Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Drs Weaver, Shand & Assadourian practice at Odiham Health Centre on 24 February 2015. The overall rating for the practice was good, however, the practice was rated as requires improvement for providing safe services. The full comprehensive report on the February 2015 inspection can be found by selecting the ‘all reports’ link for Drs Weaver, Shand & Assadourian on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 28 March 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 24 February 2015. 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, including for providing safe services.

Our key findings were as follows:

• the practice had carried out a legionella risk assessment; and had completed annual infection control statements.
• Medicines and cleaning fluids are stored securely and were now only accessible to authorised people.
• Disclosure and Barring Service (DBS) checks are carried out for staff who perform chaperone roles and a policy documents when such a check is not required.
• fire emergency plans have been reviewed, including arrangements for patients with mobility impairments.
• there are now records in place of induction training for newly appointed staff.
• all relevant, newly appointed staff, receive infection control training.

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 Drs Weaver, Shand & Assadourian also known as Odiham Health Centre on 24 February 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for the all the population groups it provided services for. It required improvement for providing safe services.

Our key findings were as follows:

• 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.
• Patients said they found it easy to make an appointment with a named GP and that 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.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.
• Staff had received training appropriate to their roles and any further training needs had been identified and planned.

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

Importantly, the provider must:

• Carry out a legionella risk assessment.
• Complete an annual infection control statement.
• Ensure medicines are kept securely and only accessible to authorised people.
• Ensure cleaning fluids are stored securely and only accessible to authorised people.
• Carry out a Disclosure and Barring Service check or document the rationale why such a check is not required for staff who perform chaperone roles.

In addition the provider should:

• Review fire emergency plans for the use of the first floor by patients with mobility impairments.
• Maintain a record of induction training for newly appointed staff.
• Ensure all relevant staff receives infection control training

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice