West Meads Surgery in West Meads, Bognor Regis is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 8th September 2017
West Meads Surgery is managed by West Meads Surgery.
Contact Details:
Address:
West Meads Surgery 2-8 The Precinct West Meads Bognor Regis PO21 5SB United Kingdom
Letter from the Chief Inspector of General Practice
Our previous comprehensive inspection at West Meads Surgery in Bognor Regis, West Sussex on 5 October 2016 found breaches of regulations relating to the safe and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for the provision of safe and well led services. The practice was rated good for providing effective, caring and responsive services. The concerns identified as requiring improvement affected all patients and all population groups were also rated as requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for West Meads Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 22 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the four breaches in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.
We found the practice had made improvements since our last inspection. At our inspection on the 22 August 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. All six population groups have also been re-rated following these improvements and are also rated as good.
Our key findings were as follows:
There was an overarching governance framework which supported the delivery of safe and good quality care. Improvements had been made after the October 2016 inspection to deliver progress in improving services. These improvements included improvements in safeguarding arrangements, recruitment and health and safety.
The practice was effectively managing training arrangements, which were consistent and embedded across all staff groups. Training and professional development was managed and recorded on a system which identified when staff had training and when it would need to be refreshed.
The practice had revised recruitment processes and supporting documentation including Disclosure and Barring Service checks. Recruitment procedures were operated effectively to satisfy that staff employed were of good character, such as obtaining references, conducting disclosure and barring scheme checks for clinical staff, identification and employment history.
The practice had established and was operating safe and effective systems to assess, manage and mitigate the risks identified relating to electrical safety, legionella, gas safety and oxygen storage.
National guidance had been embedded into the practice regarding the provision of chaperones (a chaperone is a person who acts as a safeguard and witness for a patient and health care professional during a medical examination or procedure). This included appropriate training and completed background checks.
Individual comprehensive risk assessments had been completed for all practice staff who visit patients away from the practice. This was supported by a revised lone working policy.
To further support and sustain the level of improvements, we saw the practice formally documented and communicated to all staff the practice governance, strategy and supporting business plan. Furthermore, we saw this included information on the practice emergency procedures, including access to the business continuity plan.
The practice had taken steps to improve the suitability of the premises for patients who have mobility problems.
Suitable arrangements and supporting processes were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs.
An on-going schedule of audits had been formalised to continually assess, monitor and improve the quality of services. We saw this schedule ensured audit activity was monitored and confirmed recommendations and follow up audits were planned and completed.
Letter from the Chief Inspector of General Practice
Our previous comprehensive inspection at West Meads Surgery in Bognor Regis, West Sussex on 5 October 2016 found breaches of regulations relating to the safe and well-led delivery of services. The overall rating for the practice was requires improvement. Specifically, we found the practice to require improvement for the provision of safe and well led services. The practice was rated good for providing effective, caring and responsive services. The concerns identified as requiring improvement affected all patients and all population groups were also rated as requires improvement. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for West Meads Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 22 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the four breaches in regulations that we identified in our previous inspection in October 2016. This report covers our findings in relation to those requirements and improvements made since our last inspection.
We found the practice had made improvements since our last inspection. At our inspection on the 22 August 2017 we found the practice was meeting the regulations that had previously been breached. We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services. Overall the practice is now rated as good. All six population groups have also been re-rated following these improvements and are also rated as good.
Our key findings were as follows:
There was an overarching governance framework which supported the delivery of safe and good quality care. Improvements had been made after the October 2016 inspection to deliver progress in improving services. These improvements included improvements in safeguarding arrangements, recruitment and health and safety.
The practice was effectively managing training arrangements, which were consistent and embedded across all staff groups. Training and professional development was managed and recorded on a system which identified when staff had training and when it would need to be refreshed.
The practice had revised recruitment processes and supporting documentation including Disclosure and Barring Service checks. Recruitment procedures were operated effectively to satisfy that staff employed were of good character, such as obtaining references, conducting disclosure and barring scheme checks for clinical staff, identification and employment history.
The practice had established and was operating safe and effective systems to assess, manage and mitigate the risks identified relating to electrical safety, legionella, gas safety and oxygen storage.
National guidance had been embedded into the practice regarding the provision of chaperones (a chaperone is a person who acts as a safeguard and witness for a patient and health care professional during a medical examination or procedure). This included appropriate training and completed background checks.
Individual comprehensive risk assessments had been completed for all practice staff who visit patients away from the practice. This was supported by a revised lone working policy.
To further support and sustain the level of improvements, we saw the practice formally documented and communicated to all staff the practice governance, strategy and supporting business plan. Furthermore, we saw this included information on the practice emergency procedures, including access to the business continuity plan.
The practice had taken steps to improve the suitability of the premises for patients who have mobility problems.
Suitable arrangements and supporting processes were in place for planning and monitoring the number of staff and mix of staff needed to meet patients’ needs.
An on-going schedule of audits had been formalised to continually assess, monitor and improve the quality of services. We saw this schedule ensured audit activity was monitored and confirmed recommendations and follow up audits were planned and completed.
©2019 Care Services, all rights reserved. No part of this website may be reproduced without permission of the copyright holders.
