Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Bunbury Medical Practice on 11 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Bunbury Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 4 April 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 11 October 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:

• The premises were safely maintained.

• The governance systems had been improved to ensure that clear records were maintained of the training provided to staff, effective systems were in place for the management of significant events and for ensuring reports were provided for child safeguarding meetings.

In addition, the practice had made the following improvements:

• The system for ensuring alerts were placed on computer records to indicate any concerns about patient welfare had been reviewed.

• A system had been put in place to record the receipt and allocation of printable prescriptions.

• A system had been put in place to identify the medication held in GP bags and to record that it had been checked and was in date.

• The induction records had been revised and were more comprehensive reflecting the detail of the information provided.

• All staff who acted as chaperones now received a Disclosure and Barring Service (DBS) check.

• The staff recruitment procedure had been revised to ensure that all the required recruitment information was obtained.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

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 of Bunbury Medical Practice on 11 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Bunbury Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 4 April 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 11 October 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:

• The premises were safely maintained.

• The governance systems had been improved to ensure that clear records were maintained of the training provided to staff, effective systems were in place for the management of significant events and for ensuring reports were provided for child safeguarding meetings.

In addition, the practice had made the following improvements:

• The system for ensuring alerts were placed on computer records to indicate any concerns about patient welfare had been reviewed.

• A system had been put in place to record the receipt and allocation of printable prescriptions.

• A system had been put in place to identify the medication held in GP bags and to record that it had been checked and was in date.

• The induction records had been revised and were more comprehensive reflecting the detail of the information provided.

• All staff who acted as chaperones now received a Disclosure and Barring Service (DBS) check.

• The staff recruitment procedure had been revised to ensure that all the required recruitment information was obtained.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke to three patients who all told us that they were happy with the care that they received from the Bunbury Medical Practice. One person said; "I've been a patient here for 20 years and have always had an excellent service." Another person said; "The doctors are very good. I can't find fault with anything."

We spoke to a doctor, the practice manager, and a practice nurse about the safeguarding procedures and policies in place at the practice. All the staff had received training in safeguarding and were able to describe the action they would take if they had any concerns about a patient.

We looked around the purpose built practice and found it to be suitable for use. It was very clean and well maintained. We looked at the maintenance records for the building and saw that regular checks were made to ensure that safety and security was maintained.

We looked at the procedures for recruitment of new staff and we saw that all the appropriate checks had not been made to ensure that staff were suitable to work at the practice.