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Inspection Summary


Overall summary & rating

Good

Updated 29 June 2017

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Dr Harbidge & Partners on 6 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 6 October 2016 inspection can be found by selecting the ‘all reports’ link for Dr Harbidge & Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 7 June 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 6 October 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

  • Learning from significant events was shared with staff and six monthly significant event analysis meetings were being planned to identify common trends.

  • There was an effective system in place to follow up children who did not attend hospital appointments.

  • A system was in place to ensure that all medicine and equipment alerts issued by external agencies were acted upon.

  • There was a system in place to ensure that patients who were prescribed high risk medicines received appropriate monitoring to minimise potential risks.

  • Patients’ paper records were stored securely.

  • Most staff had completed mandatory training identified by the practice.

  • Governance arrangements were in place to assess and monitor risks and the quality of the service provided.

  • Written and verbal complaints were recorded to enable trends to be identified.

  • There were systems in place to enable the practice to receive and act on patient feedback on the quality of the service. For example, a patient participation group (PPG) had been established.

  • The practice had become a dementia friendly practice.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

  • Ensure all GPs are up to date with mandatory training.

  • Ensure that a GP who is a partner at the practice registers with the Care Quality Commission.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 29 June 2017

  • Learning from significant events was shared with staff and six monthly significant event analysis meetings were being planned to identify common trends.

  • There was an effective system in place to follow up children who did not attend hospital appointments.

  • A system was in place to ensure that all medicine and equipment alerts issued by external agencies were acted upon.

  • There was a system in place to ensure that patients who were prescribed high risk medicines received appropriate monitoring to minimise potential risks. However, a nominated person had not been identified to regularly carry out searches of patients on high risk medicines to assure accountability and safety.

  • Patients’ paper records were stored securely.

  • Most staff had completed mandatory training identified by the practice. However, we saw that two GPs had not completed parts of their mandatory training.

Effective

Good

Updated 29 June 2017

Caring

Good

Updated 29 June 2017

Responsive

Good

Updated 29 June 2017

Well-led

Good

Updated 29 June 2017

  • Governance arrangements were in place to assess and monitor risks and the quality of the service provided.

  • Written and verbal complaints were recorded to enable trends to be identified.

  • There were systems in place to enable the practice to receive and act on patient feedback on the quality of the service. For example, the practice worked closely with the patient participation group (PPG).

Checks on specific services

People with long term conditions

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Families, children and young people

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Older people

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

Working age people (including those recently retired and students)

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

People experiencing poor mental health (including people with dementia)

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.

People whose circumstances may make them vulnerable

Good

Updated 29 June 2017

The provider had resolved the concerns for safety and well-led identified at our inspection on 6 October 2016 which applied to everyone using this practice, including this population group. The population group ratings have been updated to reflect this.