Letter from the Chief Inspector of General Practice
We visited Avon Valley Practice on 23 August 2016 to carry out a comprehensive inspection. We found the practice was not compliant with the regulation relating to safe care and treatment. Overall the practice was rated as good.
Specifically, we found the practice required improvement for the provision of safe services because:
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There was no atropine available at either of the practice’s sites on the day of the inspection. (Atropine is a drug that can slow the heart rate and is recommended to be available for emergencies in practices that fit coils or perform minor surgery.)
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The practice did not have an up to date record of the Hepatitis B status for all staff who may have direct contact with patients’ blood or blood-stained bodily fluids. For example, from sharps.
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 2 February 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 23 August 2016, which can be found on our website at www.cqc.org.uk.
The practice is now rated as Good for
the provision of safe services
and the overall rating remains as Good.
Our key findings were as follows:
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Atropine was now available at both the practice’s sites.
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The practice has an up to date record of the Hepatitis B status for all staff who may have direct contact with patients’ blood or blood-stained bodily fluids.
During our desktop review, we found that since our visit in August 2016 the practice had reviewed other areas of their practice to improve their services. For example, we saw evidence the practice had:
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Reviewed and updated their repeat prescription protocols.
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Reviewed and updated their employment policy to ensure that staff who required a DBS check due to their role, have it repeated at three yearly intervals.
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Reviewed and updated their telephone system.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice