Archived: Dr Terence Johnson Also known as Park House Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Terence Johnson on 14 April 2016. The practice had been rated as good for effective, caring, responsive and well-led, however they required improvement in safe. After the comprehensive inspection, the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-

• Ensuring that staff took the relevant action when fridge temperatures were out of the advised range for the storage of vaccines.

We undertook this announced focused inspection on 4 August 2016 to check that the provider had followed their action plan and to confirm that they now met legal requirements. The provider was now meeting all requirements and are rated as Good under the safe domain.

This report only covers our findings in relation to those requirements.

• The provider had reviewed the cold chain policy and all staff had been re-trained on the procedure. A new thermometer had been installed in the vaccine fridge. Staff were routinely recording the daily temperatures including the maximum and minimum temperatures reached. Staff were aware of what to do if the fridge temperature was out of the required range for the storage of vaccines.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Terence Johnson on 14 April 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed with the exception of the action taken after the recording of fridge temperatures outside of the required range.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.
• The practice had reviewed patient access and was able to offer evening appointments every week day until 8pm. This service was jointly run with two other local practices.

The areas where the provider must make improvement are:

• Ensure that staff take the relevant action when fridge temperatures are out of the advised range for the storage of vaccines.

In addition the provider should:

• Ensure that the practices works to its own policy for the frequency of DBS checks for relevant staff.
• Review the risk assessment for legionella to include the taking of water temperatures on a regular basis.
• Review the policy and procedures for the changing of medicines for patients who are discharged from hospital.
• Review who is invited to internal meetings to ensure staff who may benefit from attending are invited to do so.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice