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Stockwell Group Practice Good

Reports


Review carried out on 19 September 2019

During an annual regulatory review

We reviewed the information available to us about Stockwell Group Practice on 19 September 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 20 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Stockwell Group Practice on 19 January 2016 where the practice was rated good overall. However breaches of regulation 12 (1) and 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were identified, and we rated the practice to require improvment for providing safe services.

The specific concerns in the previous inspection related to safety were:

  • There were no valid Patient Specific Directions in place for the medicinal products administered by healthcare assistants

  • Not all staff had completed mandatory training

  • The systems in place to safeguard patients from harm were not effective

  • Satisfactory pre employment checks had not been completed for all staff.

After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breaches of regulation 12 (1) and 17(1).

We undertook this focussed inspection on 20 September 2016 to check that they had followed the action plan provided 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 Stockwell Group Practice on our website at www.cqc.org.uk.

Overall the practice is rated as Good.

Our key findings across all the areas we inspected were as follows:

  • The practice had drafted a detailed protocol covering the administration of medicinal products by healthcare assistants.

  • All staff had completed the appropriate level of safeguarding training.

  • Although of the majority of mandatory training had been completed there were still a number of staff who had not received basic life support within the last 12 months; we were provided evidence that this had been completed on 18 October 2016. The practice’s recruitment strategy listed all training that was mandatory for staff. This stated that this training would only be completed annually by clinical staff and every three years by non clinical staff which is not in accordance with current guidance. Two GPs had not completed infection control training and there was no date scheduled for its completion. The practice recruitment strategy also said that this training would be completed annually by the lead and three yearly by all other staff.

  • There was a recruitment strategy in place which detailed the requisite employment checks the practice would undertake prior to recruiting a new member of staff including checking identification and gathering reference. We were provided evidence of satisfactory checks were undertaken for one candidate employed by the practice since our last inspection.

Action the service SHOULD take to improve:

  • Ensure that policies around training reflect current best practice and that people are receive mandatory training in accordance with this policy.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 19 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stockwell Group Practice on 19 January 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and but not always well managed. For instance the practice's recruitment processes were not robust and some members of staff had not completed certain mandatory training including child safeguarding.
  • 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, easy to understand but not easy to find. The practice leaflet advised patients to speak with reception who could provide copies of the complaints policy. However, when asked, reception staff were unable to access this policy.
  • Patients said they sometimes found it difficult to make appointments in advance with a named GP but were able to access a walk in surgery which was held at the practice every afternoon.Urgent appointments were 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.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The Areas where the provider must make improvement are:

  • Ensure that all staff have undertaken appropriate mandatory training including infection control, information governance, basic life support, safeguarding, chaperoning and fire safety and that the frequency of this training is in accordance with best practice or current guidance.

  • Put in place an effective system of Patient Specific Directions for healthcare assistants administering medicinal products.

  • Ensure that appropriate recruitment checks are completed for all staff.

The areas where the provider should make improvement are:

  • Review its practices around recording minutes from meetings which are regularly scheduled and/or significant.

  • Consider having a fixed notice advertising chaperoning services in the waiting area.

  • Consider documenting care plans for patients where appropriate; particulalrly those with palliative care needs.

  • Consider having a documented business plan in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice