Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of the practice on 16 February 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of regulation 12(1) (2) Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We undertook this desk-based focussed inspection on 10 October 2016 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Cheam Family Practice on our website at www.cqc.org.uk.
Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing safe services.
Our key findings across all the areas we inspected were as follows:
- Risks to patients were assessed and well-managed, including those related to recruitment checks, monitoring of vaccines stored on the refrigerators, monitoring of cleaning of the premises and fire safety.
There were areas of the practice where the provider should make improvements:
- Improve the practice systems for managing, monitoring and improving outcomes for diabetic patients.
- Improve recording of minutes for multidisciplinary team meetings to ensure patients are monitored effectively.
- Consider improving accessibility in the patient toilet at the Gander Green Lane site for patients with restricted mobility.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice