Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Keats Grove Surgery on 9 August 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued a requirement notice in relation to:

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Keats Grove Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 July 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 at our previous inspection on 9 August 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• The practice had reviewed and implemented systems to minimise risks to patients.

  • The practice had reviewed its systems and procedures to ensure the safe management of medicines and introduced ongoing monitoring to check improvements were maintained.
  • Full employment checks as required by legislation for all staff employed were carried out and records were available to confirm this.

• Effective systems were in place to monitor the management and care review of patients with long term health conditions and data showed that patient attendance at reviews had improved.
• The number of patients attending national screening and immunisation programmes had improved.
• Staff were aware of how to use equipment installed to support patients with a hearing impairment.
• Staff had clear guidance on maintaining the privacy and dignity of all patients when receiving treatment in consulting rooms without privacy curtains or screens. Patients were offered access to an alternative room if requested.

There was one area where the provider should make improvements:

• Ensure that the plans to monitor the systems introduced to improve medicine practices are carried out.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Keats Grove Surgery on 9 August 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing safe services.

We issued a requirement notice in relation to:

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Keats Grove Surgery on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 July 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 at our previous inspection on 9 August 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

• There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
• The practice had reviewed and implemented systems to minimise risks to patients.

  • The practice had reviewed its systems and procedures to ensure the safe management of medicines and introduced ongoing monitoring to check improvements were maintained.
  • Full employment checks as required by legislation for all staff employed were carried out and records were available to confirm this.

• Effective systems were in place to monitor the management and care review of patients with long term health conditions and data showed that patient attendance at reviews had improved.
• The number of patients attending national screening and immunisation programmes had improved.
• Staff were aware of how to use equipment installed to support patients with a hearing impairment.
• Staff had clear guidance on maintaining the privacy and dignity of all patients when receiving treatment in consulting rooms without privacy curtains or screens. Patients were offered access to an alternative room if requested.

There was one area where the provider should make improvements:

• Ensure that the plans to monitor the systems introduced to improve medicine practices are carried out.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

On the day of our inspection we spoke with six patients and seven members of staff. One patient said, “It is a first class practice." All of the patients we spoke with said they found it difficult to get through to make appointments but acknowledged that they were able to be seen on the day. All the patients we spoke with said they felt the quality of care they received was good.

We saw that patient's views and experiences were taken into account in the way the service was provided which demonstrated that they felt listened to. All the patients we spoke with told us they were treated with dignity and respect. One patient told us, “I am happy here." We found that patients experienced care and treatment that met their needs.

Patients told us and we saw that care was delivered in a clean environment.

Most of the staff had received training in safeguarding (protecting vulnerable adults and children). The reception staff still required this training but were knowledgeable about safeguarding issues.

Improvements were required to the quality monitoring systems in place to assess and improve the quality of service that patients received. Incidents that may cause harm needed to be analysed and lessons learnt shared with the whole practice. Improvements were required to the monitoring of chronic disease management.