Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr. Andrew, Edwards, Hayes & Cleary on 18 October 2016. We found that the practice had breached a regulation relating to the safe delivery of services. The practice was rated as requires improvement for safe and good for effective, caring, responsive and well led. The overall rating for the practice was good. The full comprehensive report on the 18 October 2016 inspection can be found by selecting the ‘all reports’ link for Dr. Andrew, Edwards, Hayes & Cleary on our website at www.cqc.org.uk.
The practice required improvement for the provision of safe services to ensure that the risks associated with checking, maintaining and safely storing medicines had been appropriately assessed. Following the inspection the provider sent us an action plan detailing how they would improve their medicines processes to ensure that they reflected national guidelines.
This inspection was a desk-based review carried out on 10 January 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 18 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
We found the practice had made improvements since our last inspection on 18 October 2016 and they were meeting the regulation that had previously been breached.
Our key findings were as follows:
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The practice had updated their procedures and standard operating procedures (SOP) for checking and maintaining medicines and ensuring that they were stored in line with manufacturers’ specifications.
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The practice had reviewed and improved their systems for checking and storing controlled drugs and had implemented new processes.
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The practice had reviewed and improved the process for making changes to patients’ prescribed medicines to make sure that it followed best practice guidance.
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The practice had reviewed and improved how dispensary staff should record and analyse near misses in the dispensary (to include dispensing and prescribing near misses).
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The practice ensured that there were procedures in place to cover all activities in the dispensary and now monitor adherence to procedures and quality in the dispensing service.
We have changed the rating for this practice in safe, to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice