Letter from the Chief Inspector of General Practice
We had carried out an announced comprehensive inspection of Malvern Health Centre on 19 January 2016. As a result of our inspection the practice was rated as good overall but required improvement for providing effective services.
During the last inspection we identified a breach of regulation around effective care and treatment. The areas we identified the provider must improve included:
Following the inspection the practice sent us an action plan detailing the actions they were going to take to improve.
We carried out a focused desk-based review of Malvern Health Centre on 23 February 2017 to check that the provider had made improvements in line with our recommendations and to ensure regulations were now being met. This report only covers our findings in relation to those requirements. The full comprehensive report for the January 2016 inspection can be found by selecting the ‘all reports’ link for Malvern Health Centre on our website at www.cqc.org.uk.
The practice is now rated as good for the provision of effective services.
As part of our focused desk-based review the management team provided evidence to demonstrate that:
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The audit policy had been revised and a clinical audit template had been implemented to ensure continuous improvement to patient care was monitored, evaluated and maintained.
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We received copies of audits to show that improvements had been made. The evidence confirmed that audits were dated and included timescales for re-audit to ensure improvements made in patient care had been sustained.
We were satisfied that the practice had made the required improvements.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice