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Archived: Freezywater Primary Care Centre Good

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Inspection report

Date of Inspection: 7 May 2014
Date of Publication: 11 July 2014
Inspection Report published 11 July 2014 PDF

Overview

Inspection carried out on 7 May 2014

During an inspection looking at part of the service

At our last inspection in November 2013 we found that the provider was non-compliant with standards relating to infection control and the management of complaints.

During our November 2013 inspection we found that cleaning of the premises did not meet essential standards. Cleaning schedules did not contain information on the frequency of cleaning, or what was to be cleaned, how it was to be undertaken and what equipment was to be used. We found that no risk assessments or auditing had been undertaken to assess the level of risks associated with the environment and no action plan was in place to meet essential requirements.

At this inspection we reviewed infection control arrangements. We found no cleaning specification or schedule linked to any formal risk assessment of the practice in relation to infection prevention and control. We found that although the provider had introduced a regular log relating to some aspects of infection control and cleanliness procedures, it did not meet the requirements as set out in the code of practice. We also found that the provider had not carried out all the tasks required by the annual infection control programme for primary medical care.

We looked at standards in relation to quality assurance at the last inspection in November 2013. We found that the practice was non- compliant with complaints management. We found that the complaints policy and protocol did not outline expected or appropriate timescales for acknowledging and investigating complaints.

At this inspection we looked at the practice's updated complaints policy which detailed a clear protocol for acknowledging any complaints within a timeframe of three working days and a commitment to conducting investigations within ten working days following the date of acknowledgement of the complaint. This policy was now in line with best practice.