Archived: Dr Anthony Newman Also known as Family Medical Services

We carried out an announced comprehensive inspection at Dr Anthony Newman on 22 January 2019. The overall rating for the practice was good. However, the practice was rated requires improvement for providing well-led services and two Requirement Notice were served in relation to breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. One requirement notice for breach of Regulation 17 Good Governance and one requirement notice for breach of 19 HSCA (RA) Regulations 2014 Fit and proper

persons employed. The full comprehensive report for inspection undertaken on the 22 January 2019 can be found by selecting the ‘all reports’ link for Dr Anthony Newman on our website at www.cqc.org.uk.

After our inspection in January 2019 the practice wrote to us with an action plan outlining how they would make the necessary improvements to comply with the Requirement Notice.

This inspection was an announced focussed follow-up inspection carried out on 8 January 2020 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 22 January 2019. This report only covers findings in relation to those requirements.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider, patients, the public and other organisations.

This practice remains rated as good overall. The practice is now rated as good for providing well-led services.

At this inspection we found:

• The practice showed that all learning from significant events had been shared with all relevant staff.
• All staff had completed training in safeguarding adults and children to the appropriate level.
• The arrangements for identifying, recording and managing risks were effective. In particulatr there were effective recruitment checks, fire alarm tests and records of staff vaccination status. There was effective management of prescription storage.
• The provider was aware that some Quality and Outcomes Framework (QOF) exception reporting was higher than national averages and had taken steps which had reduced the level of exception reporting.

The areas where the provider should make improvements are:

• Continue to monitor Quality and Outcomes Framework (QOF) exception reporting and continue to implement appropriate measures to reduce this in line with local and national data.

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

We carried out an announced comprehensive inspection at Dr Anthony Newman on 22 January 2019.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We rated the practice as Requires Improvement for providing well-led services because:

• The overall governance arrangements were ineffective.
• The practice did not have clear and effective processes for identifying potential risks.

We rated the practice as Good for providing safe, effective, caring and responsive services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• A total of 107 patients were identified as carers; this represented approximately 3% of the practice list.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way. This was reflected unanimously in the patient feedback we received.

We rated all population groups as Good, with the exception of long-term condition which was rated as Requires Improvement.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Review documentation of weekly fire alarm tests.
• Review systems to promote cervical screening uptake.
• Review systems to accurately reflect completion of necessary training.
• Review storage of prescription stationery.
• Review systems for sharing learning from significant events with all relevant staff.
• Review recruitment polices to reflect arrangement to assure the provider of an employees previous conduct and document staff vaccination status.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice