Princess Road Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Princess Road Surgery on 16 June 2016. At the inspection in June the overall rating for the practice was good, although the key question Safe was rated requires improvement. This was because the arrangements in respect of the management of significant events, recruitment records and staff appraisal all required improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Princess Road Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 27 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 16 June 2016. This report covers our findings in relation to that requirement.

The practice is now rated as good for providing safe services, and overall the practice remains rated as good.

Our key findings were as follows:

• Since the previous inspection the practice had taken action to strengthen the arrangements in response to significant event and incident recording. Logs were maintained of each significant event or incident and these detailed what the issue was, and what action was taken in response to the concern.
• Team meeting minutes showed that significant events and incidents were discussed with staff at these meetings.
• Evidence supplied showed the practice undertook a review of significant events to evaluate the actions that were implemented to ensure these were effective.
• The practice had reviewed its recruitment policy and this was up to date and was supported by a recruitment policy document for clinical staff.
• Evidence supplied demonstrated appropriate recruitment records were obtained for staff recruited since April 2013 and these included a Curriculum Vitae, references, disclosure and barring service checks (DBS), evidence of right to work in this country and proof of address.
• Recruitment records were also now available for locum GPs used by the practice and this included evidence of professional registration and liability insurance.
• Since the previous inspection the practice supplied evidence demonstrating that all staff had received an appraisal and a schedule for future appraisals was recorded.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice