Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Jersey Practice Limited on 19 April 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Most risks to patients were assessed and well managed, with the exception of dealing with building health and safety checks at the branch surgery.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day. However results from the GP national survey showed that the practice had scored low around questions relating to access.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

The practice had identified 5% of the practice patient list as carers. The practice had achieved this by ensuring staff had been trained in the processes of identifying carers and had a lead staff who monitored this process.

The areas where the provider must make improvement are:

• Ensure that health and safety building checks including fire drills are undertaken at the branch site.

• Ensure that the system of checking all equipment is systematic so as to include all equipment.

The areas where the provider should make improvement are:

• Ensure they develop and maintain a Patient Participation Group so as to actively involve patients in developing and improving the service.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an unannounced inspection at The Jersey Practice on 10 March 2017 in response to concerns received by the Care Quality Commission (CQC) that the practice was not providing safe care and treatment to its patients. The concerns specifically related to the health care assistant administering medication by injection without a patient specific prescription or direction from a prescriber and without appropriate training (PGDs are written instructions for the supply or administration of medicines to groups of patients who may not be individually identified before presentation for treatment).

At the inspection on 10 March 2017 the concerns received by the CQC were substantiated and as a result a decision was made to take enforcement action against the provider where a warning notice was issued for regulation 12; Safe Care and Treatment.

We revisited the practice on 30 March 2017 and found the provider had taken the necessary action to comply with the warning notice and was now providing safe care and treatment to its patients.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice