Updated 4 November 2016
Letter from the Chief Inspector of General Practice
We carried out an announced focussed inspection at Chalfont Road Surgery on 6 October 2016. We found the practice to be good for providing safe and well led services and it is rated as good overall.
We had previously conducted an announced comprehensive inspection of the practice on 14 January 2016. As a result of our findings during the visit, the practice was rated as good for being effective, caring and responsive and requires improvement for being safe and well led, which resulted in a rating of requires improvement overall. We found that the provider had breached two regulations of the Health and Social Care Act 2008; Regulation 12(1)(2)(a)(b)(c)(g)(h) safe care and treatment and Regulation 17 (1)(2) (a) (b) good governance.
The practice wrote to us to tell us what they would do to make improvements and meet the legal requirements. We undertook this focussed inspection to check that the practice had followed their plan, and to confirm that they had met the legal requirements.
This report only covers our findings in relation to those areas where requirements had not been met. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Chalfont Road Surgery on our website at http://www.cqc.org.uk/location/1-2208206845
Our key findings across all the areas we inspected were as follows:
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Significant events reporting was now sufficiently thorough, such that when something went wrong, there was an appropriate, thorough review or investigation that involved all relevant staff and which maintained or improved patient safety.
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A medical equipment cleaning schedule had been introduced for equipment such as nebuliser and ear irrigator machines.
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Records showed that clinical and non clinical staff had received basic life support training within the last 12 months.
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Staff had received annual appraisals.
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There was a system in place to regularly check the practice’s emergency oxygen.
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Appropriate arrangements were now in place to monitor the cleaning undertaken by the provider’s external cleaning contractor.
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Staff had undertaken mandatory training such as infection prevention and control training.
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Appropriate arrangements for performance management were in place and enabled the practice to manage current and future performance.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice