Updated 23 December 2016
Letter from the Chief Inspector of General Practice
We carried out an announced focussed, desk based inspection at Sefton Avenue Surgery on 26 October 2016. We found the practice to be good for providing safe services and it is rated as good overall.
We had previously conducted an announced comprehensive inspection of the practice on 17 September 2015. As a result of our findings, the practice was rated as good for being effective, caring, responsive and well led, and requires improvement for being safe, which resulted in a rating of good overall. We found that the provider had breached Regulation 12 (2) (a) (f) (g) (safe care and treatment) and Regulation 19 (Fit and proper persons employed) (1) (a), (3) (a) of the Health and Social Care Act 2008.
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 Sefton Avenue Surgery on our website at http://www.cqc.org.uk/location/1-540525527.
Our key findings across all the areas we inspected were as follows:
-
Emergency equipment and medicines were monitored properly and safely; and were appropriate for their intended purpose.
-
An automated external defibrillator (AED) had been purchased and was readily accessible.
-
Recruitment files for locum staff were complete and provided assurance that staff were suitable for employment.
- The practice had reviewed and implemented recommendations outlined in its 2014 Legionella risk assessment and report.
- Appropriately signed patient group directions (PGD’s) were in place and reviewed regularly in line with national guidelines.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice