Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 25 June 2015. A breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach. We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Launceston Close Surgery on our website at www.cqc.org.uk

Our key findings were as follows:

• Action had been taken to ensure the recruitment procedures were improved and the required information in respect of workers was obtained.

The areas where the provider should make improvements are:

• Make a record of information about any physical or mental conditions which are relevant (after reasonable adjustments) to the role the person is being employed to undertake.

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 Launceston Close Surgery. 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 to meet the needs of all population groups of patients. We found improvements were needed to the records of staff recruitment to demonstrate the suitability of staff for their roles.

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

• There were systems in place to protect patients from avoidable harm, such as from the risks associated with medicines and equipment. However, improvements were needed to the recruitment of staff as the recruitment records did not demonstrate that all necessary checks were undertaken to demonstrate suitability for their roles.

• Patients care needs were assessed and care and treatment was being considered in line with best practice national guidelines. Staff worked together and with other services to promote patient care. The practice monitored the services it provided and made changes as required.

• Feedback from patients showed they were overall very happy with the care given by all staff. They felt listened to, treated with dignity and respect and involved in decision making around their care and treatment.

• The practice planned its services to meet the differing needs of patients. The practice encouraged patients to give their views about the services offered and made changes as a consequence.

• Quality and performance were monitored, risks were identified and managed. The practice ensured that staff had access to learning and improvement opportunities.

There were areas of practice where the provider needs to make improvements

Importantly, the provider must:

• Take action to ensure its recruitment policy, procedures and arrangements are improved to ensure necessary employment checks are in place for all staff and the required information in respect of workers is held.

The provider should:

• Ensure that clinical staff receive an appraisal and formal supervision from an appropriately qualified member of staff.
• Record all risk assessments so that they can be reviewed to ensure they remain effective.
• Review the systems in place to ensure scanning of patients records is carried out without unnecessary delay.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Launceston Close Surgery on 25 May 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.