12 December 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Simria Tanvir (also known as North Hyde Practice) on 19 January 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 19 January 2016 inspection can be found by selecting the ‘all reports’ link for Dr Simria Tanvir on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 12 December 2016 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 19 January 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 were as follows:
- The practice ensured that non-clinical staff undertaking chaperone duties completed relevant training
- The practice had made improvements in the assessment of risks to patients, visitors and staff. There was evidence of completed risk assessments for health and safety, fire, and legionella. Fire safety arrangements now included a schedule of internal fire alarm testing and drills.
- The practice had implemented a comprehensive cleaning schedule and log including the frequency of deep cleaning tasks.
- Arrangements were in place for the monitoring of prescription stationery from when received and distributed within the practice.
- The practice had a defibrillator for use in a medical emergency.
- There was evidence of completed audit cycles to demonstrate quality improvement.
- Processes were in place for the induction of locum GPs who were recruited to work at the practice.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice