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Inspection carried out on 6 December 2016

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out a focused inspection of University Health Service on 6 December 2016 to check that action had been taken since our previous inspection in April 2015. At the inspection in April 2015 the practice was rated as good overall. The practice was good for Effective, Caring, Responsive and Well Led services.

However we found that the practice required improvement in the Safe domain due to breaches of regulations relating to safe delivery of services. We found that the practice had not ensured that emergency medicines were available, fit for purpose and within the expiry date.

The practice had not ensured that staff recruitment checks were completed in full and the practice needed to carry out risk assessments to identify those members of staff who required a Disclosure and Barring Services check (this check identifies whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

We inspected the practice on 6 December 2016 to check that they had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection of University Health Service on our website at www.cqc.org.uk

Our key findings for this inspection were as follows:

The provider had made improvements:

  • Recruitment arrangements included all necessary employment checks for all staff had been carried out.
  • The practice carried out risk assessments to identify those members of staff who required a Disclosure and Barring Services check.
  • New medicines had been purchased and they were now all within the expiry date. Systems had been put in place to ensure that emergency medicines were regularly checked and recorded.

The practice is now rated good for Safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 09/04/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a focused inspection of University Health Service on 6 December 2016 to check that action had been taken since our previous inspection in April 2015. At the inspection in April 2015 the practice was rated as good overall. The practice was good for Effective, Caring, Responsive and Well Led services.

However we found that the practice required improvement in the Safe domain due to breaches of regulations relating to safe delivery of services. We found that the practice had not ensured that emergency medicines were available, fit for purpose and within the expiry date.

The practice had not ensured that staff recruitment checks were completed in full and the practice needed to carry out risk assessments to identify those members of staff who required a Disclosure and Barring Services check (this check identifies whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

We inspected the practice on 6 December 2016 to check that they had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection of University Health Service on our website at www.cqc.org.uk

Our key findings for this inspection were as follows:

The provider had made improvements:

  • Recruitment arrangements included all necessary employment checks for all staff had been carried out.
  • The practice carried out risk assessments to identify those members of staff who required a Disclosure and Barring Services check.
  • New medicines had been purchased and they were now all within the expiry date. Systems had been put in place to ensure that emergency medicines were regularly checked and recorded.

The practice is now rated good for Safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone. The evidence tables published alongside our inspection reports from April 2018 onwards replace the information contained in these files.