Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Beechwood Surgery on 08 June 2017. 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 a system in place for reporting and recording significant events.
• 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.
• Some risks to patients were assessed and well managed, with the exception of those relating to recruitment checks, fire safety and infection control.
• 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 with a named GP 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.
• The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider must make improvement are:

• Ensure specified information is available regarding each person employed

• Ensure care and treatment is provided in a safe way to patients; do all that is reasonably practicable to mitigate risks to the health and safety of service users receiving care and treatment

In addition, the provider should:

• Make arrangements to provide Mental Capacity Act training to clinical staff

• Consider providing baby change facilities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on Beechwood Surgery on 08 June 2017. The overall rating for the practice was good, although the practice was rated as requires improvement for safety. The full comprehensive report on the June 2017 inspection can be found by selecting the ‘all reports’ link for Beechwood Surgery on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 28 March 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach identified in the requirement notice.

The practice is now rated as good for safe services, and overall the practice is rated as good.

Our key findings were as follows:

• The practice had taken action to address the concerns raised at the CQC inspection in June 2017. They had put measures in place to ensure they were compliant with regulations.
• Appropriate arrangements were in place to ensure staff were recruited safely.
• The practice had improved risk assessment arrangements; fire safety checks were completed and recorded; blind cords had been risk assessed and systems to monitor the schedule of cleaning by the outside agency employed by the practice had been introduced.

The areas where the provider should make improvements are:

• Continue to ensure risk mitigating actions are completed and recorded in a timely manner

• Cleaning schedules should be sufficiently detailed to reflect high risk areas of the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice