practice had followed their plan, and to confirm that they had met the legal requirements.
This report only covers our findings in relation to those areas where requirements had not been met. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Sirisena and Partners on our website at www.cqc.org.uk/location/ 1-551197997.
Our key findings across all the areas we inspected were as follows:
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The practice had taken action to ensure that there were appropriate pre-employment checks on file for locum GPs and that annual basic life support training had taken place.
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The practice was using clinical audit to improve patient outcomes and drive quality improvement activity.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice