Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr John O’Moore on 5 May 2016. The overall rating for the practice was good, however the practice was rated requires improvement for providing effective care. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr John O’Moore on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 August 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 5 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At the inspection on 5 May 2016 we found:

• The exception reporting within four clinical domains was above both local and national averages.

• The practice had undertaken some quality improvement activity but had not completed any two-cycle audits, where the information learnt had been used to improve patient care.

• The practice had a robust strategy and supporting business continuity plan. However, it did not have a business plan.

At the inspection on 14 May 2017 we found improvements had been made. Overall the practice remains rated good. The practice is now rated as good for providing effective care.

Our key findings were as follows:

• Exception reporting rates for some clinical conditions were above average. However, the practice had investigated this and provided an acceptable explanation in this regard.

• Clinical audits demonstrated quality improvement.

• The practice had produced a two year business plan which reflected the vision and values.

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 at Dr John O’Moore on 5 May 2016. The overall rating for the practice was good, however the practice was rated requires improvement for providing effective care. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr John O’Moore on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 14 August 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 5 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

At the inspection on 5 May 2016 we found:

• The exception reporting within four clinical domains was above both local and national averages.

• The practice had undertaken some quality improvement activity but had not completed any two-cycle audits, where the information learnt had been used to improve patient care.

• The practice had a robust strategy and supporting business continuity plan. However, it did not have a business plan.

At the inspection on 14 May 2017 we found improvements had been made. Overall the practice remains rated good. The practice is now rated as good for providing effective care.

Our key findings were as follows:

• Exception reporting rates for some clinical conditions were above average. However, the practice had investigated this and provided an acceptable explanation in this regard.

• Clinical audits demonstrated quality improvement.

• The practice had produced a two year business plan which reflected the vision and values.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

We spoke to people visiting the surgery on the day of our inspection. People told us they were happy with the service provided by the GP at the practice. One person said, ‘the GP is very approachable and puts the children at ease when they see him.’ Another person said, ‘they have been great here. I haven’t struggled to make an appointment and am very happy overall.’

We found that people's care was planned and delivered in a way that met their individual needs and that the practice co-operated with other healthcare professionals and services.

We also found that people were protected from the risk of abuse because the provider had procedures in place for safeguarding vulnerable adults and children and staff we spoke with were aware of these procedures.

People we spoke with told us that they were always able to get an appointment quickly and did not have problems getting an emergency appointment.

We found that people's privacy and dignity was respected in every case.

The provider had effective recruitment procedures in place to ensure only suitable staff were employed at the service.