24 August 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Hackwood Partnership, on 15 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for The Hackwood Partnership on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 24 August 2017 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 15 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as Good.
Our key findings for this inspection were as follows:
- The practice had now ensured that actions were recorded, completed and reviewed following infection control audits.
- The practice now ensured that the quality and safety of the services provided were assessed, monitored and improved. For example, by reviewing and analysing significant events and complaints to identify common trends, maximise learning and ensure actions identified to improve quality and safety were completed.
- The practice ensured all locum staff received safeguarding training and recruitment processes for locum staff were consistently documented.
- The practice was continuing to identify carers in order that they could be signposted to support services and supported. The practice has recorded 323 patient carers which represents 2.4% of the patient list.
- The practice had reviewed the arrangements available for patients with hearing impairments. The practice has purchased and installed a new hearing loop and information is given about the hearing loop on the practice web page, Facebook, twitter and on display screens in the practice.
- The call monitoring system had been upgraded and was now working to allow monitoring and analyse access to the appointment system to meet patient’s needs.
- The practice had reviewed arrangements for keeping the premises clean and the completion of remedial work to minimise the risk from legionella infection. A new cleaning company started in April 2017 who undertook regular monthly monitoring and auditing. A further legionella risk assessment took place in July 2017 and the practice had a plan for any required actions.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice