Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Price and Partners on 2 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Dr Price and Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 1 June 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 2 August 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 practice had suitable arrangements in place for managing and acting on areas requiring improvement identified by risk assessments of the building and the environment.

• A plan for staff training including induction was in place and the practice was able to demonstrate there was ongoing training and development in place for staff. There was evidence of training being completed on safeguarding and basic life support. Staff were offered regular appraisals.

• Recruitment processes ensure all relevant information was obtained prior to a new member of staff commencing employment.

• Policies and procedures related to the running of the service had been reviewed to ensure they were relevant and current. There was a system in place to ensure reviews were carried out at appropriate intervals.

• The complaints policy had been reviewed and ensured that complainants were aware of who they could contact if they were not satisfied with the practice response.

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 Price and Partners on 2 August 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Risks to patients were assessed and well managed, however some improvements are needed to ensure a range of risk assessments are carried out.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. There were shortfalls in training provided for staff on areas such as basic life support and safeguarding children and adults.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.

• Patients 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 and complied with the requirements of the duty of candour.

• The provider was actively involved in research studies.

The areas where the provider must make improvement are:

• Ensure a comprehensive building and environmental risk assessment is carried out and any areas identified for improvement are actioned. Ensure actions from fire risk assessments are carried out fully.

• Ensure staff receive training to enable them to carry out their role, in particular on basic life support and safeguarding patients.

• Ensure all staff receive an induction programme and have regular ongoing appraisals.

The areas where the provider should make improvement are:

• Review arrangements for recruitment to make sure all necessary information is obtained prior to a member of staff commencing employment.

• Continue to implement the appraisal system, in order that all staff receive regular reviews.

• Continue to review policies and procedures to make sure they are relevant, current and easily accessible for staff.

• Consider reviewing the arrangements for reporting to complaints to provide information to patients on agencies they can contact if they are not satisfied with the practice response.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice