15 January 2019
During a routine inspection
We carried out an announced comprehensive inspection on 22 March 2018, where we found that the service was not providing safe or well-led care in accordance with the relevant regulations. We carried out an announced focused inspection on 15 January 2019 to ensure that the service was providing care in accordance with the relevant regulations.
Our findings were:
Are services safe?
We found that this service was not providing safe care in accordance with the relevant regulations. The impact of our concerns is minor for patients using the service, in terms of the quality and safety of clinical care.
Are services well-led?
We found that this service was not providing well-led care in accordance with the relevant regulations. The impact of our concerns is minor for patients using the service, in terms of the quality and safety of clinical care.
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The principal GP is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Our key findings were:
- The service had reviewed and improved systems to manage risk so that safety incidents were less likely to happen.
- There was not an effective process in place to monitor medicines within the service.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
We identified regulations that were not being met and the provider must:
- Ensure care and treatment is provided in a safe way to patients.
You can see full details of the regulations not being met at the end of this report.
There were areas where the provider could make improvements and should:
- Review staff vaccinations to ensure they are maintained in line with current Public Health Guidance.
- Review signage for rooms where oxygen cylinders are stored.
- Review how equipment not owned or used by the services is stored.
- Review systems for recording recruitment checks and training records for employed GPs.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice