Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr R Hazeldine & Dr M Taylor practice on 29 July 2015.

Overall the practice is rated as good.

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

• Urgent appointments were available the same day.
• The practice had good facilities including disabled access and was found to be clean and tidy.
• Information about services and how to complain was available for patients.
• Patients were happy with the care provided and found all the staff to be caring and supportive.
• There were systems in place to reduce risks to patient safety for example, infection control procedures.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Staff had received training appropriate to their roles.
• Recruitment checks were carried out and the appropriate recruitment checks had been undertaken prior to employment.
• The practice had a comprehensive business continuity plan in place for major incidents such as power failure or building damage.
• Patients who may be in need of extra support were identified by the practice.

However there were areas where the provider should make improvements.

Importantly the provider should:

• Ensure a patient participation group (PPG) is in operation.
• Ensure chaperone information is displayed in line with the practice’s chaperone policy.
• Ensure that all risk assessments relating to the building are stored in the building and accessible to staff

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Dr R Hazeldine & Dr M Taylor, Westcotes Health Centre, in Leicester, Leicestershire provide primary medical services to a mixed age population of approximately 5,723 patients.

As part of the planning of this inspection, we looked at the data provided by the local Clinical Commissioning Group (CCG) to help us identify if the service was safe, effective, caring, responsive and well-led.

The practice understood the local patient population and provided flexible and responsive services to meet their needs. The feedback we received from patients about the care and treatment at the practice was positive. Patients told us they found the service accessible and were involved in making decisions about, and consenting to, their care and treatment.

The staff we spoke with told us they were well supported by the GPs and practice manager and that they found them open and approachable. Staff had access to a whistleblowing policy and knew what to do if they needed to report concerns. We saw that there were systems in place to safeguard vulnerable adults and children from abuse.

The practice responded to the needs of older people; people with long-term conditions; mothers, babies, children and young people; the working age population; people in vulnerable circumstances and, people who were experiencing poor mental health.

The inspection found that the practice was in breach of the regulation relating to:

- Care and welfare of people who use services

- Records

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework (QOF, a national performance measurement tool) data, this relates to the most recent information available to the CQC at that time.