Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Arden House Medical Practice on 22 August 2016. The overall rating for the practice was good. Following the inspection the practice sent us an action plan to address a requirement that the provider was not meeting.
The inspection report dated 22 August 2016 can be found by selecting the ‘all reports’ link for
Arden House Medical Practice
on our website at www.cqc.org.uk.
We carried out a desk based review of
Arden House Medical Practice
on 31 January 2017, to confirm that the practice had completed their plan to meet the legal requirement we identified at our last inspection. This report covers our findings in relation to the requirement and improvements made.
Our key findings were as follows:
- The practice had completed their action plan and was now meeting the legal requirement.
-
The arrangements for assessing and managing risks at the practice had been strengthened.
-
The practice had recently purchased a defibrillator. The equipment was kept at the surgery and would be easily accessible for staff to use in the event of a medical emergency. All staff had received training on the use of the equipment.
-
A Legionella risk assessment was carried out on 21 October 2016
to identify the risk of exposure of legionella bacteria in the water system
. An action plan and control measures were in place to eliminate and manage the risks identified in the assessment.
-
The chaperone policy had been updated to include the training requirements for staff to undertake this role. All relevant staff who acted as chaperones had received appropriate training to ensure they understood their responsibilities.
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The infection control audit had been updated to include an action plan to complete following an audit. This would provide evidence of action taken to address any improvements identified as a result of an audit.
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The induction programme for new staff had been updated, to include all essential information to cover the scope of their work. C
ompleted inductions were signed off by the employee and a relevant senior member of staff, to support that staff had received appropriate training t
o carry out their role effectively
.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice