Categories
Organisations we regulate
Key question: well led?
Population group: All groups
This example relates to Key Line of Enquiry (KLOE) W2: Do the governance arrangements ensure that responsibilities are clear and that quality, performance and risks are identified, understood and managed?
When we inspected
The practice did not hold any governance meetings. The GP informed us that he discussed governance with a local peer group but this was on an informal basis and no minutes were kept.
There was no risk log to address potential issues, such as control of substances hazardous to health (COSHH) or a robust analysis of significant events over time.
Why this is inadequate?
There is no effective clinical governance in the practice and no effective system for identifying, capturing and managing issues and risks.