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CQC places Dr Ildiko Spelt Practice into Special Measures

5 November 2015
Dr Ildiko Spelt
  • Media,
  • GP and GP out-of-hours services

England’s Chief Inspector of General Practice has placed a Essex GP practice into special measures following an inspection by the Care Quality Commission.

The Care Quality Commission has found the quality of care at Dr Ildiko Spelt Practice in Clacton On Sea, Essex to be Inadequate following an inspection carried out in June 2015. A full report of the inspection has been published today.

Dr Ildiko Spelt is situated in Clacton On Sea, Essex. The practice is one of 44 practices in the North East Essex Clinical Commissioning Group (CCG) area. The practice has a Primary Medical Services (PMS) contract with the NHS. There are approximately 7700 patients registered at the practice.

Under CQC’s new programme of inspections, all of England’s GP practices are being given a rating according to whether they are safe, effective, caring, responsive and well led.

The practice was rated inadequate for providing services to older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances, and people experiencing poor mental health (including people with dementia).

The report highlights a number of areas where improvements must be made including:

  • Ensure clinical staff receive appropriate training, supervision and appraisal including to enable them to carry out minor illness consultations and manage changes in warfarin dosages.
  • Implement a robust system for the management of national patient safety and medicine alerts.
  • Ensure patients taking high-risk medicines are monitored effectively and in line with relevant guidance.
  • Implement a system for monitoring fridge temperatures including the action to take in the event that the temperature falls outside of the required temperature range.
  • Record when action is taken in relation to the control measures identified to reduce the risk of legionella.
  • Implement a system to monitor emergency medicines and equipment and maintain records.
  • Undertake a health and safety risk assessment and maintain records when action is taken to mitigate risks.
  • Implement systems to monitor and assess the quality of the services provided by the practice which includes feedback from patients and staff on areas for improvement as well as audits.
  • Ensure there is clinical oversight of complaints raised by patients and that records adequately reflect the learning identified and how and when it is cascaded to staff members.
  • Ensure audits are undertaken, including completed clinical audit cycles.
  • Ensure that clinical staff undertaking patient consultations and the monitoring of patients on warfarin medicine have appropriate protocols, procedures and guidance to carry out their role.

Janet Williamson, Deputy Chief Inspector of General Practice and Dentistry in CQC’s Central region said:

“It is important that the people who are registered Dr Ildiko Spelt Practice can rely on getting the high quality care which everyone is entitled to receive from their GP.

"Although the patients we met told us they were treated with dignity and respect, we also found that care and treatment was not always delivered in line with best practice.

“We know that Dr Ildiko Spelt Practice has acknowledged the areas where action must be taken. We have found significant areas of concern, which is why we are placing the practice into special measures - so opening the way to support from NHS England among others.

“We will continue to monitor this practice and we will inspect again in six months to check whether improvements have been made. I am hopeful that the practice will do what is required for the sake of its patients, but if we find that the service remains inadequate, we will consider taking further action.”


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Last updated:
29 May 2017

Notes to editors

CQC has published a full report about Dr Ildiko Spelt Practice.

Patients registered with practices which are placed into special measures should be aware that the package of support being offered by NHS England and the Royal College of GPs will ensure that there are no immediate risks to patient safety at these GP practices whilst improvements are being made. This does not mean that these practices will close.

To get to the heart of people’s experiences of care, we always ask the following five questions of services.

  • Are they safe?
  • Are they effective?
  • Are they caring?
  • Are they responsive to people’s needs?
  • Are they well-led?

For every NHS GP practice we will look at the quality of care for the following six population groups: Older people, People with long-term conditions, Families, children and young people, Working age people (including those recently retired and students),People whose circumstances may make them vulnerable, People experiencing poor mental health (including people with dementia).

Since 1 April, providers have been required to display their ratings on their premises and on their websites so that the public can see their rating quickly and easily. Further information on the requirement for providers to prominently display their CQC ratings.

About the Care Quality Commission

The Care Quality Commission (CQC) is the independent regulator of health and social care in England.

We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage care services to improve.

We monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and we publish what we find to help people choose care.