Letter from the Chief Inspector of General Practice

This was a follow up desk-based review carried out on 6 February 2017, to confirm the practice had met the areas for improvement that we identified on our previous inspection on 29 September 2016. The full comprehensive report following the inspection on 29 September 2016 can be found by selecting the ‘all reports’ link for Church Road Surgery on our website at www.cqc.org.uk.

This report covers our findings in relation to those improvements.

Overall the practice is now rated as Good.

Our key findings were as follows:

• The practice had undertaken disclosure and barring service (DBS) checks for non-clinical staff members who chaperoned. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

• All staff had completed relevant training for chaperoning so that they were aware of their responsibilities when undertaking this role.

• Health and safety and fire safety risk assessments had been completed and. staff had also received training in these areas.

• Details of the practice opening times and various clinic times in the practice leaflet were not aligned on the practice website. For example, the opening hours for Monday and Friday afternoons and the finishing time for the well baby/Immunisation clinic were inconsistent. The practice manager told us that the information on the practice leaflet was incorrect and provided us with an updated practice leaflet which had information consistent with the website.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This was a follow up desk-based review carried out on 6 February 2017, to confirm the practice had met the areas for improvement that we identified on our previous inspection on 29 September 2016. The full comprehensive report following the inspection on 29 September 2016 can be found by selecting the ‘all reports’ link for Church Road Surgery on our website at www.cqc.org.uk.

This report covers our findings in relation to those improvements.

Overall the practice is now rated as Good.

Our key findings were as follows:

• The practice had undertaken disclosure and barring service (DBS) checks for non-clinical staff members who chaperoned. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

• All staff had completed relevant training for chaperoning so that they were aware of their responsibilities when undertaking this role.

• Health and safety and fire safety risk assessments had been completed and. staff had also received training in these areas.

• Details of the practice opening times and various clinic times in the practice leaflet were not aligned on the practice website. For example, the opening hours for Monday and Friday afternoons and the finishing time for the well baby/Immunisation clinic were inconsistent. The practice manager told us that the information on the practice leaflet was incorrect and provided us with an updated practice leaflet which had information consistent with the website.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We undertook this inspection after receiving concerning information about the practice. These concerns related to the care of patients requiring follow up or a review of their health condition at the practice. During our inspection we did not find any evidence to substantiate these concerns.

Our visit was unannounced so the practice was unable to prepare for it. We took a GP specialist advisor with us to assist with our inspection. During our visit we spoke with six members of clinical and administrative staff. This included the two GP partners, the practice manager, the practice nurse and two reception staff. We also reviewed documentation and records that were made available to us.

We found that patients at the practice experienced care, treatment and support that met their needs. The practice appropriately acted and responded to information received about patients from hospital consultants and medical tests. Patients with long term health conditions had their condition reviewed.

The practice had appropriate arrangements to help protect patients from the risk of abuse. Staff at all levels had an understanding of safeguarding issues and what to do if they had any concerns. We saw evidence that the practice responded appropriately to safeguarding concerns.