Letter from the Chief Inspector of General Practice
On 6 September 2016 we carried out an announced comprehensive inspection at St George’s and Riverside Medical Group. The overall rating for the practice was requires improvement, having being judged as requires improvement for Safe, Effective and Well Led. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for St George’s and Riverside Medical Group on our website at www.cqc.org.uk.
After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:
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Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance.
This announced comprehensive inspection was carried out on the 27 April 2017 in order to review the action by the practice to be compliant with the regulations. Overall the practice is now rated as good.
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Staff understood and fulfilled their responsibilities to raise concerns, and report incidents and near misses; improvements had been made to the significant event reporting process.
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Risks to patients were assessed and well managed.
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Outcomes for patients who use services had improved and there was a programme of clinical audit in place.
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Patients’ needs were assessed and care was planned and delivered following best practice guidance.
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Staff were consistent and proactive in supporting patients to live healthier lives through a targeted approach to health promotion. Information was provided to patients to help them understand the care and treatment available.
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Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
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The practice had a system in place for handling complaints and concerns and responded quickly to any complaints.
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The practice had good facilities and was well equipped to treat patients and meet their needs.
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There was a leadership structure in place and staff felt supported by management. The practice sought feedback from staff and patients, which they acted on.
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The practice was aware of and complied with the requirements of the Duty of Candour regulation.
However, there were also areas of practice where the provider needs to make improvements.
In addition the provider should:
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Liaise with the landlord of the premises to repair or replace the damaged seats in the reception area.
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Follow the Public Health Guidelines in relation to the record keeping of the stock control of vaccines.
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Update the locum induction pack with more comprehensive information, for example, safeguarding arrangements for the practice and locality.
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Complete the process for appointing a registered manager for the merged practice in line with CQC guidance.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice