This practice is rated as Good overall. (Previous rating 06 2018 – Good overall with requires improvement for safe).

The key question at this inspection are rated as:

Are services safe? - Good

We carried out an announced focused inspection at Taunton Vale Healthcare on 7 November 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in Regulation 12 HSCA (RA) Regulations 2014: Safe care and treatment that we identified. And the areas where the provider should make improvements identified in our previous inspection in June 2018. This report covers our findings in relation to those requirements.

The full comprehensive report on the June 2018 inspection can be found by selecting the ‘all reports’ link for Taunton Vale Healthcare on our website at www.cqc.org.uk

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines. They had implemented changes to demonstrate that they had a culture of high-quality sustainable care.
• There was a focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Improve the completion of the provider’s mandatory training program such as fire safety.
• Review and continue to monitor cervical smear screening to meet Public Health England screening rates.
• Risk assess the storing of blank prescription paper in terms of unsupervised cleaner access to clinical rooms.
• Continue to improve the completion of patient quality indicators in the care and treatment of patients with long-term conditions and those with mental health.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.