We carried out an announced comprehensive inspection at Dr Suares Practice on the 10th November 2015. The overall rating for the practice was good and Safe required improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Dr Suares on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 31 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 10 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:
Regulation 19 HSCA of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Fit and Proper Person Employed.
Our key findings were as follows:
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The practice had addressed the issues identified during the previous inspection.
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They had updated their recruitment policy and took all actions necessary when carrying out required recruitment checks for newly appointed staff.
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They reviewed incidents of risk and complaints with all staff to help improve shared learning within the practice and to help staff understanding of any lessons learnt.
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They had updated staff training including safeguard training for all staff in regard to vulnerable adults and children. Training records had been updated to include evidence of all necessary training carried out by each member of staff.
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They updated their fire risk assessment and ensured that they had clear arrangements in place for managing all aspects of fire safety within the practice.
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Policies and procedures had been reviewed and updated to ensure they provided up to date and necessary guidance for staff.
Letter from the Chief Inspector of General Practice
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice