- GP practice
Archived: East One Health
All Inspections
25 May 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at East One Health on 16 February 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 16 February 2016 inspection can be found by selecting the ‘all reports’ link for East One Health on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 25 May 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 16 February 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:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- The practice had clearly defined and embedded systems to minimise risks to patient safety. Staff demonstrated that they understood their responsibilities and all had received training on safeguarding children and vulnerable adults relevant to their role.
- Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients we spoke with said they found it easy to make an appointment and there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- We found that the practice had taken a systematic approach to review the findings of the previous inspection and implemented actions to rectify all areas that were recognised as requiring improvement.
- The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
16 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at East One Health on 16 February 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and a system in place for reporting, investigating and learning from significant events.
- Although risks to patients who used services were assessed, the systems and processes to address these risks were not in all instances implemented well enough to ensure patients were kept safe, specifically in relation to mandatory training, infection control and recruitment checks for locum staff.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a leadership structure that had named members of staff in lead roles. However, the practice did not have adequate systems or processes in place to effectively demonstrate good governance on the day of inspection specifically in relation to the organisation of mandatory training, the management of infection control and carrying out of some recruitment checks.
- Staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
- The practice had a number of policies and procedures to govern activity, but some were incomplete and overdue a review and not all staff knew how to access them.
The areas where the provider must make improvement are:
- Implement and record actions identified from the infection control audits and review the cleaning arrangements for the practice
- Put a system in place to ensure mandatory training, in particular safeguarding, chaperoning and infection control, is up-to-date.
- Ensure recruitment checks are carried out for locum staff.
The areas where the provider should make improvement are:
- Develop an ongoing programme of clinical audit and re-audit to ensure outcomes for patients are maintained and improved.
- Formulate a written strategy to deliver the practice’s vision.
- Review the system for disseminating and acting upon national patient safety alerts to ensure staff are aware of the process.
- Ensure all policies and procedures to govern activity are reviewed and relevant to the service.
- Install emergency pull cords in the accessible toilet facilities.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
22 May 2014
During an inspection looking at part of the service
The provider was not able to demonstrate that Disclosure and Barring (DBS) checks had been undertaken, to check whether staff had criminal convictions, before they started to work at the practice.
During our inspection on 22 May 2014, managers were able to demonstrate they had taken action to address previous concerns. We found the provider had made progress and most people that we spoke to during the visit said that reception and other staff treated them with consideration and respect. The provider was able to demonstrate that DBS checks had been undertaken.
27 December 2013
During a routine inspection
Some staff did not always treat people with consideration and respect. Some people told us the reception staff were friendly and always helpful, while others described them as unwelcoming and abrupt.
Most of the people who spoke with us said they were satisfied with the quality of care and treatment provided by the practice. One patient told us, "I am very happy. Everything is fine." Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.
The provider was not able to demonstrate that they operated an effective recruitment procedure in order that no person is employed without all the necessary checks.
The provider had an effective system to regularly assess and monitor the quality of service that people receive.