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CQC Inspection findings on The Family Practice

Update to published CQC report - 24 January 2017

We have made significant changes to immediately address some of the concerns raised in the CQC report and will continue to address all issues highlighted to ensure patient safety and high quality patient care. The Family Practice is confident that the changes made will be reflected in a positive outcome at the next CQC inspection.

It has now been three months since the Care Quality Commission (CQC) assessed the practice, and four weeks since the report was published. All staff have been extremely busy over the last three months addressing the areas where the report highlighted improvements were required.

The Family Practice has until now not had a defibrillator. It was highlighted in the report that we also did not have a risk assessment in place. Last month we invested in a new fully automatic defibrillator at the practice which is now in service.

At the time of the inspection, the CQC inspector noted a faulty clinical waste bin. The bins and other waste services are provided by an external supplier, we have now updated our processes to ensure that faulty goods are identified earlier and practice staff are following a quality assurance process.

At the time of the inspection, out of the 32 personnel employed by the practice one had not provided a reference despite a request having been made by the practice manager. We have updated our procedure when recruiting new staff to ensure that all references are received in a timely manner.

The inspection team noted that in certain circumstances patients could have access to some of the notes via a corridor within the building. We immediately relocated them to a room only accessible by staff and four new lockable cabinets have subsequently been purchased.

With regards to policies and procedures (P&P), the CQC report highlighted issues where in some cases policies were not available and in other cases some staff were unsure as to where to find them. Over the last three months we have updated over 70 policies and are in the process of adding over 100 more. These are being stored in a central location with access by all members of staff.

The Family Practice is aware of the ongoing issues that patients are facing with obtaining appointments. This was highlighted in the most recent Patient Survey. Since the CQC report a new partner has joined the practice and another salaried GP will be joining us in February.

The CQC inspection report highlighted areas where the surgery was delivering a good service, which reflects the commitment of all practice staff to high quality patient care. The report commented that “The practice assessed needs and delivered care in line with relevant and current evidence based guidance and standards, including National Institute for Health and Care Excellence (NICE) best practice guidelines.” Furthermore, “Staff had the skills, knowledge and experience to deliver effective care and treatment.”

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