Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Peel Medical Practice on 8 February 2016.
We found that there were a number of breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment:
- The practice had not undertaken regular infection prevention control audits and had not completed a risk assessment on the consulting rooms that were carpeted.
- Prescription pads and forms were not stored securely and a robust system was not in place to track their use (a tracking system for controlled stationary such as prescriptions is used by GP practices to minimise the risk of fraud).
- The provider could not evidence that the appropriate recruitment checks had been completed on all staff employed.
A requirement notice was served on the practice in respect of theses breaches of regulations. The practice subsequently sent us an action plan to say what they would do to meet legal requirements.
The overall rating for the practice at the original inspection was good and the full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Peel Medical Practice on our website at www.cqc.org.uk.
We undertook an announced focused inspection on 18 April 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 February 2016 inspection. We did not visit the practice but reviewed information sent to us by the provider. This report only covers our findings in relation to those requirements and additional improvements made since our last inspection. The legal requirements had been met and the rating in the safe key question changed from requires improvement to good.
Our key findings were as follows:
- In March 2016, the practice implemented a new induction checklist supported by a step by step guide for recruitment. This included recruitment checks required under Section 13 of the Health and Social Care Act 2008. The induction programmes were role specific; there were separate inductions for nurses, non-clinical staff and locum GPs.
- We were sent two completed checklists from personnel files of existing staff that included evidence that the appropriate checks had been undertaken. The provider told us that these checks had been carried out on all staff.
- The practice told us that they had implemented a system to secure and account for prescription pads and forms within the practice. Evidence sent showed that the prescriptions used were recorded on a monthly report that followed the sequential numbering on the prescription forms.
- The practice had completed risk assessments that included risk of infection in consulting rooms that had carpets.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice