Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Moseley Avenue Surgery on 26 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Moseley Avenue Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 22 March 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 26 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings for this inspection were as follows:
The provider had made improvements:
- The practice had reviewed their policies and procedures and we saw evidence of this. During our inspection we spoke with staff to confirm that these had been shared and were available to all staff at the practice.
- The practice had carried out a number of risk assessments to ensure that the risks to staff and patients had been assessed and appropriately managed, for example, infection control audit and fire risk assessments.
- Systems had been put in place to ensure that all medical devices such as swabs were checked routinely by a nominated member of the nursing staff. We saw records had been maintained to confirm this.
The provider had also addressed the areas where we made recommendations that improvements should be made and we saw evidence to demonstrate this. These are included in the body of the report.
Work was ongoing regarding carers and the practice had plans to develop better awareness of the need to identify carers. For example, they had plans to liaise with Coventry Carers Association to attend the practice and raise awareness and were exploring the possibility of a future drop in session as well as seeking training for reception staff regarding carers. The practice had increased the number of carers from 52 to 187, which represented 1.7% of the practice population and introduced a section in the registration form for patients to highlight if they were a carer. Staff we spoke with were aware of the need to identify carers.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice