We carried out a follow up inspection of Dr D. Colvin and Dr O. B. Isinkaye (also known as Abridge Surgery). The purpose of the inspection was to check the practice had addressed regulatory breaches identified during their last comprehensive inspection conducted on 21 October 2014.

We found the practice had reviewed their systems for assessing and monitoring the quality of service they provided. The practice had introduced systems and processes to ensure medication was in date and appropriately stored. Patient directives were appropriately completed and endorsed by clinical staff to ensure the safe and appropriate administration of medicines that can be injected. The practice had revised their contingency arrangements to ensure plans were in place to manage unforeseeable disruptions that may occur to the service.

Letter from the Chief Inspector of General Practice

On 21 October 2014 we conducted an announced comprehensive inspection of Dr D Colvin and Dr O B Isinkaye. We found the practice was good.

Our key findings were as follows:

• The practice was a warm, friendly, caring and responsive practice when addressing patients’ needs and working in partnership with other health and social care services to deliver individualised care.
• The clinical and administrative team had a solid understanding of their patient population needs and provided a highly individualised and personal service to patients.
• Partner health services reported the practice to be open and receptive to joint working. They had a commitment to embracing developments, such as in their work with the end of life care coordinator.

However, there were also areas of practice where the provider needs to make improvements.

Importantly, the provider must:

• Ensure their medical supplies are in date to avoid out of date medicines being used in error.
• Ensure the correct endorsement and delegation of clinical authority to administer a drug or medicine that can be injected.
• Ensure contingency arrangements are in place so patients can access care should the practice experience disruption to their services.

In addition the provider should:

• Establish formal channels of communication with patients to regularly capture their views and experiences of the service.

• Complete clinical audits to identify that care is being provided in line with standards.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice