Updated 22 August 2016
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 9 February 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the regulatory breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 Regulation 12 Safe care and treatment, Regulation 15 Premises and equipment and Regulation 17 Good governance.
We undertook this focused inspection on 27 July 2016 to check that they had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements.You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Auckley Surgery on our website at www.cqc.org.uk.
Overall the practice is rated as Good.
Specifically, following the focused inspection we found the practice to be good for providing safe and well-led services.
Our key findings across all the areas we inspected were as follows:
- Systems and processes were in place to keep people safe. For example, we were shown the procedure to dispense new medicines which had been reviewed in May 2016 along with the repeat prescribing procedure. All repeat prescriptions were now signed by the GP before the medicines were prepared and dispensed to the patient. A stock list of all medicines in the dispensary was now kept electronically.
- We reviewed a personnel file for a member of staff starting at the practice in since our last inspection. We found appropriate recruitment checks had been undertaken.
- A fire risk assessment had been completed following our comprehensive inspection in February 2016 and we saw evidence actions identified were completed. A fire evacuation drill had been undertaken and were now scheduled at six monthly intervals. All electrical items had now been tested for electrical safety and we observed unused plug banks and redundant electrical cables had been removed.
- The GP and practice manager had reviewed the governance framework to support performance and deliver good quality patient care.The practice had reviewed their record management procedures.
The areas where the provider should make improvement are:
- Record actions taken by staff as part of the legionella risk assessment in a timely fashion.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice