Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Grand Drive Surgery on 10 January 2017. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. This was because not all staff had received annual basic life support training or mental capacity act training in line with their roles. The provider had not ensured that fire drills were regularly carried out.

The full comprehensive report can be found by selecting the ‘all reports’ link for Grand Drive Surgery on our website at www.cqc.org.uk.

This inspection was an announced desk-based follow up inspection carried out on 18 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation 12 Safe care and treatment, that we identified in our previous inspection on 10 January 2017. This report covers our findings in relation to those requirements and also where additional improvements have been made since our last inspection.

Overall the practice is rated as good. Specifically the practice was now found to be good for providing safe services.

Our key findings were as follows:

• The practice had carried out six monthly fire drills and maintained a record of these.

• All staff had received annual basic life support training.

• All doctors had received Mental Capacity Act training. The practice nurses had undertaken mental capacity act training as part of safeguarding adults training.

• Significant events were discussed with relevant staff.

• The practice had implemented a clear system for monitoring and acting on medicines and safety alerts.

• The practice had a clear system to monitor uncollected prescriptions.

• Failsafe thermometers had been installed on all refrigerators used to store medicines.

• The practice had an improved system in place to ensure all staff had received or had yearly appraisals booked.

• The practice had put in place a process to ensure that patients with a learning disability received an annual health check.

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 of Grand Drive Surgery on 10 January 2017. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. This was because not all staff had received annual basic life support training or mental capacity act training in line with their roles. The provider had not ensured that fire drills were regularly carried out.

The full comprehensive report can be found by selecting the ‘all reports’ link for Grand Drive Surgery on our website at www.cqc.org.uk.

This inspection was an announced desk-based follow up inspection carried out on 18 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation 12 Safe care and treatment, that we identified in our previous inspection on 10 January 2017. This report covers our findings in relation to those requirements and also where additional improvements have been made since our last inspection.

Overall the practice is rated as good. Specifically the practice was now found to be good for providing safe services.

Our key findings were as follows:

• The practice had carried out six monthly fire drills and maintained a record of these.

• All staff had received annual basic life support training.

• All doctors had received Mental Capacity Act training. The practice nurses had undertaken mental capacity act training as part of safeguarding adults training.

• Significant events were discussed with relevant staff.

• The practice had implemented a clear system for monitoring and acting on medicines and safety alerts.

• The practice had a clear system to monitor uncollected prescriptions.

• Failsafe thermometers had been installed on all refrigerators used to store medicines.

• The practice had an improved system in place to ensure all staff had received or had yearly appraisals booked.

• The practice had put in place a process to ensure that patients with a learning disability received an annual health check.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

On the day of our inspection at Grand Drive Surgery we spoke with three people who were using the service. We also spoke with two people who use the service that are also part of the surgery’s Patient Participation Group by telephone. We met and spoke with the practice manager, two registered general practitioners including one who is the surgery’s deputy lead on safeguarding and several other members of staff within the surgery.

People that we spoke with who used the service on the day of our visit were complimentary of the medical professionals and service received by reception staff. People's comments included "I have been a patient at the surgery for many years, I don’t have a bad word to say, the service is great” and “The service here is fantastic, everyone is always so nice and helpful” and “I never have a problem getting an appointment. The doctors are very good and listen to what I have to say. It’s a very good service they provide”.

We found that people using the service were protected from the risk of abuse because robust procedures were in place at the surgery for safeguarding children and vulnerable adults from abuse. Members of staff we spoke with demonstrated that they were aware of safeguarding procedures and knew how to report their concerns.

During our inspection we observed the surgery and main reception area to be visibly clean, thoroughly maintained and well lit. The surgery had disabled person’s access including wide doorways for wheelchair use and a disabled toilet. Facilities were also available for mothers and babies. There were appropriate policies and procedures in place to prevent and control the risks of cross infection.

People were asked for their views and experiences about using the service and these had been used to make changes and improvements to the service that people wanted. Practice staff undertook audits to monitor and review the quality and safety of the care and treatment provided to people who use the service.