Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Greasbrough Medical Centre on 19 January 2016. The overall rating for the practice was good with requires improvement for the safety domain. The full comprehensive report for the 19 January 2016 inspection can be found by selecting the ‘all reports’ link for Greasbrough Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 15 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 19 January 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good. The practice

is now also rated as Good in the safety domain.

Improvements had been made since our last inspection on 19 January 2016. Our key findings were as follows:

• Improvements had been made to the recruitment procedures. Checks that staff were of good character had been made. Disclosure and Barring Service (DBS) checks had been obtained for all staff who required them due to the nature of their role. Applicant’s physical and mental health had been considered in line with requirements of their role. Recruitment records now included records of interview. The recruitment policy now included the requirements for DBS checks and health checks.

• Storage arrangements for paper towels in clinical rooms had been reviewed and the risk of cross contamination minimised.

• Access to keys for the prescription pad storage area was now controlled.

• Fixed wire installations (the wiring and equipment between the supply meter and the point of use, for example, socket outlets) had been inspected.

• A practice specific risk assessment had been completed and procedures had been developed which identified the actions required to minimise the risk of legionella risk. However, records of routine weekly water temperature checks were not maintained in line with the practice policy and procedure.

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 Greasbrough Medical Centre on 19 January 2016. The overall rating for the practice was good with requires improvement for the safety domain. The full comprehensive report for the 19 January 2016 inspection can be found by selecting the ‘all reports’ link for Greasbrough Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 15 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 19 January 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good. The practice

is now also rated as Good in the safety domain.

Improvements had been made since our last inspection on 19 January 2016. Our key findings were as follows:

• Improvements had been made to the recruitment procedures. Checks that staff were of good character had been made. Disclosure and Barring Service (DBS) checks had been obtained for all staff who required them due to the nature of their role. Applicant’s physical and mental health had been considered in line with requirements of their role. Recruitment records now included records of interview. The recruitment policy now included the requirements for DBS checks and health checks.

• Storage arrangements for paper towels in clinical rooms had been reviewed and the risk of cross contamination minimised.

• Access to keys for the prescription pad storage area was now controlled.

• Fixed wire installations (the wiring and equipment between the supply meter and the point of use, for example, socket outlets) had been inspected.

• A practice specific risk assessment had been completed and procedures had been developed which identified the actions required to minimise the risk of legionella risk. However, records of routine weekly water temperature checks were not maintained in line with the practice policy and procedure.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

People’s diversity, values and human rights were respected. People felt that staff were friendly and they were able to speak with them in confidence. One person said, “Everyone at the practice treats me with dignity and respect.”

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. The people we spoke with were complimentary about the treatment they received. One person said, “I am always treated well and things are explained clearly to me.” Another person said, “The doctors and nurse are very good, they always explain things in a way I understand.”

People were cared for in a clean and hygienic environment. We saw the premises were very clean throughout.

We spoke with staff who said they were supported and able to approach the doctors if they had a concern. They said it was a friendly and inclusive environment to work in.

The provider had an effective system to regularly assess and monitor the quality of service that people received. We spoke with patients and one person said, “The GP’s are receptive to change and they have introduced an open surgery on a morning as a result of requests from the patient participation group.”