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Dr Webb and Partners Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 February 2020

We rated the practice as requires improvement for providing well-led services because:

  • Site management responsibilities indicated a lack of ownership for site-related matters following assessment – for example, oversight of action plans relating to fire, Legionella and health and safety.
  • The oversight of some practice systems was not always sufficiently robust. This included the response to the findings of clinical audits, and the use of risk assessment processes to minimise and control identified risk areas.
  • Annual appraisals were overdue for non-clinical staff at the time of our inspection.
  • In addition, we found that leaders were not always receptive to the requirements needed to provide assurance as part of their registration with the CQC.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way (Please see the specific details on action required at the end of this report).
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care. (Please see the specific details on action required at the end of this report).

In addition, the provider should:

  • Ensure staff training records are kept updated and accessible.
  • Store unused vaccines in their original packaging when returned to the practice vaccine refrigerator.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Requires improvement

Effective

Good

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good