We carried out an announced review of The Waterfield Practice on 23 June 2021. Overall, the practice is rated as Good.
Following our previous focussed inspection on 4 March 2020, the practice was rated Good overall but Requires Improvement for providing Safe services.
At this review we looked at the following key question:
- Are the services provided at this location Safe?
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Waterfield Practice on our website at www.cqc.org.uk
Why we carried out this review
During the previous inspection in March 2020 we found that:
- Non-medical prescribers did not receive formal clinical supervision in line with the practice’s own policy. There had been no audits of their consultations or prescribing.
- Blank prescription stationery had been securely stored but had not been effectively tracked throughout the practice.
- A fire risk assessment carried out in January 2019 had not had risks actioned for the branch site risk, in regard to fire marshal training or carrying out a fire drill.
- The disclosure and barring service (DBS) risk assessments did not include the different types of risks.
- The practice management team did not have full oversight of the practices recruitment process.
At this follow up review we found that improvements had been made and the provider was no longer in breach of the regulations. We have amended the rating for this practice accordingly.
How we carried out the review
Throughout the COVID-19 pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.
This review was carried out in a way which enabled us to spend no time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing
- Requesting evidence from the provider
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we undertook this follow up review
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
The practice is now rated as Good for the provision of Safe services, the overall rating of Good and for all population groups remains.
We found that:
- Clinical supervision had been put in place and a programme of audits had been introduced to ensure compliance for non-medical prescribers.
- There was an up to date fire risk assessment in place and staff who worked at the branch site had been trained fire marshals.
- Prescription stationery was stored, recorded and tracked in line with national guidance.
- Disclosure and Barring Service (DBS) checks were undertaken where required.
- The practice had improved its recruitment processes to ensure the practice management team had oversight of all areas of recruitment.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care